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不同脂肪酸诱导高脂血症性胰腺炎:一项叙述性综述。

Induction of hyperlipidemic pancreatitis by different fatty acids: A narrative review.

作者信息

Wang Yu-Xi, Ge Peng, Chen Hai-Long

机构信息

Department of Cancer Biology, Mayo Clinic, Jacksonville, FL 32224, United States.

Department of General Surgery, The Second Hospital of Dalian Medical University, Dalian 116027, Liaoning Province, China.

出版信息

World J Gastroenterol. 2025 Jun 14;31(22):106575. doi: 10.3748/wjg.v31.i22.106575.

Abstract

Epidemiological evidence suggests that there is a direct relationship between the degree of obesity and acute pancreatitis severity. Intake of different fatty acids leads to different types of hyperlipidemias. Adipose degradation by pancreatic lipase generates different free fatty acids, which can exacerbate pancreatitis. Saturated fatty acids (SFAs) play an inflammatory role in human metabolic syndrome and obesity, whereas unsaturated fatty acids (UFAs) are "good fats" that are thought to enhance overall health status. However, it appears that serum UFAs correlate with severe acute pancreatitis. Additionally, the "obesity paradox" suggests that UFAs potentially minimize direct harm to the organ. This review provides an in-depth overview of the role of SFAs and UFAs in acute pancreatitis of hyperlipidemia and discusses potential prevention targets for severe acute pancreatitis.

摘要

流行病学证据表明,肥胖程度与急性胰腺炎的严重程度之间存在直接关系。摄入不同的脂肪酸会导致不同类型的高脂血症。胰腺脂肪酶对脂肪的降解会产生不同的游离脂肪酸,这会加重胰腺炎。饱和脂肪酸(SFA)在人类代谢综合征和肥胖中起炎症作用,而不饱和脂肪酸(UFA)是被认为能增强整体健康状况的“优质脂肪”。然而,血清UFA似乎与重症急性胰腺炎相关。此外,“肥胖悖论”表明UFA可能会将对器官的直接损害降至最低。本文综述深入概述了SFA和UFA在高脂血症性急性胰腺炎中的作用,并讨论了重症急性胰腺炎的潜在预防靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18f2/12175850/27b15f16d3cf/wjg-31-22-106575-g001.jpg

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