性腺功能减退症和非酒精性脂肪肝。

IF 3 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Endocrine Pub Date : 2024-10-01 Epub Date: 2024-05-21 DOI:10.1007/s12020-024-03878-1

Kasiani Papadimitriou, Athanasios C Mousiolis, Gesthimani Mintziori, Christina Tarenidou, Stergios A Polyzos, Dimitrios G Goulis

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引用次数: 0

摘要

非酒精性脂肪肝（NAFLD）是全球关注的重大公共卫生问题，最近拟更名为代谢功能障碍相关性脂肪性肝病（MASLD），约有 25%-30% 的成年人患有该病，并可能导致肝硬化、肝细胞癌和肝移植。肝脏通过性激素的肝代谢和性激素结合球蛋白（SHBG）的产生参与性类固醇的作用。包括非酒精性脂肪肝在内的肝脏疾病与男性和女性的生殖功能障碍有关，而非酒精性脂肪肝在性腺功能减退症患者中的发病率相当高。人们对非酒精性脂肪肝与男性/女性性腺功能减退症之间可能存在的病理生理机制进行了广泛的研究。由于针对非酒精性脂肪肝的疗法可能会影响男性和女性的性腺功能减退症，反之亦然，对后者的治疗也可能会影响非酒精性脂肪肝，因此深入了解其病理生理学途径势在必行。本文旨在阐明非酒精性脂肪肝与男性和女性性腺功能减退之间的复杂联系，并讨论治疗方案及其对这两种疾病的影响。

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Hypogonadism and nonalcoholic fatty liver disease.

Nonalcoholic fatty liver disease (NAFLD), recently proposed to be renamed to metabolic dysfunction-associated steatotic liver disease (MASLD), is a major global public health concern, affecting approximately 25-30% of the adult population and possibly leading to cirrhosis, hepatocellular carcinoma, and liver transplantation. The liver is involved in the actions of sex steroids via their hepatic metabolism and production of the sex hormone-binding globulin (SHBG). Liver disease, including NAFLD, is associated with reproductive dysfunction in men and women, and the prevalence of NAFLD in patients with hypogonadism is considerable. A wide spectrum of possible pathophysiological mechanisms linking NAFLD and male/female hypogonadism has been investigated. As therapies targeting NAFLD may impact hypogonadism in men and women, and vice versa, treatments of the latter may affect NAFLD, and an insight into their pathophysiological pathways is imperative. This paper aims to elucidate the complex association between NAFLD and hypogonadism in men and women and discuss the therapeutic options and their impact on both conditions.

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来源期刊

Endocrine ENDOCRINOLOGY & METABOLISM-

CiteScore

6.50

自引率

5.40%

发文量

295

审稿时长

1.5 months

期刊介绍： Well-established as a major journal in today’s rapidly advancing experimental and clinical research areas, Endocrine publishes original articles devoted to basic (including molecular, cellular and physiological studies), translational and clinical research in all the different fields of endocrinology and metabolism. Articles will be accepted based on peer-reviews, priority, and editorial decision. Invited reviews, mini-reviews and viewpoints on relevant pathophysiological and clinical topics, as well as Editorials on articles appearing in the Journal, are published. Unsolicited Editorials will be evaluated by the editorial team. Outcomes of scientific meetings, as well as guidelines and position statements, may be submitted. The Journal also considers special feature articles in the field of endocrine genetics and epigenetics, as well as articles devoted to novel methods and techniques in endocrinology. Endocrine covers controversial, clinical endocrine issues. Meta-analyses on endocrine and metabolic topics are also accepted. Descriptions of single clinical cases and/or small patients studies are not published unless of exceptional interest. However, reports of novel imaging studies and endocrine side effects in single patients may be considered. Research letters and letters to the editor related or unrelated to recently published articles can be submitted. Endocrine covers leading topics in endocrinology such as neuroendocrinology, pituitary and hypothalamic peptides, thyroid physiological and clinical aspects, bone and mineral metabolism and osteoporosis, obesity, lipid and energy metabolism and food intake control, insulin, Type 1 and Type 2 diabetes, hormones of male and female reproduction, adrenal diseases pediatric and geriatric endocrinology, endocrine hypertension and endocrine oncology.