代谢相关脂肪肝是中枢神经系统疾病发展的危险因素

Livers Pub Date : 2023-01-05 DOI:10.3390/livers3010002
Sayuri Yoshikawa, Kurumi Taniguchi, Haruka Sawamura, Yuka Ikeda, Tomoko Asai, Ai Tsuji, Satoru Matsuda
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引用次数: 2

摘要

MAFLD/NAFLD是最常见的肝脏疾病,以肝脏脂肪变性为分类,伴有肝脏多余脂肪增加和代谢性肝功能障碍,死亡率较高,医疗负担较高。NAFLD与中枢神经系统疾病(包括心理障碍)之间的关联已得到证实。此外,MAFLD/NAFLD与各种类型的神经退行性疾病,如肌萎缩侧索硬化症或帕金森病相关。与健康对照相比,MAFLD/NAFLD患者在多器官内出现肝外并发症的风险更高。饮食干预已成为治疗mald /NAFLD的有效策略。参与调节Th17/Treg平衡的PI3K/AKT/mTOR信号通路可能促进包括MAFLD/NAFLD在内的多种疾病的发病机制。由于肝外并发症可能发生在包括中枢神经系统在内的各个器官,因此在治疗MAFLD/NAFLD患者时,与个别专家的合作护理也是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Metabolic Associated Fatty Liver Disease as a Risk Factor for the Development of Central Nervous System Disorders
MAFLD/NAFLD is the most ordinary liver disease categorized by hepatic steatosis with the increase of surplus fat in the liver and metabolic liver dysfunction, which is associated with bigger mortality and a high medical burden. An association between MAFLD/NAFLD and central nervous system disorders including psychological disorders has been demonstrated. Additionally, MAFLD/NAFLD has been correlated with various types of neurodegenerative disorders such as amyotrophic lateral sclerosis or Parkinson’s disease. Contrasted to healthy controls, patients with MAFLD/NAFLD have a greater prevalence risk of extrahepatic complications within multiple organs. Dietary interventions have emerged as effective strategies for MAFLD/NAFLD. The PI3K/AKT/mTOR signaling pathway involved in the regulation of Th17/Treg balance might promote the pathogenesis of several diseases including MAFLD/NAFLD. As extrahepatic complications may happen across various organs including CNS, cooperative care with individual experts is also necessary for managing patients with MAFLD/NAFLD.
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