维生素D缺乏与代谢相关脂肪性肝病的关系
DOI: 10.3969/j.issn.1001-5256.2022.07.034
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:罗玲负责论文撰写; 廖献花协助论文修改; 钟碧慧负责论文指导和审阅。
Research advances in vitamin D deficiency and metabolic associated fatty liver disease
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摘要: 代谢相关脂肪性肝病(MAFLD)为全球第一大慢性肝病,但发病机制仍不明确,尚缺乏有效的治疗药物。介绍了MAFLD患者常伴有维生素D缺乏,维生素D可能通过影响糖脂代谢、炎症信号通路、免疫调节、肠道微生态等多种途径参与MAFLD的发生发展。提出维生素D有望成为MAFLD的治疗药物,临床上需关注MAFLD患者维生素D水平的监测和管理,但其内在机制、具体补充剂量及疗程亟待深入探索。Abstract: Metabolic associated fatty liver disease (MAFLD) is the largest chronic liver disease in the world. Its pathogenesis remains unclear and there is still a lack of effective drugs. This article introduces vitamin D deficiency commonly observed in patients with MAFLD, and it is pointed out that vitamin D may participate in the development and progression of MAFLD through various pathways such as glucose and lipid metabolism, inflammatory signaling pathways, immune modulation, and intestinal microecology. It is proposed that vitamin D supplement is expected to become an effective drug for the treatment of MAFLD, and the monitoring and management of vitamin D level should be taken seriously for MAFLD patients in clinical practice. Further studies are needed to explore its underlying mechanism, dose for supplementation, and course of treatment.
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