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炎症生物标志物作为代谢功能障碍相关脂肪性肝病中具有成本效益的预测工具。

Inflammatory biomarkers as cost-effective predictive tools in metabolic dysfunction-associated fatty liver disease.

作者信息

Ramoni Davide, Liberale Luca, Montecucco Fabrizio

机构信息

Department of Internal Medicine, University of Genoa, Genoa 16132, Italy.

Department of Internal Medicine, First Clinic of Internal Medicine, IRCCS Ospedale Policlinico San Martino, Italian Cardiovascular Network, Genoa 16132, Italy.

出版信息

World J Gastroenterol. 2024 Dec 21;30(47):5086-5091. doi: 10.3748/wjg.v30.i47.5086.

Abstract

Qu and Li emphasize a fundamental aspect of metabolic dysfunction-associated fatty liver disease in their manuscript, focusing on the critical need for non-invasive diagnostic tools to improve risk stratification and predict the progression to severe liver complications. Affecting approximately 25% of the global population, metabolic dysfunction-associated fatty liver disease is the most common chronic liver condition, with higher prevalence among those with obesity. This letter stresses the importance of early diagnosis and intervention, especially given the rising incidence of obesity and metabolic syndrome. Research advancements provide insight into the potential of biomarkers (particularly inflammation-related) as predictive tools for disease progression and treatment response. This overview addresses pleiotropic biomarkers linked to chronic inflammation and cardiometabolic disorders, which may aid in risk stratification and treatment efficacy monitoring. Despite progress, significant knowledge gaps remain in the clinical application of these biomarkers, necessitating further research to establish standardized protocols and validate their utility in clinical practice. Understanding the complex interactions among these factors opens new avenues to enhance risk assessment, leading to better patient outcomes and addressing the public health burden of this worldwide condition.

摘要

曲和李在他们的手稿中强调了代谢功能障碍相关脂肪性肝病的一个基本方面,重点关注非侵入性诊断工具对于改善风险分层和预测严重肝脏并发症进展的迫切需求。代谢功能障碍相关脂肪性肝病影响着全球约25%的人口,是最常见的慢性肝脏疾病,在肥胖人群中的患病率更高。这封信强调了早期诊断和干预的重要性,尤其是考虑到肥胖和代谢综合征的发病率不断上升。研究进展为生物标志物(特别是与炎症相关的)作为疾病进展和治疗反应预测工具的潜力提供了见解。本综述讨论了与慢性炎症和心脏代谢紊乱相关的多效性生物标志物,这可能有助于风险分层和治疗效果监测。尽管取得了进展,但这些生物标志物在临床应用中仍存在重大知识空白,需要进一步研究以建立标准化方案并验证其在临床实践中的效用。了解这些因素之间的复杂相互作用为加强风险评估开辟了新途径,从而带来更好的患者预后并应对这一全球疾病的公共卫生负担。

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