中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

非酒精性脂肪性肝炎治疗药物的进展

钱帅杰 谷劲岳 高锦航 童欢

引用本文:
Citation:

非酒精性脂肪性肝炎治疗药物的进展

DOI: 10.3969/j.issn.1001-5256.2020.12.039
基金项目: 

国家自然科学基金青年科学项目(81700539); 四川省科技计划项目(2020YFS0236); 

详细信息
  • 中图分类号: R575.5

Advances in therapeutic drugs for nonalcoholic steatohepatitis

Research funding: 

 

  • 摘要:

    非酒精性脂肪性肝炎患病率逐年上升,对有效的治疗药物提出了迫切需求。近年来,相关药物不断涌现,种类繁多,包括:抗氧化应激药物、胰岛素增敏剂、PPAR激动剂、甲状腺受体激动剂、法尼酯X受体激动剂、ASK1抑制剂、全caspase激动剂等。精选关于非酒精性脂肪性肝炎治疗药物的临床研究进行回顾,总结各种药物的疗效及安全性,以期为临床实践提供参考意见。

     

  • [1] YOUNOSSI ZM,OTGONSUREN M,HENRY L,et al. Association of nonalcoholic fatty liver disease(NAFLD)with hepatocellular carcinoma(HCC)in the United States from 2004 to2009[J]. Hepatology,2015,62(6):1723-1730.
    [2] CHALASANI N,YOUNOSSI Z,LAVINE JE,et al. The diagnosis and management of nonalcoholic fatty liver disease:Practice guidance from the American Association for the Study of Liver Diseases[J]. Hepatology,2018,67(1):328-357.
    [3] YOUNOSSI Z,TACKE F,ARRESE M,et al. Global perspectives on nonalcoholic fatty liver disease and nonalcoholic steatohepatitis[J]. Hepatology,2019,69(6):2672-2682.
    [4] YOUNOSSI Z,HENRY L. Contribution of alcoholic and nonalcoholic fatty liver disease to the burden of liver-related morbidity and mortality[J]. Gastroenterology,2016,150(8):1778-1785.
    [5] ROMERO-GMEZ M,ZELBER-SAGI S,TRENELL M. Treatment of NAFLD with diet,physical activity and exercise[J]. J Hepatol,2017,67(4):829-846.
    [6] ALKHOURI N,SCOTT A. An update on the pharmacological treatment of nonalcoholic fatty liver disease:Beyond lifestyle modifications[J]. Clin Liver Dis(Hoboken),2018,11(4):82-86.
    [7] LAVINE JE,SCHWIMMER JB,van NATTA ML,et al. Effect of vitamin E or metformin for treatment of nonalcoholic fatty liver disease in children and adolescents:The TONIC randomized controlled trial[J]. JAMA,2011,305(16):1659-1668.
    [8] SANYAL AJ,CHALASANI N,KOWDLEY KV,et al. Pioglitazone,vitamin E,or placebo for nonalcoholic steatohepatitis[J]. N Engl J Med,2010,362(18):1675-1685.
    [9] BRIL F,BIERNACKI DM,KALAVALAPALLI S,et al. Role of vitamin E for nonalcoholic steatohepatitis in patients with type 2diabetes:A randomized controlled trial[J]. Diabetes Care,2019,42(8):1481-1488.
    [10] SHENOY KT,BALAKUMARAN LK,MATHEW P,et al. Metadoxine versus placebo for the treatment of non-alcoholic steatohepatitis:A randomized controlled trial[J]. J Clin Exp Hepatol,2014,4(2):94-100.
    [11] MUSSO G,GAMBINO R,CASSADER M,et al. A meta-analysis of randomized trials for the treatment of nonalcoholic fatty liver disease[J]. Hepatology,2010,52(1):79-104.
    [12] SINGH S,SINGH PP,SINGH AG,et al. Anti-diabetic medications and the risk of hepatocellular cancer:A systematic review and meta-analysis[J]. Am J Gastroenterol,2013,108(6):881-891; quiz 892.
    [13] BELFORT R,HARRISON SA,BROWN K,et al. A placebocontrolled trial of pioglitazone in subjects with nonalcoholic steatohepatitis[J]. N Engl J Med,2006,355(22):2297-2307.
    [14] AITHAL GP,THOMAS JA,KAYE PV,et al. Randomized,placebo-controlled trial of pioglitazone in nondiabetic subjects with nonalcoholic steatohepatitis[J]. Gastroenterology,2008,135(4):1176-1184.
    [15] RATZIU V,GIRAL P,JACQUEMINET S,et al. Rosiglitazone for nonalcoholic steatohepatitis:One-year results of the randomized placebo-controlled Fatty Liver Improvement with Rosiglitazone Therapy(FLIRT)trial[J]. Gastroenterology,2008,135(1):100-110.
    [16] ARMSTRONG MJ,GAUNT P,AITHAL GP,et al. Liraglutide safety and efficacy in patients with non-alcoholic steatohepatitis(LEAN):A multicentre,double-blind,randomised,placebo-controlled phase 2 study[J]. Lancet,2016,387(10019):679-690.
    [17] RATZIU V,HARRISON SA,FRANCQUE S,et al. Elafibranor,an agonist of the peroxisome proliferator-activated receptor-αand-δ,induces resolution of nonalcoholic steatohepatitis without fibrosis worsening[J]. Gastroenterology,2016,150(5):1147-1159. e5.
    [18] NEUSCHWANDER-TETRI BA,LOOMBA R,SANYAL AJ,et al. Farnesoid X nuclear receptor ligand obeticholic acid for non-cirrhotic,non-alcoholic steatohepatitis(FLINT):A multicentre,randomised,placebo-controlled trial[J]. Lancet,2015,385(9972):956-965.
    [19] PATEL K,HARRISON SA,ELKASHAB M,et al. Cilofexor,a nonsteroidal FXR agonist,in non-cirrhotic patients with nonalcoholic steatohepatitis:A phase 2 randomized controlled trial[J]. Hepatology,2020.[Online ahead of print]
    [20] HARRISON SA,BASHIR MR,GUY CD,et al. Resmetirom(MGL-3196)for the treatment of non-alcoholic steatohepatitis:A multicentre,randomised,double-blind,placebo-controlled,phase 2 trial[J]. Lancet,2019,394(10213):2012-2024.
    [21] LOOMBA R,LAWITZ E,MANTRY PS,et al. The ASK1 inhibitor selonsertib in patients with nonalcoholic steatohepatitis:A randomized,phase 2 trial[J]. Hepatology,2018,67(2):549-559.
    [22] HARRISON SA,WONG VW,OKANOUE T,et al. Selonsertib for patients with bridging fibrosis or compensated cirrhosis due to NASH:Results from randomized phase III STELLAR trials[J]. J Hepatol,2020,73(1):26-39.
    [23] SHIFFMAN M,FREILICH B,VUPPALANCHI R,et al. Randomised clinical trial:Emricasan versus placebo significantly decreases ALT and caspase 3/7 activation in subjects with non-alcoholic fatty liver disease[J]. Aliment Pharmacol Ther,2019,49(1):64-73.
    [24] HARRISON SA,GOODMAN Z,JABBAR A,et al. A randomized,placebo-controlled trial of emricasan in patients with NASH and F1-F3 fibrosis[J]. J Hepatol,2020,72(5):816-827.
    [25] FRIEDMAN SL,RATZIU V,HARRISON SA,et al. A randomized,placebo-controlled trial of cenicriviroc for treatment of nonalcoholic steatohepatitis with fibrosis[J]. Hepatology,2018,67(5):1754-1767.
    [26] HARRISON SA,ABDELMALEK MF,CALDWELL S,et al. Simtuzumab is ineffective for patients with bridging fibrosis or compensated cirrhosis caused by nonalcoholic steatohepatitis[J]. Gastroenterology,2018,155(4):1140-1153.
    [27] HARRISON SA,ROSSI SJ,PAREDES AH,et al. NGM282 improves liver fibrosis and histology in 12 weeks in patients with nonalcoholic steatohepatitis[J]. Hepatology,2020,71(4):1198-1212.
    [28] SANYAL A,CHARLES ED,NEUSCHWANDER-TETRI BA,et al.Pegbelfermin(BMS-986036),a PEGylated fibroblast growth factor 21 analogue,in patients with non-alcoholic steatohepatitis:A randomised,double-blind,placebo-controlled,phase 2a trial[J]. Lancet,2019,392(10165):2705-2717.
    [29] LOOMBA R,KAYALI Z,NOUREDDIN M,et al. GS-0976 reduces hepatic steatosis and fibrosis markers in patients with nonalcoholic fatty liver disease[J]. Gastroenterology,2018,155(5):1463-1473. e6.
    [30] ESLAM M,NEWSOME PN,SARIN SK,et al. A new definition for metabolic dysfunction-associated fatty liver disease:An international expert consensus statement[J]. J Hepatol,2020,73(1):202-209.
  • 加载中
计量
  • 文章访问数:  681
  • HTML全文浏览量:  61
  • PDF下载量:  109
  • 被引次数: 0
出版历程
  • 收稿日期:  2020-05-31
  • 出版日期:  2020-12-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回