肝纤维化、肝癌及治疗方法的进展

Livers Pub Date : 2022-11-02 DOI:10.3390/livers2040028
Indu G. Rajapaksha
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引用次数: 1

摘要

导致肝纤维化、肝硬化和/或肝细胞癌(HCC)的慢性肝病(CLDs)已成为全球疾病和死亡的主要原因。CLDs的主要致病因素是慢性病毒感染、过度饮酒、非酒精性脂肪性肝病(NAFLD)和胆汁淤积性疾病。治疗肝硬化的主要方法是清除病原体,其次是解决纤维化问题。肝癌也是世界范围内死亡的主要原因,目前有许多治疗方法可以治疗这种疾病。然而,肝移植仍然是肝硬化和肝癌的最后治疗选择。因此,本综述讨论了肝纤维化的病理生理学,其向肝硬化和HCC的进展,以及目前可用于治疗疾病的治疗方案,以及在不久的将来可获得的潜在治疗方案。
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Liver Fibrosis, Liver Cancer, and Advances in Therapeutic Approaches
Chronic liver diseases (CLDs) that lead to hepatic fibrosis, cirrhosis, and/or hepatocellular carcinoma (HCC) have become a major cause of illness and death worldwide. The main causative factors for CLDs are chronic viral infections, excessive alcohol consumption, non-alcoholic fatty liver disease (NAFLD), and cholestatic diseases. The primary approach to managing cirrhosis should be removing the causative agent, and the secondary approach should address fibrogenesis. Liver cancer is also a leading cause of death worldwide, and many therapeutic approaches exist to treat the disease. However, liver transplantation remains the last treatment option for cirrhosis and liver cancer. Thus, this review discusses the pathophysiology of liver fibrosis, its progression to cirrhosis and HCC, and current therapeutic options available to treat the diseases with potential therapeutic options that will be available in the near future.
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