创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

肝脏非实质细胞在非酒精性脂肪性肝炎中的作用研究进展

Advances in Research on the Roles of Hepatic Nonparenchymal Cells in Non-alcoholic Steatohepatitis

  • 摘要: 非酒精性脂肪性肝病是全球最流行的肝脏疾病,其疾病谱包含非酒精性脂肪肝、非酒精性脂肪性肝炎、与非酒精性脂肪性肝炎相关的纤维化、肝硬化和肝细胞癌。非酒精性脂肪性肝炎是非酒精性脂肪性肝病进展性的肝脏病理表征,临床上需要药物治疗或其他治疗方式干预,但目前全球尚无针对非酒精性脂肪性肝炎的药物获批上市。非酒精性脂肪性肝炎发病机制复杂,涉及多种细胞内、细胞间的交互作用以及复杂的分子信号通路。非酒精性脂肪性肝炎治疗是一个尚未被满足的巨大临床需求。综述了肝脏中几种主要的非实质细胞在非酒精性脂肪性肝炎发病中的重要作用,同时探讨了非酒精性脂肪性肝炎药物开发靶点与不同细胞之间的相关性。

     

    Abstract: Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in the world, encompassing a disease spectrum ranging from non-alcoholic fatty liver, non-alcoholic steatohepatitis (NASH) as well as NASH-related fibrosis, cirrhosis and liver cancer. NASH presents unique liver pathology associated with disease progression which requires medication and/or intervention. There are currently no approved pharmacological therapies for NASH. The complicated pathogenesis of NASH involves intracellular and intercellular interaction in the liver as well as various molecular signaling pathways. NASH therapies represent huge unmet medical needs and drug market. This review provides a comprehensive update and summary of the current knowledge regarding hepatic nonparenchymal cells and their roles in NASH initiation and progression, with a discussion of novel therapeutic targets on specific hepatic cell types.

     

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