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急性和慢性肝脏疾病的治疗干预:全面综述

Therapeutic interventions of acute and chronic liver disorders: A comprehensive review.

作者信息

Ali Fares Em, Abd El-Aziz Mostafa K, Sharab Elham I, Bakr Adel G

机构信息

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Al-Azhar University, Assiut Branch, Assiut 71524, Egypt.

Faculty of Pharmacy, Al-Azhar University, Assiut Branch, Assiut 71524, Egypt.

出版信息

World J Hepatol. 2023 Jan 27;15(1):19-40. doi: 10.4254/wjh.v15.i1.19.

Abstract

Liver disorders are one of the most common pathological problems worldwide. It affects more than 1.5 billion worldwide. Many types of hepatic cells have been reported to be involved in the initiation and propagation of both acute and chronic liver diseases, including hepatocytes, Kupffer cells, sinusoidal endothelial cells, and hepatic stellate cells (HSCs). In addition, oxidative stress, cytokines, fibrogenic factors, microRNAs, and autophagy are also involved. Understanding the molecular mechanisms of liver diseases leads to discovering new therapeutic interventions that can be used in clinics. Recently, antioxidant, anti-inflammatory, anti-HSCs therapy, gene therapy, cell therapy, gut microbiota, and nanoparticles have great potential for preventing and treating liver diseases. Here, we explored the recent possible molecular mechanisms involved in the pathogenesis of acute and chronic liver diseases. Besides, we overviewed the recent therapeutic interventions that targeted liver diseases and summarized the recent studies concerning liver disorders therapy.

摘要

肝脏疾病是全球最常见的病理问题之一。全球有超过15亿人受其影响。据报道,多种类型的肝细胞参与了急慢性肝病的起始和发展过程,包括肝细胞、库普弗细胞、窦状内皮细胞和肝星状细胞(HSC)。此外,氧化应激、细胞因子、纤维化因子、微小RNA和自噬也与之相关。了解肝脏疾病的分子机制有助于发现可用于临床的新治疗干预措施。近年来,抗氧化、抗炎、抗肝星状细胞治疗、基因治疗、细胞治疗、肠道微生物群和纳米颗粒在预防和治疗肝脏疾病方面具有巨大潜力。在此,我们探讨了急慢性肝病发病机制中最近可能涉及的分子机制。此外,我们概述了针对肝脏疾病的近期治疗干预措施,并总结了有关肝脏疾病治疗的最新研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/360f/9896501/e75a5995e182/WJH-15-19-g001.jpg

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