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非酒精性脂肪性肝病防治的进展与挑战。

Progress and challenges in the prevention and control of nonalcoholic fatty liver disease.

机构信息

Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.

Department of Cardiology, The Third Xiangya Hospital, Central South University, Changsha, China.

出版信息

Med Res Rev. 2019 Jan;39(1):328-348. doi: 10.1002/med.21515. Epub 2018 May 30.

Abstract

Nonalcoholic fatty liver disease (NAFLD) is rapidly becoming the most common liver disease worldwide. Individuals with NAFLD have a high frequency of developing progressive liver disease and metabolism-related comorbidities, which result from of a lack of awareness and poor surveillance of the disease and a paucity of approved and effective therapies. Managing the complications of NAFLD has already begun to place a tremendous burden on health-care systems. Although efforts to identify effective therapies are underway, the lack of validated preclinical NAFLD models that represent the biology and outcomes of human disease remains a major barrier. This review summarizes the characteristics and prevalence of the disease and the status of our understanding of its mechanisms and potential therapeutic targets.

摘要

非酒精性脂肪性肝病(NAFLD)正在迅速成为全球最常见的肝脏疾病。NAFLD 患者发生进行性肝病和代谢相关合并症的频率较高,这是由于对该病的认识不足和监测不力,以及缺乏批准和有效的治疗方法所致。管理 NAFLD 的并发症已经开始给医疗保健系统带来巨大负担。虽然正在努力寻找有效的治疗方法,但缺乏能够代表人类疾病的生物学和结果的经过验证的临床前 NAFLD 模型仍然是一个主要障碍。这篇综述总结了该病的特征和流行情况,以及我们对其发病机制和潜在治疗靶点的理解现状。

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