[预防和治疗肝硬化门静脉血栓形成的新目标]。

Y W Wang, H G Ding
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引用次数: 0

摘要

门静脉血栓形成(PVT)分为肝硬化性门静脉血栓形成和非肝硬化性门静脉血栓形成。肝硬化不同临床阶段的门静脉栓塞发病率差异很大,总发病率约为 13.92%,脾切除术后肝硬化门静脉栓塞的发病率高达 60%。肝硬化 PVT 的发病机制尚不清楚。然而,Janus 激酶/信号转导和激活剂转录信号通路的激活、von Willebrand 因子表达的增加、肠道微生物群及其代谢产物三甲胺-N-氧化物在肝硬化血管内皮细胞损伤和 PVT 的形成中起着重要作用。因此,这些可能成为肝硬化 PVT 预防和治疗的新靶点。
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[New targets for the prevention and treatment of cirrhotic portal vein thrombosis].

Portal vein thrombosis (PVT) is divided into cirrhotic and non-cirrhotic PVTs. The incidence rate of PVT varies greatly among different clinical stages of cirrhosis, with an overall incidence rate of about 13.92%, and the prevalence of cirrhotic PVT following splenectomy is as high as 60%. The pathogenesis of cirrhotic PVT is still unclear. However, the activation of Janus kinase/signal transduction and activator transcription signaling pathways, the rise in the expression of von Willebrand factor, and the gut microbiota along with its metabolite trimethylamine-N-oxide play an important role in the injury of vascular endothelial cells and the formation of PVT in cirrhosis. Therefore, these could be a new target for cirrhotic PVT prevention and treatment.

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来源期刊
中华肝脏病杂志
中华肝脏病杂志 Medicine-Medicine (all)
CiteScore
1.20
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0.00%
发文量
7574
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