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非酒精性脂肪性肝炎/非酒精性脂肪肝病的靶向治疗:从分子层面到药物及手术治疗选择

Target Therapies for NASH/NAFLD: From the Molecular Aspect to the Pharmacological and Surgical Alternatives.

作者信息

Finotti Michele, Romano Maurizio, Auricchio Pasquale, Scopelliti Michele, Brizzolari Marco, Grossi Ugo, Piccino Marco, Benvenuti Stefano, Morana Giovanni, Cillo Umberto, Zanus Giacomo

机构信息

4th Surgery Unit, Regional Hospital Treviso, DISCOG, University of Padua, 31100 Padua, Italy.

Hepatobiliary Surgery and Liver Transplantation Unit, DISCOG, University of Padua, 35121 Padua, Italy.

出版信息

J Pers Med. 2021 Jun 2;11(6):499. doi: 10.3390/jpm11060499.

DOI:10.3390/jpm11060499
PMID:34199535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8229090/
Abstract

Non-alcoholic fatty liver disease represents an increasing cause of chronic hepatic disease in recent years. This condition usually arises in patients with multiple comorbidities, the so-called metabolic syndrome. The therapeutic options are multiple, ranging from lifestyle modifications, pharmacological options, to liver transplantation in selected cases. The choice of the most beneficial one and their interactions can be challenging. It is mandatory to stratify the patients according to the severity of their disease to tailor the available treatments. In our contribution, we review the most recent pharmacological target therapies, the role of bariatric surgery, and the impact of liver transplantation on the NAFLD outcome.

摘要

近年来,非酒精性脂肪性肝病已成为慢性肝病日益常见的病因。这种疾病通常发生在患有多种合并症的患者身上,即所谓的代谢综合征。治疗选择多种多样,从生活方式改变、药物治疗到特定病例的肝移植。选择最有益的治疗方法及其相互作用可能具有挑战性。必须根据疾病的严重程度对患者进行分层,以便调整可用的治疗方法。在我们的文章中,我们回顾了最新的药物靶向治疗、减肥手术的作用以及肝移植对非酒精性脂肪性肝病预后的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/8229090/58e0da413e73/jpm-11-00499-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/8229090/d4a99140f4f0/jpm-11-00499-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/8229090/58e0da413e73/jpm-11-00499-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/8229090/d4a99140f4f0/jpm-11-00499-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7da0/8229090/58e0da413e73/jpm-11-00499-g002.jpg

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本文引用的文献

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MicroRNAs in the Pathogenesis of Nonalcoholic Fatty Liver Disease.微小 RNA 在非酒精性脂肪性肝病发病机制中的作用。
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Targeting programmed cell death in metabolic dysfunction-associated fatty liver disease (MAFLD): a promising new therapy.靶向代谢相关脂肪性肝病(MAFLD)中程序性细胞死亡:一种有前途的新疗法。
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Inhibition of Secretin/Secretin Receptor Axis Ameliorates NAFLD Phenotypes.
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抑制肠促胰素/肠促胰素受体轴可改善非酒精性脂肪性肝病表型。
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Auto-aggressive CXCR6 CD8 T cells cause liver immune pathology in NASH.自反应性 CXCR6+CD8 T 细胞导致 NASH 肝脏免疫病理。
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Therapeutic pipeline in nonalcoholic steatohepatitis.非酒精性脂肪性肝炎的治疗药物研发管线。
Nat Rev Gastroenterol Hepatol. 2021 Jun;18(6):373-392. doi: 10.1038/s41575-020-00408-y. Epub 2021 Feb 10.
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