Sexual dimorphism of metabolic dysfunction-associated steatotic liver disease.

IF 12.8 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
Alessandro Cherubini, Sara Della Torre, Serena Pelusi, Luca Valenti
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引用次数: 0

Abstract

Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common chronic liver condition. MASLD is a sexually dimorphic condition, with its development and progression influenced by sex chromosomes and hormones. Estrogens typically protect against, whereas androgens promote, MASLD. Therapeutic approaches for a sex-specific personalized medicine include estrogen replacement, androgen blockers, and novel drugs targeting hormonal pathways. However, the interactions between hormonal factors and inherited genetic variation impacts MASLD risk, necessitating more tailored therapies. Understanding sex disparities and the role of estrogens could improve MASLD interventions and management, whereas clinical trials addressing sex differences are crucial for advancing personalized treatment. This review explores the underappreciated impact of sexual dimorphism in MASLD and discusses the potential therapeutic application of sex-related hormones.

代谢功能障碍相关脂肪性肝病的性别双态性。
代谢功能障碍相关性脂肪性肝病(MASLD)是最常见的慢性肝病。代谢功能障碍相关性脂肪肝是一种性别双态性疾病,其发生和发展受性染色体和激素的影响。雌激素通常可预防肝硬变,而雄激素则可促进肝硬变。性别特异性个性化药物的治疗方法包括雌激素替代、雄激素阻断剂和针对激素通路的新型药物。然而,激素因素和遗传基因变异之间的相互作用会影响 MASLD 的风险,因此需要更多的定制疗法。了解性别差异和雌激素的作用可以改善MASLD的干预和管理,而针对性别差异的临床试验对于推进个性化治疗至关重要。本综述探讨了MASLD中未被充分认识的性别二形性的影响,并讨论了性别相关激素的潜在治疗应用。
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来源期刊
Trends in molecular medicine
Trends in molecular medicine 医学-生化与分子生物学
CiteScore
24.60
自引率
0.00%
发文量
142
审稿时长
6-12 weeks
期刊介绍: Trends in Molecular Medicine (TMM) aims to offer concise and contextualized perspectives on the latest research advancing biomedical science toward better diagnosis, treatment, and prevention of human diseases. It focuses on research at the intersection of basic biology and clinical research, covering new concepts in human biology and pathology with clear implications for diagnostics and therapy. TMM reviews bridge the gap between bench and bedside, discussing research from preclinical studies to patient-enrolled trials. The major themes include disease mechanisms, tools and technologies, diagnostics, and therapeutics, with a preference for articles relevant to multiple themes. TMM serves as a platform for discussion, pushing traditional boundaries and fostering collaboration between scientists and clinicians. The journal seeks to publish provocative and authoritative articles that are also accessible to a broad audience, inspiring new directions in molecular medicine to enhance human health.
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