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非酒精性脂肪性肝病(NAFLD)背景下以线粒体为药理治疗靶点的方案

Protocols for Mitochondria as the Target of Pharmacological Therapy in the Context of Nonalcoholic Fatty Liver Disease (NAFLD).

作者信息

Grattagliano Ignazio, Di Ciaula Agostino, Baj Jacek, Molina-Molina Emilio, Shanmugam Harshitha, Garruti Gabriella, Wang David Q-H, Portincasa Piero

机构信息

Clinica Medica "A. Murri", Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, Bari, Italy.

Italian College of General Practitioners and Primary Care, Bari, Italy.

出版信息

Methods Mol Biol. 2021;2310:201-246. doi: 10.1007/978-1-0716-1433-4_12.

Abstract

Nonalcoholic fatty liver disease (NAFLD) is one of the most frequent metabolic chronic liver diseases in developed countries and puts the populations at risk of progression to liver necro-inflammation, fibrosis, cirrhosis, and hepatocellular carcinoma. Mitochondrial dysfunction is involved in the onset of NAFLD and contributes to the progression from NAFLD to nonalcoholic steatohepatitis (NASH). Thus, liver mitochondria could become the target for treatments for improving liver function in NAFLD patients. This chapter describes the most important steps used for potential therapeutic interventions in NAFLD patients, discusses current options gathered from both experimental and clinical evidence, and presents some novel options for potentially improving mitochondrial function in NAFLD.

摘要

非酒精性脂肪性肝病(NAFLD)是发达国家最常见的代谢性慢性肝病之一,使人群面临进展为肝坏死性炎症、纤维化、肝硬化和肝细胞癌的风险。线粒体功能障碍参与了NAFLD的发病,并促使其从NAFLD进展为非酒精性脂肪性肝炎(NASH)。因此,肝脏线粒体可能成为改善NAFLD患者肝功能治疗的靶点。本章描述了用于NAFLD患者潜在治疗干预的最重要步骤,讨论了从实验和临床证据中收集到的当前治疗选择,并提出了一些可能改善NAFLD线粒体功能的新选择。

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