Obeticholic Acid, FXR Agonists, Liver Disease and Plasma Biomarkers

N. Javitt
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Abstract

How medications whose major biologic effect is to reduce bile acid synthesis favorably affect the course of a variety of cholestatic and metabolic liver diseases is not immediately apparent. Also, the most frequently used plasma biomarkers for evaluating benefit, alkaline phosphatase and conjugated bilirubin [1], provide different information. The former may be misleading with respect to the course of the disease and therefore it is important to focus on the pathophysiologic basis for its use.
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欧贝胆酸,FXR激动剂,肝脏疾病和血浆生物标志物
以减少胆汁酸合成为主要生物学作用的药物如何积极影响各种胆汁淤积性和代谢性肝病的病程,目前尚不清楚。此外,最常用的血浆生物标志物碱性磷酸酶和结合胆红素[1]也提供了不同的信息。前者可能会误导有关疾病的进程,因此,重要的是要关注其使用的病理生理基础。
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