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趋化因子及其受体在非酒精性脂肪性肝病中的作用及治疗进展

Function and therapeutic advances of chemokine and its receptor in nonalcoholic fatty liver disease.

作者信息

Chen Wei, Zhang Jing, Fan Hui-Ning, Zhu Jin-Shui

机构信息

Department of Gastroenterology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Department of Gastroenterology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Yishan Road 600, Shanghai 200233, China.

出版信息

Therap Adv Gastroenterol. 2018 Dec 6;11:1756284818815184. doi: 10.1177/1756284818815184. eCollection 2018.

Abstract

Nonalcoholic fatty liver disease (NAFLD) represents a spectrum of hepatic pathology, ranging from simple accumulation of fat in its most benign form, steatohepatitis, to cirrhosis in its most advanced form. The prevalence of NAFLD is 20-30% in adults, and 10-20% of patients with NAFLD progress to nonalcoholic steatohepatitis (NASH) which is predicted to be the leading cause of liver transplantation over the next 10 years. Therefore, it is essential to explore effective diagnostic and treatment strategies for NAFLD patients. Chemokines are a family of small and highly conserved proteins (molecular weight ranging from 8 to 12 kDa) involved in regulating the migration and activities of hepatocytes, Kupffer cells (KCs), hepatic stellate cells (HSCs), endothelial cells and circulating immune cells. Accumulating data show that chemokine and its receptor act vital roles in the pathogenesis of NAFLD. Herein, we summarize the involvement of the chemokine and its receptor in the pathogenesis of NAFLD and explore the novel pharmacotherapeutic avenues for patients with NAFLD.

摘要

非酒精性脂肪性肝病(NAFLD)代表了一系列肝脏病理状态,从最良性的单纯脂肪堆积,到脂肪性肝炎,再到最严重的肝硬化。NAFLD在成年人中的患病率为20%-30%,且10%-20%的NAFLD患者会进展为非酒精性脂肪性肝炎(NASH),预计在未来10年NASH将成为肝移植的主要原因。因此,探索针对NAFLD患者的有效诊断和治疗策略至关重要。趋化因子是一类小的、高度保守的蛋白质家族(分子量在8至12 kDa之间),参与调节肝细胞、库普弗细胞(KCs)、肝星状细胞(HSCs)、内皮细胞和循环免疫细胞的迁移和活性。越来越多的数据表明,趋化因子及其受体在NAFLD的发病机制中起着至关重要的作用。在此,我们总结趋化因子及其受体在NAFLD发病机制中的作用,并探索针对NAFLD患者的新型药物治疗途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b8c/6295708/be03a8253e93/10.1177_1756284818815184-fig1.jpg

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