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肪组织功能障碍对代谢相关性脂肪性肝病的影响及防治策略

范慧倩 杨博雯 杨玲

中西医结合肝病杂志2025,Vol.35Issue(5):529-537,9.
中西医结合肝病杂志2025,Vol.35Issue(5):529-537,9.DOI:10.3969/j.issn.1005-0264.2025.005.001

肪组织功能障碍对代谢相关性脂肪性肝病的影响及防治策略

Research on the impact of adipose tissue dysfunction on MAFLD and its prevention and treatment strategies

范慧倩 1杨博雯 2杨玲3

作者信息

  • 1. 华中科技大学同济医学院附属协和医院消化内科(湖北 武汉,430022)||长江航运总医院
  • 2. 新疆医科大学
  • 3. 华中科技大学同济医学院附属协和医院消化内科(湖北 武汉,430022)
  • 折叠

摘要

Abstract

Metabolic associated fatty liver disease(MAFLD)is a chronic liver disease characterized by hepatic steatosis caused by metabolic disorders,and its progression leading to inflammation and fibrosis of the liver.It is closely associated with the development of metabolic diseases such as cirrhosis,hepatocellular carcinoma,obesity,type 2 diabetes,and cardiovascular diseases.Reduced metabolic flexibility,inflammation,and abnormal secretion of adipokines mediated by adipose tissue dysfunction are key factors driving the progression of MAFLD.Different types of adipose tissues play distinct roles in the pathogenesis of MAFLD.Substantial studies have confirmed that brown adipose tissue can ameliorate metabolic disorders by enhancing systemic insulin sensitivity and regulating lipid metabolism.Therefore,reducing the excessive accumulation of white adipose tissue and regulating the browning of white adipose tissue might serve as critical strategies for MAFLD treatment.This review focuses on adipose tissue,elucidating the effects and mechanisms of adipose tissue dysfunction on the development of MAFLD,as well as summarizing the latest advances,challenges,and major issues in current therapies targeting adipose tissue dysfunction.

关键词

代谢相关性脂肪性肝病/白色脂肪组织/棕色脂肪组织/代谢

Key words

metabolic associated fatty liver disease/white adipose tissue/browning adipose tissue/metabolism

分类

医药卫生

引用本文复制引用

范慧倩,杨博雯,杨玲..肪组织功能障碍对代谢相关性脂肪性肝病的影响及防治策略[J].中西医结合肝病杂志,2025,35(5):529-537,9.

基金项目

国家自然科学基金面上项目(No.82270614、81974078、81570530),科技部重点研发项目(2023YFC2413804),湖北省科技厅重点项目(No.2019ACA133) (No.82270614、81974078、81570530)

中西医结合肝病杂志

1005-0264

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