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非酒精性脂肪性肝炎的新兴疗法及其对血脂的影响。

Emerging therapies for MASLD and their impact on plasma lipids.

作者信息

Nguyen Madison, Asgharpour Amon, Dixon Dave L, Sanyal Arun J, Mehta Anurag

机构信息

Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, United States.

VCU Stravitz-Sanyal Institute of Liver Disease and Metabolic Health, Richmond, VA, United States.

出版信息

Am J Prev Cardiol. 2024 Feb 5;17:100638. doi: 10.1016/j.ajpc.2024.100638. eCollection 2024 Mar.

Abstract

Metabolic-dysfunction associated steatotic liver disease (MASLD) affects 1 out of every 3 individuals in the adult population and the disease prevalence is predicted to increase worldwide. Patients with MASLD are also burdened by cardiovascular disease, which is the leading cause of mortality in this population. Complex metabolic derangements such as insulin resistance and atherogenic dyslipidemia affect patients with MASLD. In patients with MASLD, treatment such as pharmacotherapy may be best directed towards improving the adverse concomitant metabolic disorders associated with MASLD, particularly the ones that may contribute to MASLD. Herein, we discuss conventional therapies that target cardiometabolic risk factors which have the potential to improve hepatic injury, and summarize emerging therapies that target hepatic receptors, fibrosis, and fatty acid oxidation in patients with MASLD. Given the relationship between hepatic injury which leads to MASLD, insulin resistance, and ultimately atherogenic dyslipidemia our review uniquely delves into the effects of conventional and emerging therapies for MASLD on plasma lipid parameters.

摘要

代谢功能障碍相关脂肪性肝病(MASLD)影响着三分之一的成年人口,预计全球范围内该疾病的患病率还会上升。MASLD患者还面临心血管疾病的负担,心血管疾病是该人群的主要死因。胰岛素抵抗和致动脉粥样硬化性血脂异常等复杂的代谢紊乱影响着MASLD患者。对于MASLD患者,药物治疗等疗法可能最好针对改善与MASLD相关的不良伴随代谢紊乱,尤其是那些可能导致MASLD的代谢紊乱。在此,我们讨论针对有改善肝损伤潜力的心脏代谢危险因素的传统疗法,并总结针对MASLD患者肝受体、纤维化和脂肪酸氧化的新兴疗法。鉴于导致MASLD的肝损伤、胰岛素抵抗以及最终的致动脉粥样硬化性血脂异常之间的关系,我们的综述特别深入探讨了MASLD的传统和新兴疗法对血浆脂质参数的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e2/10875196/d4e4b6d38ca6/fx1.jpg

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