自身免疫性肝炎相关肝细胞癌的研究进展

郭文沛; 张海燕; 刘立新

doi:10.3969/j.issn.1001-5256.2022.06.044

自身免疫性肝炎相关肝细胞癌的研究进展

DOI: 10.3969/j.issn.1001-5256.2022.06.044

郭文沛^{1, 2a},
张海燕^{2a, 2b, 2c, 2d},
刘立新^{1, 2a, 2b, 2c, 2d, , ,}

1.
山西医科大学第一临床医学院，太原 030001
2a.
山西医科大学第一医院消化内科，太原 030001
2b.
山西医科大学第一医院科研实验中心，太原 030001
2c.
山西医科大学第一医院肝损伤与消化道肿瘤防治委级重点实验室，太原 030001
2d.
山西医科大学第一医院肝病与器官移植研究所，太原 030001

基金项目:

中央引导地方科技发展资金(山西省科技厅) (YDZX20201400001965)

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：郭文沛负责课题设计，查阅文献，撰写论文；张海燕负责文章修改；刘立新参与文献审核、指导撰写文章并最后定稿。

详细信息

通信作者:
刘立新，lixinliu6@hotmail.com

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出版历程
- 收稿日期: 2021-10-31
- 录用日期: 2021-12-15
- 出版日期: 2022-06-20

Research advances in autoimmune hepatitis-related hepatocellular carcinoma

Wenpei GUO^{1, 2a},
Haiyan ZHANG^{2a, 2b, 2c, 2d},
Lixin LIU^{1, 2a, 2b, 2c, 2d
, ,
,}

1.
The First Clinical Medical College of Shanxi Medical University, Taiyuan 030001, China
2a.
Department of Gastroenterology, First Hospital of Shanxi Medical University, Taiyuan 030001, China
2b.
Experimental Center of Science and Research, First Hospital of Shanxi Medical University, Taiyuan 030001, China
2c.
Committee-level Key Laboratory of Liver Injury and Gastrointestinal Tumor Prevention and Treatment, First Hospital of Shanxi Medical University, Taiyuan 030001, China
2d.
Institute of Liver Disease and Organ Transplantation, First Hospital of Shanxi Medical University, Taiyuan 030001, China

Research funding:

The Funding of Scientific and Technological Development with Central Government Guiding Local (Department of Science and Technology of Shanxi Province) （YDZX20201400001965）

More Information

Corresponding author: LIU Lixin, lixinliu6@hotmail.com (ORCID: 0000-0001-7585-9432)

摘要

摘要: 自身免疫性肝炎(AIH)相关肝细胞癌(HCC)是指在长期AIH的基础上发生的HCC，其发病率较低(0~6%)。高龄、男性、糖尿病、酒精使用、AIH反复复发与持续ALT异常、免疫抑制治疗和治疗失败及长期肝硬化状态等可能是AIH患者发生HCC的危险因素。肝硬化是AIH发生HCC的重要阶段。AIH进展到肝硬化后，HCC发病率显著升高。目前国内外关于AIH发生HCC的机制鲜有报道，可能与肝硬化诱导下特异性分子生物学特征(染色体、端粒、基因等)的改变、细胞死亡-炎症-癌症途径及肠道微生态紊乱等有关。及时识别AIH可能发展为HCC的高危人群并加强干预、随访和监测非常重要。
- 肝炎, 自身免疫性 /
- 癌, 肝细胞 /
- 肝硬化 /
- 危险因素
Abstract: Autoimmune hepatitis (AIH)-related hepatocellular carcinoma (HCC) is defined as HCC that develops on the basis of long-term AIH and has a relatively low incidence rate of 0-6%. The risk factors for HCC in AIH patients include old age, male sex, diabetes, alcohol use, AIH recurrence and persistent alanine aminotransferase abnormalities, failure in immunosuppressive therapy and related treatments, and long-term liver cirrhosis. Liver cirrhosis is an important stage for the development of HCC in AIH, and the incidence rate of HCC increases significantly after AIH progresses to liver cirrhosis. At present, there are few reports on the mechanism of HCC in AIH, which may be associated with the changes in specific molecular biological characteristics (including chromosomes, telomeres, and genes) induced by liver cirrhosis, the cell death-inflammation-cancer pathway, and intestinal microecological disorders. It is of great importance to identify the AIH population at a high risk of HCC in a timely manner and enhance intervention, follow-up, and monitoring.
- Hepatitis, Autoimmune /
- Carcinoma, Hepatocellular /
- Liver Cirrhosis /
- Risk Factors

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参考文献(45)

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