Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine , Indianapolis, Indiana.
Department of Biochemistry and Molecular Biology, Indiana University School of Medicine , Indianapolis, Indiana.
Am J Physiol Gastrointest Liver Physiol. 2019 Jan 1;316(1):G75-G81. doi: 10.1152/ajpgi.00170.2018. Epub 2018 Nov 1.
Nonalcoholic fatty liver disease (NAFLD) comprises a spectrum of histopathological phenotypes ranging from simple steatosis to more severe liver disease associated with cell injury, including nonalcoholic steatohepatitis (NASH), advanced fibrosis, and cirrhosis. Only a subset of patients with NAFLD develop NASH from yet incompletely understood mechanisms. Emerging data suggest lipid species other than triglycerides as contributors to the pathogenesis of NASH. In this mini review, we focus on the recent data on the mechanisms of NASH, focusing on these lipid mediators and their potential as therapeutic targets in NASH.
非酒精性脂肪性肝病(NAFLD)包括一系列组织病理学表型,从单纯性脂肪变性到与细胞损伤相关的更严重肝病,包括非酒精性脂肪性肝炎(NASH)、进展性肝纤维化和肝硬化。只有一小部分 NAFLD 患者从尚未完全了解的机制中发展为 NASH。新出现的数据表明,除甘油三酯以外的脂质种类也可能参与 NASH 的发病机制。在这篇迷你综述中,我们重点关注 NASH 发病机制的最新数据,重点介绍这些脂质介质及其作为 NASH 治疗靶点的潜力。