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乙型肝炎病毒感染与代谢功能障碍相关脂肪性肝病:日益流行且相互作用复杂

Hepatitis B virus infection and metabolic dysfunction associated steatotic liver disease: Rising pandemic with complex interaction.

作者信息

Majeed Ammara A, Butt Amna S

机构信息

Department of Medicine, Aga Khan University Hospital, Karachi 74800, Pakistan.

出版信息

World J Hepatol. 2025 Jan 27;17(1):100968. doi: 10.4254/wjh.v17.i1.100968.

DOI:10.4254/wjh.v17.i1.100968
PMID:39871900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11736482/
Abstract

Due to sedentary lifestyle and rising prevalence of obesity, patients with general population and those who are infected with chronic hepatitis B are found to have metabolic dysfunction associated steatotic liver disease (MASLD). Both chronic hepatitis B virus (HBV) infection and MASLD can damage hepatocytes in their own way, but concomitant HBV-MASLD has its own clinical implications. Cherry on top is the presence of diabetes mellitus, hypertension or obesity which added more chances of unfavorable outcomes in these patients. In this article, we comment on the article by Wang published in the recent issue. This article provides a comprehensive overview of the complex interaction between HBV-MASLD, HBV alone and MASLD alone patients. We discuss key findings from recent studies, including the promising outcomes observed in patients with concurrent HBV and MASLD, warrants further research. The insights presented here offer renewed understanding of this complex interaction.

摘要

由于久坐不动的生活方式以及肥胖患病率的上升,普通人群以及慢性乙型肝炎感染者中均发现存在代谢功能障碍相关脂肪性肝病(MASLD)。慢性乙型肝炎病毒(HBV)感染和MASLD均可通过各自的方式损害肝细胞,但HBV-MASLD并存有其自身的临床意义。更糟糕的是,糖尿病、高血压或肥胖的存在增加了这些患者出现不良结局的几率。在本文中,我们对王[作者姓氏]近期发表的文章进行评论。本文全面概述了HBV-MASLD患者、单纯HBV感染者和单纯MASLD患者之间的复杂相互作用。我们讨论了近期研究的主要发现,包括在HBV和MASLD并存患者中观察到的有前景的结果,这些结果值得进一步研究。本文所阐述的见解为这种复杂的相互作用提供了新的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5667/11736482/065da1c8ef98/100968-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5667/11736482/065da1c8ef98/100968-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5667/11736482/065da1c8ef98/100968-g001.jpg

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本文引用的文献

1
Clinical profiles and their interaction of concurrent metabolic associated steatotic liver disease and hepatitis B virus infection.代谢相关脂肪性肝病与乙型肝炎病毒感染并存的临床特征及其相互作用
World J Hepatol. 2024 Dec 27;16(12):1429-1440. doi: 10.4254/wjh.v16.i12.1429.
2
Assessment of HBV variants and novel viral and immune biomarkers in chronic hepatitis B patients with metabolic dysfunction associated steatotic liver disease.评估代谢功能障碍相关脂肪性肝病的慢性乙型肝炎患者的 HBV 变异体及新型病毒和免疫生物标志物。
J Viral Hepat. 2024 Oct;31(10):582-591. doi: 10.1111/jvh.13979. Epub 2024 Aug 7.
3
Metabolic dysfunction-associated steatotic liver disease increases hepatocellular carcinoma risk in chronic hepatitis B patients: a retrospective cohort study.
代谢功能障碍相关脂肪性肝病增加慢性乙型肝炎患者肝细胞癌风险:一项回顾性队列研究
Front Physiol. 2024 Feb 9;15:1347459. doi: 10.3389/fphys.2024.1347459. eCollection 2024.
4
Chronic Viral Hepatitis B and C Outweigh MASLD in the Associated Risk of Cirrhosis and HCC.慢性乙型肝炎和丙型肝炎比 MASLD 更能增加肝硬化和 HCC 的相关风险。
Clin Gastroenterol Hepatol. 2024 Jun;22(6):1275-1285.e2. doi: 10.1016/j.cgh.2024.01.045. Epub 2024 Feb 15.
5
Metabolic Dysfunction-Associated Steatotic Liver Disease Facilitates Hepatitis B Surface Antigen Seroclearance and Seroconversion.代谢相关脂肪性肝病促进乙型肝炎表面抗原血清学清除和转换。
Clin Gastroenterol Hepatol. 2024 Mar;22(3):581-590.e6. doi: 10.1016/j.cgh.2023.09.040. Epub 2023 Oct 21.
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The impact of concomitant hepatitis C virus infection on liver and cardiovascular risks in patients with metabolic-associated fatty liver disease.代谢相关性脂肪性肝病患者合并丙型肝炎病毒感染对肝脏和心血管风险的影响。
Eur J Gastroenterol Hepatol. 2023 Nov 1;35(11):1278-1283. doi: 10.1097/MEG.0000000000002558. Epub 2023 Sep 27.
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NAFLD is associated with less severe liver fibrosis in chronic hepatitis B: A multi-center, retrospective study.非酒精性脂肪性肝病与慢性乙型肝炎肝纤维化程度较轻相关:一项多中心、回顾性研究。
Ann Hepatol. 2024 Jan-Feb;29(1):101155. doi: 10.1016/j.aohep.2023.101155. Epub 2023 Sep 24.
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