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Mac-2结合蛋白糖基化异构体(M2BPGi)在评估代谢功能障碍相关肝病肝纤维化中的价值:对其血清生物标志物作用的全面综述

Value of Mac-2 Binding Protein Glycosylation Isomer (M2BPGi) in Assessing Liver Fibrosis in Metabolic Dysfunction-Associated Liver Disease: A Comprehensive Review of its Serum Biomarker Role.

作者信息

Sotoudeheian Mohammadjavad

机构信息

Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Curr Protein Pept Sci. 2025;26(1):6-21. doi: 10.2174/0113892037315931240618085529.

Abstract

Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD) is a broad condition characterized by lipid accumulation in the liver tissue, which can progress to fibrosis and cirrhosis if left untreated. Traditionally, liver biopsy is the gold standard for evaluating fibrosis. However, non-invasive biomarkers of liver fibrosis are developed to assess the fibrosis without the risk of biopsy complications. Novel serum biomarkers have emerged as a promising tool for non-invasive assessment of liver fibrosis in MAFLD patients. Several studies have shown that elevated levels of Mac-2 binding protein glycosylation isomer (M2BPGi) are associated with increased liver fibrosis severity in MAFLD patients. This suggests that M2BPGi could serve as a reliable marker for identifying individuals at higher risk of disease progression. Furthermore, the use of M2BPGi offers a non-invasive alternative to liver biopsy, which is invasive and prone to sampling errors. Overall, the usage of M2BPGi in assessing liver fibrosis in MAFLD holds great promise for improving risk stratification and monitoring disease progression in affected individuals. Further research is needed to validate its utility in clinical practice and establish standardized protocols for its implementation.

摘要

代谢功能障碍相关脂肪性肝病(MAFLD)是一种广泛存在的病症,其特征是肝组织中脂质蓄积,如果不进行治疗,可能会进展为纤维化和肝硬化。传统上,肝活检是评估纤维化的金标准。然而,现已开发出肝纤维化的非侵入性生物标志物,用于在无活检并发症风险的情况下评估纤维化。新型血清生物标志物已成为非侵入性评估MAFLD患者肝纤维化的一种有前景的工具。多项研究表明,Mac-2结合蛋白糖基化异构体(M2BPGi)水平升高与MAFLD患者肝纤维化严重程度增加相关。这表明M2BPGi可作为识别疾病进展风险较高个体的可靠标志物。此外,使用M2BPGi为肝活检提供了一种非侵入性替代方法,肝活检具有侵入性且容易出现抽样误差。总体而言,M2BPGi在评估MAFLD肝纤维化方面的应用对于改善受影响个体的风险分层和监测疾病进展具有很大前景。需要进一步研究以验证其在临床实践中的效用,并建立其实施的标准化方案。

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