Future Perspectives in the Diagnosis and Treatment of Liver Disease Associated with Alpha-1 Antitrypsin Deficiency.

IF 1 Q4 GASTROENTEROLOGY & HEPATOLOGY
GE Portuguese Journal of Gastroenterology Pub Date : 2023-02-01 eCollection Date: 2023-10-01 DOI:10.1159/000528809
Nélia Abreu, Vítor Magno Pereira, Madalena Pestana, Luís Jasmins
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引用次数: 0

Abstract

Alpha-1 antitrypsin deficiency (AATD) is one of the most common genetic diseases and is caused by mutations in the SERPINA1 gene. The homozygous Pi*Z variant is responsible for the majority of the classic severe form of alpha-1 antitrypsin deficiency, which is characterized by markedly decreased levels of serum alpha-1 antitrypsin (AAT) with a strong predisposition to lung and liver disease. The diagnosis and early treatment of AATD-associated liver disease are challenges in clinical practice. In this review, the authors aim to summarize the current evidence of the non-invasive methods in the assessment of liver fibrosis, as well as to elucidate the main therapeutic strategies under investigation that may emerge in the near future.

Abstract Image

α-1抗胰蛋白酶缺乏型肝病诊断和治疗的未来展望。
α-1抗胰蛋白酶缺乏症(AATD)是最常见的遗传性疾病之一,由SERPINA1基因突变引起。纯合Pi*Z变体是大多数典型的严重形式的α-1抗胰蛋白酶缺乏症的原因,其特征是血清α-1抗蛋白酶(AAT)水平显著降低,易患肺病和肝病。AATD相关肝病的诊断和早期治疗是临床实践中的挑战。在这篇综述中,作者旨在总结评估肝纤维化的非侵入性方法的最新证据,并阐明在不久的将来可能出现的主要治疗策略。
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来源期刊
GE Portuguese Journal of Gastroenterology
GE Portuguese Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
1.60
自引率
11.10%
发文量
62
审稿时长
21 weeks
期刊介绍: The ''GE Portuguese Journal of Gastroenterology'' (formerly Jornal Português de Gastrenterologia), founded in 1994, is the official publication of Sociedade Portuguesa de Gastrenterologia (Portuguese Society of Gastroenterology), Sociedade Portuguesa de Endoscopia Digestiva (Portuguese Society of Digestive Endoscopy) and Associação Portuguesa para o Estudo do Fígado (Portuguese Association for the Study of the Liver). The journal publishes clinical and basic research articles on Gastroenterology, Digestive Endoscopy, Hepatology and related topics. Review articles, clinical case studies, images, letters to the editor and other articles such as recommendations or papers on gastroenterology clinical practice are also considered. Only articles written in English are accepted.
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