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未来50年亚太地区的肝病趋势。

Liver disease trends in the Asia-Pacific region for the next 50 years.

作者信息

Shiina Shuichiro, Maikhuu Javkhlan, Deng Qing, Batsaikhan Terguunbileg, Canseco Lariza Marie, Tobari Maki, Maruyama Hitoshi, Nagamatsu Hiroaki, Alcantara-Payawal Diana, Gani Rino, Huang Yi-Hsiang, Tanwandee Tawesak, Galati Giovanni, Kim Yoon Jun

机构信息

Department of Gastroenterology, Juntendo University, Tokyo, Japan.

Department of Radiology, The Second State Central Hospital, Ulaanbaatar, Mongolia.

出版信息

Clin Mol Hepatol. 2025 Jul;31(3):671-684. doi: 10.3350/cmh.2025.0043. Epub 2025 Mar 4.

Abstract

Liver disease has emerged as a critical and escalating public health concern worldwide, with the Asia-Pacific region at the forefront of this challenge due to its vast population and diverse socioeconomic landscape. Over the coming five decades, this region will experience profound changes in liver disease patterns, shaped by rapid urbanization, lifestyle modifications, advancements in medical technologies, and evolving public health strategies. This article offers an in-depth analysis of six transformative areas defining the trajectory of liver disease in the region. First, it highlights the alarming rise of metabolic dysfunction-associated fatty liver disease and metabolic dysfunction-associated steatohepatitis, diseases driven by modern lifestyle factors and inherent metabolic susceptibilities. Concurrently, it celebrates the declining burden of viral hepatitis, underscoring the success of sustained public health interventions. However, new challenges are emerging, such as the growing impact of environmental and occupational exposures on liver health. Breakthroughs in genomic and epigenetic research promise to advance precision medicine, offering targeted therapeutic solutions. Additionally, the integration of artificial intelligence, big data, and telemedicine is poised to revolutionize liver disease management, improving accessibility and personalized care. Finally, the article emphasizes the critical role of robust health policies, preventive strategies, and cross-border collaboration in shaping a healthier future. By synthesizing these insights, the study aims to guide innovative and effective responses to the evolving liver disease landscape in the Asia-Pacific region.

摘要

肝病已成为全球一个关键且日益严重的公共卫生问题,由于人口众多和社会经济状况多样,亚太地区处于这一挑战的前沿。在未来五十年里,该地区的肝病模式将因快速城市化、生活方式改变、医疗技术进步以及不断演变的公共卫生战略而发生深刻变化。本文对定义该地区肝病发展轨迹的六个变革性领域进行了深入分析。首先,它强调了代谢功能障碍相关脂肪性肝病和代谢功能障碍相关脂肪性肝炎令人担忧的上升趋势,这些疾病由现代生活方式因素和内在代谢易感性驱动。与此同时,它肯定了病毒性肝炎负担的下降,强调了持续公共卫生干预措施的成功。然而,新的挑战正在出现,例如环境和职业暴露对肝脏健康的影响日益增加。基因组学和表观遗传学研究的突破有望推动精准医学发展,提供有针对性的治疗方案。此外,人工智能、大数据和远程医疗的整合有望彻底改变肝病管理,提高可及性和个性化医疗服务。最后,本文强调了强有力的卫生政策、预防策略和跨境合作在塑造更健康未来方面的关键作用。通过综合这些见解,该研究旨在指导对亚太地区不断演变的肝病形势做出创新且有效的应对。

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