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酒精相关性肝病的流行病学。

Epidemiology of Alcohol-Associated Liver Disease.

机构信息

Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, 702 Rotary Circle, Indianapolis, IN 46202, USA; Key Laboratory of Carcinogenesis and Translational Research, Peking University Cancer Hospital, Beijing, China.

Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, 702 Rotary Circle, Indianapolis, IN 46202, USA.

出版信息

Clin Liver Dis. 2021 Aug;25(3):483-492. doi: 10.1016/j.cld.2021.03.009. Epub 2021 May 26.

DOI:10.1016/j.cld.2021.03.009
PMID:34229835
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8996817/
Abstract

Alcohol-associated liver disease (ALD) is a consequence of excessive alcohol use. It comprises a spectrum of histopathologic changes ranging from simple steatosis, steatohepatitis, and cirrhosis to hepatocellular carcinoma. The public health impact of ALD is growing because of an increase in the prevalence and incidence of ALD in parallel with liver transplant and mortalities. There are multiple factors involved in the pathogenesis and progression of ALD. Reducing alcohol consumption is the cornerstone of ALD management. The efforts to reduce excessive alcohol use at the individual and population levels are urgently needed to prevent adverse outcomes from ALD.

摘要

酒精相关性肝病(ALD)是过量饮酒的后果。它包含一系列组织病理学变化,从单纯性脂肪变性、脂肪性肝炎和肝硬化到肝细胞癌不等。由于ALD 的患病率和发病率与肝移植和死亡率平行增加,ALD 的公共卫生影响正在增加。ALD 的发病机制和进展涉及多种因素。减少酒精摄入是 ALD 管理的基石。迫切需要在个人和人群层面上减少过量饮酒,以防止 ALD 的不良后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a544/8996817/6b0fea0f37f5/nihms-1686862-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a544/8996817/6b0fea0f37f5/nihms-1686862-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a544/8996817/6b0fea0f37f5/nihms-1686862-f0001.jpg

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本文引用的文献

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Public Health. 2020 Oct;187:165-171. doi: 10.1016/j.puhe.2020.07.017. Epub 2020 Sep 28.
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Non-alcoholic Fatty Liver Disease and Alcohol-Related Liver Disease: Two Intertwined Entities.非酒精性脂肪性肝病与酒精性肝病:两个相互交织的实体。
Front Med (Lausanne). 2020 Aug 20;7:448. doi: 10.3389/fmed.2020.00448. eCollection 2020.
3
Evaluation of Alcohol Taxes as a Public Health Opportunity to Reduce Liver Transplant Listings for Alcohol-Related Liver Disease.
美国酒精性肝病中的性别差异及酒精所致癌症的亚型差异
Clin Mol Hepatol. 2025 Apr 11. doi: 10.3350/cmh.2025.0169.
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Silencing FAF2 mitigates alcohol-induced hepatic steatosis by modulating lipolysis and PCSK9 pathway.沉默FAF2通过调节脂肪分解和PCSK9途径减轻酒精性肝脂肪变性。
Hepatol Commun. 2025 Feb 19;9(3). doi: 10.1097/HC9.0000000000000641. eCollection 2025 Mar 1.
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Prospective study on time-to-tertiary care in alcohol-associated hepatitis: space-time coordinates as prognostic tool and therapeutic target.酒精性肝炎三级医疗时间的前瞻性研究:时空坐标作为预后工具和治疗靶点。
Alcohol Alcohol. 2025 Jan 19;60(2). doi: 10.1093/alcalc/agae092.
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