Influence of sex in alcohol-related liver disease: Pre-clinical and clinical settings

被引:26
作者
Bizzaro, Debora [1 ]
Becchetti, Chiara [2 ]
Trapani, Silvia [3 ]
Lavezzo, Bruna [4 ]
Zanetto, Alberto [1 ]
D'Arcangelo, Francesca [1 ]
Merli, Manuela [5 ]
Lapenna, Lucia [5 ]
Invernizzi, Federica [6 ]
Taliani, Gloria [7 ]
Burra, Patrizia [1 ]
机构
[1] Padua Univ Hosp, Dept Surg Oncol & Gastroenterol, Gastroenterol & Multivisceral Transplant Unit, Padua, Italy
[2] ASST Grande Osped Metropolitano Niguarda, Hepatol & Gastroenterol, Milan, Italy
[3] Natl Inst Hlth, Italian Natl Transplant Ctr, Rome, Italy
[4] AOU Citta Salute & Sci, Liver Transplant Ctr, Anesthesia & Intens Care Unit 2, Turin, Italy
[5] Sapienza Univ Rome, Ctr Diag & Treatment Portal Hypertens, Dept Translat & Precis Med, Rome, Italy
[6] IRCCS Osped San Raffaele, Ctr Liver Dis, Div Internal Med & Hepatol, Milan, Italy
[7] Sapienza Univ Rome, Policlin Umberto Hosp 1, Dept Publ Hlth & Infect Dis, Infect & Trop Med Unit, Rome, Italy
关键词
alcohol; cirrhosis; gender; portal hypertension; sex; HIGH-DOSE NALTREXONE; GENDER-DIFFERENCES; TRANSPLANTATION; HEPATITIS; DEPENDENCE; ABUSE; RISK; PHARMACOKINETICS; CONSUMPTION; PREDICTORS;
D O I
10.1002/ueg2.12370
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Alcohol-related liver disease (ArLD) is a major cause of chronic liver disease globally. Traditionally, ArLD was mostly a concern in men rather than in women; however, such a sex gap is rapidly narrowing due to increasing chronic alcohol consumption among women. Female sex is more vulnerable to the harmful effects of alcohol with a higher risk of progression to cirrhosis and development of associated complications. The relative risk of cirrhosis and liver-related mortality is significantly higher in women than in men. Our review endeavors to summarize the current knowledge on sex differences in alcohol metabolism, pathogenesis of ArLD, disease progression, indication for liver transplant and pharmacological treatments of ArLD, and provide evidence in support of a sex-specific management of these patients.
引用
收藏
页码:218 / 227
页数:10
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