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妊娠与代谢相关性脂肪性肝病。

Pregnancy and Metabolic-Associated Fatty Liver Disease.

机构信息

Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi, Italy.

Genetics of Complex Phenotypes Research Unit, Bambino Gesù Children's Hospital, IRCCS, Viale S. Paolo, 15, Rome 00146, Italy.

出版信息

Endocrinol Metab Clin North Am. 2023 Sep;52(3):521-531. doi: 10.1016/j.ecl.2023.02.005. Epub 2023 Mar 22.

Abstract

Metabolic-associated fatty liver disease (MAFLD), the term proposed to substitute nonalcoholic fatty liver disease, comprises not only liver features but also potentially associated metabolic dysfunctions. Since experimental studies in mice and retrospective clinical studies in humans investigated the association between nonalcoholic fatty liver disease during pregnancy and the adverse clinical outcomes in mothers and offspring, it is plausible that MAFLD may cause similar or worse effects on mother and the offspring. Only a few studies have investigated the possible association of maternal MAFLD with more severe pregnancy-related complications. This article provides an overview of the evidence for this dangerous liaison.

摘要

代谢相关性脂肪性肝病(MAFLD),这一术语被提议取代非酒精性脂肪性肝病,不仅包含肝脏特征,还可能包括潜在相关的代谢功能紊乱。由于在小鼠的实验研究和人类的回顾性临床研究中都调查了妊娠期间非酒精性脂肪性肝病与母亲和后代不良临床结局之间的关联,因此可以推测 MAFLD 可能对母亲和后代产生类似或更严重的影响。只有少数研究调查了母体 MAFLD 与更严重的妊娠相关并发症的可能关联。本文综述了这一危险关联的证据。

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