Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), 08036 Barcelona, Spain.
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), 08036 Barcelona, Spain.
Int J Mol Sci. 2020 Jul 23;21(15):5242. doi: 10.3390/ijms21155242.
The review describes the role of adiponectin in liver diseases in the presence and absence of surgery reported in the literature in the last ten years. The most updated therapeutic strategies based on the regulation of adiponectin including pharmacological and surgical interventions and adiponectin knockout rodents, as well as some of the scientific controversies in this field, are described. Whether adiponectin could be a potential therapeutic target for the treatment of liver diseases and patients submitted to hepatic resection or liver transplantation are discussed. Furthermore, preclinical and clinical data on the mechanism of action of adiponectin in different liver diseases (nonalcoholic fatty disease, alcoholic liver disease, nonalcoholic steatohepatitis, liver cirrhosis and hepatocellular carcinoma) in the absence or presence of surgery are evaluated in order to establish potential targets that might be useful for the treatment of liver disease as well as in the practice of liver surgery associated with the hepatic resections of tumors and liver transplantation.
该综述描述了过去十年文献中报道的脂联素在有手术和无手术情况下肝脏疾病中的作用。描述了基于脂联素调节的最新治疗策略,包括药理学和手术干预以及脂联素敲除啮齿动物,以及该领域的一些科学争议。讨论了脂联素是否可以成为治疗肝脏疾病和接受肝切除术或肝移植患者的潜在治疗靶点。此外,还评估了手术和不手术情况下不同肝脏疾病(非酒精性脂肪性疾病、酒精性肝病、非酒精性脂肪性肝炎、肝硬化和肝细胞癌)中脂联素作用的临床前和临床数据,以确定可能对治疗肝脏疾病以及与肿瘤肝切除术和肝移植相关的肝切除术相关的肝外科实践有用的潜在靶点。