Torres-Peña Jose D, Martín-Piedra Laura, Fuentes-Jiménez Francisco
Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba, Córdoba, Spain.
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Córdoba, Spain.
Front Cardiovasc Med. 2021 Nov 24;8:777131. doi: 10.3389/fcvm.2021.777131. eCollection 2021.
Non-alcoholic fatty liver disease (NAFLD) is the primary cause of chronic liver disease. The range is extensive, including hepatocellular carcinoma, cirrhosis, fibrosis, fatty liver, and non-alcoholic steatohepatitis (NASH). NASH is a condition related to obesity, overweight, metabolic syndrome, diabetes, and dyslipidemia. It is a dynamic condition that can regress to isolated steatosis or progress to fibrosis and cirrhosis. Statins exert anti-inflammatory, proapoptotic, and antifibrotic effects. It has been proposed that these drugs could have a relevant role in NASH. In this review, we provide an overview of current evidence, from mechanisms of statins involved in the modulation of NASH to human trials about the use of statins to treat or attenuate NASH.
非酒精性脂肪性肝病(NAFLD)是慢性肝病的主要病因。其范围广泛,包括肝细胞癌、肝硬化、纤维化、脂肪肝和非酒精性脂肪性肝炎(NASH)。NASH与肥胖、超重、代谢综合征、糖尿病和血脂异常有关。它是一种动态疾病,可退化为单纯性脂肪变性,或进展为纤维化和肝硬化。他汀类药物具有抗炎、促凋亡和抗纤维化作用。有人提出这些药物可能在NASH中发挥重要作用。在本综述中,我们概述了当前的证据,从他汀类药物参与调节NASH的机制到关于使用他汀类药物治疗或减轻NASH的人体试验。