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非酒精性脂肪性肝病中的植物雌激素:潜在作用机制。

Phytoestrogens in NAFLD: Potential Mechanisms of Action.

机构信息

Department of Dentistry, Jilin University, Changchun, China.

Department of Gastroenterology and Hepatology, Jilin University, Changchun, China.

出版信息

Horm Metab Res. 2020 Feb;52(2):77-84. doi: 10.1055/a-1089-7710. Epub 2020 Feb 13.

Abstract

Many studies have shown that estrogen has a protective effect on premenopausal women with metabolic disorders and non-alcoholic fatty liver disease. Estrogen supplements may, at least in theory, prevent the development and progression of NAFLD, while the possibility of inducing cancer limits its application in practice. Phytoestrogen is extracted from plants, whose molecular structure and biological activity are similar to those of mammals' estrogen, therefore, could replace the role of estrogen and prevent the occurrence of adverse reactions to estrogen. This article reviews the published literature related to phytoestrogens and NAFLD as well as suggest the possible mechanisms that may underlie the association between phytoestrogens and NAFLD. It is hoped to provide basis for the treatment of NAFLD with phytoestrogen.

摘要

许多研究表明,雌激素对代谢紊乱和非酒精性脂肪性肝病的绝经前妇女具有保护作用。雌激素补充剂至少在理论上可以预防非酒精性脂肪性肝病的发生和进展,而其致癌的可能性又限制了其在实践中的应用。植物雌激素是从植物中提取的,其分子结构和生物学活性与哺乳动物的雌激素相似,因此可以替代雌激素的作用,防止雌激素引起的不良反应。本文综述了已发表的关于植物雌激素与非酒精性脂肪性肝病的相关文献,并提出了植物雌激素与非酒精性脂肪性肝病之间可能存在的关联的潜在机制。希望为植物雌激素治疗非酒精性脂肪性肝病提供依据。

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