Navigating nonalcoholic fatty liver disease (NAFLD): Exploring the roles of estrogens, pharmacological and medical interventions, and life style

IF 2.1 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Steroids Pub Date : 2023-11-03 DOI:10.1016/j.steroids.2023.109330
Qianying Zuo , Nicole Hwajin Park , Jenna Kathryn Lee , Ashlie Santaliz-Casiano , Zeynep Madak-Erdogan
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Abstract

The pursuit of studying this subject is driven by the urgency to address the increasing global prevalence of Non-Alcoholic Fatty Liver Disease (NAFLD) and its profound health implications. NAFLD represents a significant public health concern due to its association with metabolic disorders, cardiovascular complications, and the potential progression to more severe conditions like non-alcoholic steatohepatitis (NASH), fibrosis, and cirrhosis. Liver estrogen signaling is important for maintaining liver function, and loss of estrogens increases the likelihood of NAFLD in postmenopausal women. Understanding the multifaceted mechanisms underlying NAFLD pathogenesis, its varied treatment strategies, and their effectiveness is crucial for devising comprehensive and targeted interventions. By unraveling the intricate interplay between genetics, lifestyle, hormonal regulation, and gut microbiota, we can unlock insights into risk stratification, early detection, and personalized therapeutic approaches. Furthermore, investigating the emerging pharmaceutical interventions and dietary modifications offers the potential to revolutionize disease management. This review reinforces the role of collaboration in refining NAFLD comprehension, unveiling novel therapeutic pathways, and ultimately improving patient outcomes for this intricate hepatic condition.

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导航非酒精性脂肪肝(NAFLD):探索雌激素的作用、药理学和医学干预以及生活方式。
迫切需要解决非酒精性脂肪肝(NAFLD)在全球日益流行及其对健康的深远影响,这推动了对这一主题的研究。NAFLD与代谢紊乱、心血管并发症以及非酒精性脂肪性肝炎(NASH)、纤维化和肝硬化等更严重疾病的潜在进展有关,因此是一个重大的公共卫生问题。肝脏雌激素信号传导对维持肝功能很重要,雌激素的丢失增加了绝经后妇女患NAFLD的可能性。了解NAFLD发病机制的多方面机制、不同的治疗策略及其有效性对于制定全面和有针对性的干预措施至关重要。通过揭示遗传学、生活方式、激素调节和肠道微生物群之间复杂的相互作用,我们可以深入了解风险分层、早期检测和个性化治疗方法。此外,研究新出现的药物干预和饮食调整为彻底改变疾病管理提供了潜力。这篇综述加强了合作在完善NAFLD理解、揭示新的治疗途径以及最终改善这种复杂肝脏疾病患者预后方面的作用。
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来源期刊
Steroids
Steroids 医学-内分泌学与代谢
CiteScore
5.10
自引率
3.70%
发文量
120
审稿时长
73 days
期刊介绍: STEROIDS is an international research journal devoted to studies on all chemical and biological aspects of steroidal moieties. The journal focuses on both experimental and theoretical studies on the biology, chemistry, biosynthesis, metabolism, molecular biology, physiology and pharmacology of steroids and other molecules that target or regulate steroid receptors. Manuscripts presenting clinical research related to steroids, steroid drug development, comparative endocrinology of steroid hormones, investigations on the mechanism of steroid action and steroid chemistry are all appropriate for submission for peer review. STEROIDS publishes both original research and timely reviews. For details concerning the preparation of manuscripts see Instructions to Authors, which is published in each issue of the journal.
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