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胰高血糖素样肽1受体激动剂在非酒精性脂肪性肝病治疗中的作用及相关机制

俞晓菡 王雨露 许笑阳 平键 赵长青

引用本文:
Citation:

胰高血糖素样肽1受体激动剂在非酒精性脂肪性肝病治疗中的作用及相关机制

DOI: 10.3969/j.issn.1001-5256.2021.01.043
基金项目: 

国家自然科学基金 (81673780)

作者贡献声明:俞晓菡负责课题设计,资料分析,撰写论文;王雨露、许笑阳参与收集数据;平键、赵长青负责拟定写作思路,修改论文,指导撰写文章并最后定稿。
详细信息
    作者简介:

    俞晓菡(1996—), 女, 主要从事中西医结合抗肝纤维化方面的研究

    通信作者:

    赵长青,cathy090909@126.com

  • 中图分类号: R575.5

Effect of glucagon-like peptide-1 receptor agonist in treatment of nonalcoholic fatty liver disease and related mechanism

  • 摘要: 非酒精性脂肪性肝病在全球发病率持续上升,由于其复杂的发病机制,尚未开发出有效的治疗药物。该病若未得到及时治疗,可能加剧糖尿、高血脂等相关代谢性疾病发生的风险,严重会导致肝纤维化,甚至发生肝硬化。胰高血糖素样肽-1是小肠L型细胞分泌的一种激素,具有调节葡萄糖依赖性的胰岛素分泌刺激,减少胃排空,抑制食物摄取等作用。综述了胰高血糖素样肽-1受体激动剂对非酒精性脂肪性肝病的治疗作用及其相关机制。

     

  • 图  1  GLP-1R激动剂在糖脂代谢和肝脏炎症中的作用机制

    注:PCSK9, 前蛋白转化酶枯草杆菌蛋白酶/kexin9型; HNF1α, 肝细胞核因子1;ATGL,脂肪甘油三酯脂肪酶;PPARα, 过氧化物酶体增值物激活受体α;CPT-1a, 肉碱棕榈酰转移酶-1a;ACOX-1, 酰基辅酶A氧化酶-1;SREBP-1c, 固醇调节元件结合蛋白-1c;FAS, 脂肪酸合酶; IRE-1, 肌醇需要酶1;PERK, PKR样内质网激酶; ER, 内质网; NLRP3, 富含亮氨酸的重复序列含受体的吡啶结构域3。

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  • 收稿日期:  2020-06-19
  • 录用日期:  2020-09-10
  • 出版日期:  2021-01-20
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