治疗非酒精性脂肪肝患者的阿托伐他汀

Chonnam medical journal Pub Date : 2024-01-01 Epub Date: 2024-01-25 DOI:10.4068/cmj.2024.60.1.13
Zahra Eslami, Samaneh Sadat Aghili, Amir Ghaleh Ghafi
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摘要

非酒精性脂肪肝(NAFLD)是一种肝脏内脂肪堆积过多的疾病,通常与肥胖和胰岛素抵抗有关,可导致肝组织炎症和瘢痕形成。虽然人们一直在努力开发治疗非酒精性脂肪肝的有效方法,但对药物干预的需求仍未得到满足。调查他汀类药物的使用与非酒精性脂肪肝之间关系的大型临床试验很少,导致结果相互矛盾。他汀类药物在肝脏合成胆固醇的过程中发挥着至关重要的作用。多项研究表明,他汀类药物具有抗炎、抗血栓形成和抗纤维化的特性。这些特性使他汀类药物在预防非酒精性脂肪肝从单纯的脂肪变性发展为非酒精性脂肪性肝炎(NASH)和纤维化等更严重的非酒精性脂肪肝方面具有潜在的作用。研究结果表明,他汀类药物与较低的非酒精性脂肪性肝炎和纤维化发病率有关,可能对非酒精性脂肪性肝病有预防作用。
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Atorvastatin on Treatment of Nonalcoholic Fatty Liver Disease Patients.

Non-alcoholic fatty liver disease (NAFLD) is a condition in which excess fat builds up in the liver, often related to obesity and insulin resistance, which can lead to inflammation and scarring of the liver tissue. While efforts have been made to develop effective treatments for NAFLD, the need for pharmaceutical interventions remains unmet. Large clinical trials investigating the association between statin use and NAFLD are scarce, leading to contradictory results. Statins play a crucial role in cholesterol synthesis in the liver. Several studies have demonstrated that statins possess anti-inflammatory, anti-thrombotic, and anti-fibrotic properties. These properties make statins potentially useful in preventing the progression of NAFLD from simple steatosis to more severe forms like non-alcoholic steatohepatitis (NASH) and fibrosis. The results indicate that statin use is associated with a lower prevalence of NASH and fibrosis and may have a preventive effect on NAFLD.

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