Pathogenesis of non-alcoholic fatty liver disease

被引:16
作者
Anty, Rodolphe [1 ]
Gual, Philippe [2 ]
机构
[1] Univ Cote Azur, CHU Nice, INSERM, C3M,U1065, F-06000 Nice, France
[2] Univ Cote Azur, INSERM, C3M, U1065, F-06000 Nice, France
来源
PRESSE MEDICALE | 2019年 / 48卷 / 12期
关键词
ADIPOSE-TISSUE; GUT MICROBIOME; OBESE-PATIENTS; PROGRESSION; NASH; STEATOHEPATITIS; STEATOSIS; FIBROSIS; PROTEIN; CELLS;
D O I
10.1016/j.lpm.2019.09.051
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Non-Alcoholic Fatty Liver Disease (NAFLD) is a complex chronic disease resulting from an interaction between genetic and environmental factors. The phenotype and pathophysiology of NAFLD is heterogeneous. NAFLD is a continuum of histological lesions of the liver from steatosis, Non-Alcoholic Steato-Hepatitis (NASH), NASH with fibrosis, cirrhosis to hepatocellular carcinoma. The pathophysiology encompasses a dysfunction in fatty tissue (sub-cutaneous and visceral) associated with insulin-resistance and metabolic inflammation. NAFLD is a "multi-systemic'' disease. Reciprocal and aggravating interactions exist between NAFLD, cardiovascular anomalies and diabetes. The understanding of the mechanisms responsible for NAFLD allows the identification of potential novel therapeutic targets.
引用
收藏
页码:1468 / 1483
页数:16
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