首页|非酒精性脂肪性肝病进程中低氧的作用及其机制研究进展

非酒精性脂肪性肝病进程中低氧的作用及其机制研究进展

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非酒精性脂肪性肝病(non-alcoholic fatty liver disease,NAFLD)是全国范围内普遍发病的慢性非传染性肝脏疾病,也是肝硬化肝癌的前期阶段,严重威胁着人类健康.高原低氧条件下机体各器官系统受到不同程度影响,而肝脏组织缺氧程度进一步加重,呈现出高原地区NAFLD的患病率显著高于平原地区.目前NAFLD发病机制观点不一,而且高原低氧促进NAFLD进展机制尚不明确.本文从高原低氧对肝实质细胞和间充质细胞的影响角度入手,整合、梳理相关研究报道,并探索高原低氧在NAFLD慢性病进展中发生、发展的可能机制,为NAFLD的预防、诊治提供新思路.
Research Progress on the Role and Mechanisms of Hypoxia in the Progression of Non-Alcoholic Fatty Liver Disease
Non-alcoholic fatty liver disease(NAFLD)is a prevalent chronic non-infectious liver disease nationwide that can progress to liver cirrhosis and liver cancer,posing a significant threat to human health.Under hypoxic conditions at high altitudes,various organs and systems of the body are affected.Liver tissues,in particular,experience intensified hypoxia,leading to a signifi-cantly higher prevalence of NAFLD in plateau areas than in sea level areas.Currently,there are diverse opinions on the pathogenesis of NAFLD,and the specific mechanisms by which high-alti-tude hypoxia promotes NAFLD progression remain unclear.In this article,we review the impact of high-altitude hypoxia on liver parenchymal cells and mesenchymal cells,consolidate relevant research findings,and summarize the potential mechanisms by which high-altitude hypoxia may contribute to the progression of chronic NAFLD,providing new insights for the prevention and treatment of NAFLD.

NAFLDhypoxiasteatosisinflammationfibrosis development

颜然然、沈利娟、林凯歌、格日力、白振忠

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青海大学高原医学研究中心,西宁 810001

青海大学高原医学教育部重点实验室,西宁 810001

青海大学医学院青海省高原医学应用基础重点实验室(青海-犹他高原医学联合重点实验室),西宁 810001

邯郸市第一医院呼吸与危重医学二科,邯郸 056000

青海大学附属医院消化内科,西宁 810001

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NAFLD 低氧 脂肪变性 炎症 纤维化进展

青海省科技计划青海省"昆仑英才"创新人才项目(2022)

2020-ZJ-721

2024

生理科学进展
中国生理学会,北京大学

生理科学进展

CSTPCD北大核心
影响因子:0.635
ISSN:0559-7765
年,卷(期):2024.55(2)
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