胰高血糖素样肽1受体激动剂对代谢相关脂肪性肝病作用机制的研究进展
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(1.首都医科大学附属北京朝阳医院内分泌科,北京市 100020;2.清华大学第一附属医院内分泌科,北京市 100016;3.首都医科大学基础医学院生理学与病理生理学系 重塑相关心血管疾病教育部重点实验室,北京市 100069)

作者简介:

李娜,博士研究生,主治医师,研究方向为糖尿病及甲状腺疾病,E-mail为linadipingxian@163.com。通信作者李红梅,副主任医师,研究方向为糖尿病及肥胖相关代谢性疾病,E-mail为lihongmei680110@126.com。

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基金项目:

国家自然科学基金面上项目(81770792);北京市自然科学基金B类重点项目(KZ201810025038)


Update on glucagon-like peptide-1 receptor agonists in metabolic associated fatty liver disease
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1.Department of Endocrinology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China;2.Department of Endocrinology, the First Affiliated Hospital of Tsinghua University, Beijing 100016, China;3.Department of Physiology and Pathophysiology, School of Basic Medical Sciences & Key Laboratory of Remodeling-Related Cardiovascular Diseases, Ministry of Education, Capital Medical University, Beijing 100069, China)

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    摘要:

    非酒精性脂肪性肝病(NAFLD)(现已更名为代谢相关脂肪性肝病)是一种以肝实质内脂质过度沉积为特征,常与中心性肥胖、2型糖尿病、胰岛素抵抗、代谢综合征等疾病合并存在,被认为是代谢综合征的肝脏表现。非酒精性脂肪性肝炎(NASH)是一种可能导致肝硬化、肝细胞癌的进行性肝病。目前尚无批准用于治疗NAFLD/NASH的药物。近期研究表明胰高血糖素样肽1(GLP-1)受体激动剂作为降糖药,不仅通过肠促胰素作用改善代谢关键参数间接逆转NAFLD的进展,还直接影响肝细胞脂质代谢、炎症及氧化应激。文章对GLP-1受体激动剂在NAFLD/NASH中的作用及潜在机制进行综述。

    Abstract:

    Nonalcoholic fatty liver disease (NAFLD) is characterized by excessive lipid deposition within the liver parenchyma, and is usually accompanied with obesity, insulin resistance, type 2 diabetes (T2DM), insulin resistance, metabolic syndrome. Recently, NAFLD has been officially renamed metabolic associated fatty liver disease (MAFLD).Nonalcoholic steatohepatitis (NASH) is a progressive liver disease that can lead to cirrhosis, hepatocellular carcinoma.Currently there are no approved drugs available for NAFLD/NASH treatment. Glucagon-like peptide-1 (GLP-1) receptor agonist not only reverses the progression of NAFLD indirectly through an incretin effect that improves key metabolic parameters involved in NAFLD, but also has a direct effect on lipid metabolism, inflammation and oxidative stress of hepatocytes. Herein, this study reviews the effects and potential mechanisms of GLP-1 receptor agonists on nonalcoholic fatty liver disease.

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李娜,刘佳,王广,谢国敏,曲爱娟,李红梅.胰高血糖素样肽1受体激动剂对代谢相关脂肪性肝病作用机制的研究进展[J].中国动脉硬化杂志,2021,29(5):446~450.

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  • 收稿日期:2020-04-01
  • 最后修改日期:2020-06-08
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  • 在线发布日期: 2021-04-23