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代谢功能障碍相关脂肪性肝病的发病机制与临床管理

Pathogenesis and Clinical Management of Metabolic Dysfunction-Associated Steatotic Liver Disease.

作者信息

Lucaciu Roxana Liana, Coste Sorina Cezara, Hangan Adriana Corina, Iancu Mihaela, Orășan Olga Hilda, Cozma Angela, Gog Bogdan Sidonia, Procopciuc Lucia Maria

机构信息

Department of Pharmaceutical Biochemistry and Clinical Laboratory, Faculty of Pharmacy, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

4th Department of Internal Medicine, Faculty of Medicine, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

出版信息

Int J Mol Sci. 2025 Jun 14;26(12):5717. doi: 10.3390/ijms26125717.

DOI:10.3390/ijms26125717
PMID:40565181
Abstract

Metabolic dysfunction-associated steatotic liver disease (MASLD) is a chronic progressive liver disease with a substantial impact on global health. Given that MASLD has a complex etiology, it is a multisystemic disease, a multidisciplinary approach is required when treating MASLD. The optimal drug for MASLD should diminish steatosis, fibrosis and inflammation in the liver. Although the pharmaceutical industry is still lagging in developing an approved pharmacologic therapy for MASLD, research has recently intensified, and many molecules that are in the final stages of clinical trials are expected to be approved in the coming few years. The current review updated information related to the MASLD pathogenesis, diagnosis and therapeutic options, how patients are clinically managed nowadays, and what to expect in the near future.

摘要

代谢功能障碍相关脂肪性肝病(MASLD)是一种慢性进行性肝病,对全球健康有重大影响。鉴于MASLD病因复杂,是一种多系统疾病,治疗MASLD时需要采取多学科方法。治疗MASLD的最佳药物应减少肝脏中的脂肪变性、纤维化和炎症。尽管制药行业在开发经批准的MASLD药物治疗方面仍滞后,但最近研究有所加强,预计未来几年许多处于临床试验最后阶段的分子将获得批准。本综述更新了与MASLD发病机制、诊断和治疗选择、目前患者的临床管理方式以及近期展望相关的信息。

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本文引用的文献

1
Extracellular vesicle-mediated approaches for the diagnosis and therapy of MASLD: current advances and future prospective.细胞外囊泡介导的非酒精性脂肪性肝炎诊断与治疗方法:当前进展与未来展望
Lipids Health Dis. 2025 Jan 7;24(1):5. doi: 10.1186/s12944-024-02396-3.
2
Diagnosis and Management of Lean Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): A Systematic Review.瘦素代谢功能障碍相关脂肪性肝病(MASLD)的诊断与管理:一项系统评价
Cureus. 2024 Oct 14;16(10):e71451. doi: 10.7759/cureus.71451. eCollection 2024 Oct.
3
Allelic, Genotypic, and Haplotypic Analysis of Cytokine IL17A, IL17F, and Toll-like Receptor TLR4 Gene Polymorphisms in Metabolic-Dysfunction-Associated Steatotic Liver Disease: Insights from an Exploratory Study.
代谢功能障碍相关脂肪性肝病中细胞因子IL17A、IL17F和Toll样受体TLR4基因多态性的等位基因、基因型和单倍型分析:一项探索性研究的见解
Life (Basel). 2024 Oct 18;14(10):1327. doi: 10.3390/life14101327.
4
Accuracy of Non-Invasive Imaging Techniques for the Diagnosis of MASH in Patients With MASLD: A Systematic Review.非侵入性成像技术对代谢相关脂肪性肝病(MASLD)患者诊断代谢相关脂肪性肝炎(MASH)的准确性:一项系统评价
Liver Int. 2025 Apr;45(4):e16127. doi: 10.1111/liv.16127. Epub 2024 Oct 14.
5
Metabolic Dysfunction-Associated Steatotic Liver Disease: The Associations between Inflammatory Markers, TLR4, and Cytokines IL-17A/F, and Their Connections to the Degree of Steatosis and the Risk of Fibrosis.代谢功能障碍相关脂肪性肝病:炎症标志物、Toll样受体4(TLR4)和细胞因子白细胞介素-17A/F之间的关联及其与脂肪变性程度和纤维化风险的联系
Biomedicines. 2024 Sep 21;12(9):2144. doi: 10.3390/biomedicines12092144.
6
MAFLD Pandemic: Updates in Pharmacotherapeutic Approach Development.MAFLD大流行:药物治疗方法开发的最新进展
Curr Issues Mol Biol. 2024 Jun 21;46(7):6300-6314. doi: 10.3390/cimb46070376.
7
Metabolic Dysfunction-Associated Steatotic Liver Disease: From Pathogenesis to Current Therapeutic Options.代谢功能障碍相关脂肪性肝病:从发病机制到当前治疗选择。
Int J Mol Sci. 2024 May 22;25(11):5640. doi: 10.3390/ijms25115640.
8
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Int J Mol Sci. 2024 May 10;25(10):5203. doi: 10.3390/ijms25105203.
9
Advancements in pharmacological treatment of NAFLD/MASLD: a focus on metabolic and liver-targeted interventions.非酒精性脂肪性肝病/代谢功能障碍相关脂肪性肝病的药物治疗进展:聚焦于代谢和肝脏靶向干预措施。
Gastroenterol Rep (Oxf). 2024 Apr 26;12:goae029. doi: 10.1093/gastro/goae029. eCollection 2024.
10
NAFLD in the 21st Century: Current Knowledge Regarding Its Pathogenesis, Diagnosis and Therapeutics.21世纪的非酒精性脂肪性肝病:关于其发病机制、诊断和治疗的当前知识
Biomedicines. 2024 Apr 9;12(4):826. doi: 10.3390/biomedicines12040826.