School of Basic Medical Sciences, Southwest Medical University, Luzhou, China.
Functional Experiment Center, College of Basic and Legal Medicine, North Sichuan Medical College, Nanchong, China.
Am J Pathol. 2024 Jun;194(6):879-893. doi: 10.1016/j.ajpath.2024.02.006. Epub 2024 Feb 28.
Cholestatic liver diseases encompass a range of organic damages, metabolic disorders, and dysfunctions within the hepatobiliary system, arising from various pathogenic causes. These factors contribute to disruptions in bile production, secretion, and excretion. Cholestatic liver diseases can be classified into intrahepatic and extrahepatic cholestasis, according to the location of occurrence. The etiology of cholestatic liver diseases is complex, and includes drugs, poisons, viruses, parasites, bacteria, autoimmune responses, tumors, and genetic metabolism. The pathogenesis of cholelstatic liver disease is not completely clarified, and effective therapy is lacking. Clarifying its mechanism to find more effective therapeutic targets and drugs is an unmet need. Increasing evidence demonstrates that miRNA and long noncoding RNA are involved in the progression of cholestatic liver diseases. This review provides a comprehensive summary of the research progress on the roles of miRNA and long noncoding RNA in cholestatic liver diseases. The aim of the review is to enhance the understanding of their potential diagnostic, therapeutic, and prognostic value for patients with cholestasis.
胆汁淤积性肝病涵盖了一系列由各种致病原因引起的肝胆系统的有机损伤、代谢紊乱和功能障碍。这些因素导致胆汁的生成、分泌和排泄紊乱。根据发生部位,胆汁淤积性肝病可分为肝内和肝外胆汁淤积。胆汁淤积性肝病的病因复杂,包括药物、毒物、病毒、寄生虫、细菌、自身免疫反应、肿瘤和遗传代谢等。胆汁淤积性肝病的发病机制尚不完全清楚,缺乏有效的治疗方法。阐明其机制,寻找更有效的治疗靶点和药物是未满足的需求。越来越多的证据表明,miRNA 和长链非编码 RNA 参与了胆汁淤积性肝病的进展。本综述全面总结了 miRNA 和长链非编码 RNA 在胆汁淤积性肝病中的作用的研究进展。综述的目的是提高对它们在胆汁淤积患者的诊断、治疗和预后方面的潜在价值的认识。