Tarantino Giovanni, Citro Vincenzo, Capone Domenico
Department of Clinical Medicine and Surgery, "Federico II" University Medical School of Naples, 80131 Naples, Italy.
Department of General Medicine, "Umberto I" Hospital, 84014 Nocera Inferiore (Sa), Italy.
J Clin Med. 2019 Dec 19;9(1):15. doi: 10.3390/jcm9010015.
Focusing on previously published mechanisms of non-alcoholic fatty liver disease (NAFLD), their uncertainty does not always permit a clear elucidation of the grassroot alterations that are at the basis of the wide-spread illness, and thus curing it is still a challenge. There is somehow exceptional progress, but many controversies persist in NAFLD research and clinical investigation. It is likely that hidden mechanisms will be brought to light in the near future. Hereby, the authors present, with some criticism, classical mechanisms that stand at the basis of NAFLD, and consider contextually different emerging processes. Without ascertaining these complex interactions, investigators have a long way left ahead before finding an effective therapy for NAFLD beyond diet and exercise.
聚焦于先前发表的非酒精性脂肪性肝病(NAFLD)机制,其不确定性并不总能清晰阐释这种广泛疾病所基于的根本改变,因此治愈它仍是一项挑战。NAFLD研究和临床调查虽有一些显著进展,但仍存在诸多争议。隐藏机制很可能在不久的将来被揭示出来。在此,作者带着一些批判性观点,介绍了构成NAFLD基础的经典机制,并考虑了不同背景下新出现的过程。在确定这些复杂相互作用之前,研究人员要找到除饮食和运动之外的NAFLD有效治疗方法还有很长的路要走。