Zvenigorodskaia L A, Cherkashova E A, Samsonova N G, Nilova T V, Sil'verstova S Iu
Eksp Klin Gastroenterol. 2011(2):37-43.
One of the main components of the metabolic syndrome is a non-alcoholic fatty liver disease (NAFLD). Currently, NAFLD is recognized as one of the main factors for cardiovascular disease because cholesterol synthesis is carried out mainly in the liver. In connection with this selection of lipid-lowering therapy, which has a known hepatotoxic effect, is a challenge. In the pathogenesis of NAFLD important role played by the violation of the colon microflora and, consequently, elevated levels of metabolic products of microorganisms (short chain fatty acids, endotoxin, nitric oxide), which must also be considered in the treatment of atherogenic dyslipidemia. In patients with NAFLD and atherogenic dyslipidemia appointment of combination therapy of statins and probiotics are more effective in lowering cholesterol and products of metabolism of intestinal microflora compared with monotherapy.
代谢综合征的主要组成部分之一是非酒精性脂肪性肝病(NAFLD)。目前,NAFLD被认为是心血管疾病的主要因素之一,因为胆固醇合成主要在肝脏中进行。因此,选择具有已知肝毒性作用的降脂治疗是一项挑战。在NAFLD的发病机制中,结肠微生物群的破坏以及微生物代谢产物(短链脂肪酸、内毒素、一氧化氮)水平的升高起着重要作用,在治疗动脉粥样硬化性血脂异常时也必须考虑这一点。与单一疗法相比,在患有NAFLD和动脉粥样硬化性血脂异常的患者中,使用他汀类药物和益生菌联合治疗在降低胆固醇和肠道微生物群代谢产物方面更有效。