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

慢性HBV感染与代谢功能障碍的流行病学与临床转归

黄娇凤 郑琦

引用本文:
Citation:

慢性HBV感染与代谢功能障碍的流行病学与临床转归

DOI: 10.12449/JCH240303
基金项目: 

国家自然基金青年科学基金项目 (82300652);

福建省自然科学基金 (2022J01700);

福建省肝病与肠道疾病临床医学研究中心 (2021Y2006)

利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:黄娇凤负责撰写论文;郑琦负责指导、修改及审阅论文。
详细信息
    通信作者:

    郑琦, bei0825@163.com (ORCID: 0000-0001-8006-7069)

Epidemiology and clinical outcome of chronic hepatitis B virus infection and metabolic dysfunction

Research funding: 

National Natural Science Foundation of China Young Scientist Fund (82300652);

Natural Science Foundation of Fujian Province (2022J01700);

Clinical Research Center for Liver and Intestinal Diseases of Fujian Province (2021Y2006)

More Information
    Corresponding author: ZHENG Qi, bei0825@163.com (ORCID: 0000-0001-8006-7069 )
  • 摘要: 慢性HBV感染是一种全球性公共卫生问题,是我国肝纤维化、肝硬化、肝衰竭及原发性肝癌的主要原因。随着人们生活水平的提高及饮食结构的改变,非酒精性脂肪性肝病(NAFLD)发病率也逐渐升高。基于人群的研究发现HBV感染可影响NAFLD的发生,其中机制仍不明确。肝脂肪变性也会影响HBV血清病原学标志物的表达,合并NAFLD或其他代谢功能障碍会增加HBV感染者肝纤维化、肝硬化及肝癌的风险。慢性HBV感染与代谢障碍密切相关,未来需要更多研究进一步阐明相关机制,为临床诊疗提供理论依据。

     

  • [1] Chinese Society of Hepatology, Chinese Medical Association, Chinese Society of Infectious Diseases, Chinese Medical Association. Guidelines for the prevention and treatment of chronic hepatitis B(2022 version)[J]. Chin J Infect Dis, 2023, 41( 1): 3- 28. DOI: 10.3760/cma.j.cn311365-20230220-00050.

    中华医学会肝病学分会, 中华医学会感染病学分会. 慢性乙型肝炎防治指南(2022年版)[J]. 中华传染病杂志, 2023, 41( 1): 3- 28. DOI: 10.3760/cma.j.cn311365-20230220-00050.
    [2] World Health Organization. Global progress report on HIV, viral hepatitis and sexually transmitted infections, 2021: accountability for the global health sector strategies 2016- 2021: actions for impact[EB/OL].( 2021-05-20). https://iris.who.int/handle/10665/341412. https://iris.who.int/handle/10665/341412
    [3] JENG WJ, LIAW YF. Finite antiviral therapy in chronic hepatitis B patients with cirrhosis[J]. Semin Liver Dis, 2021, 41( 3): 349- 357. DOI: 10.1055/s-0041-1729973.
    [4] RIAZI K, AZHARI H, CHARETTE JH, et al. The prevalence and incidence of NAFLD worldwide: a systematic review and meta-analysis[J]. Lancet Gastroenterol Hepatol, 2022, 7( 9): 851- 861. DOI: 10.1016/S2468-1253(22)00165-0.
    [5] WONG VW, EKSTEDT M, WONG GL, et al. Changing epidemiology, global trends and implications for outcomes of NAFLD[J]. J Hepatol, 2023, 79( 3): 842- 852. DOI: 10.1016/j.jhep.2023.04.036.
    [6] YOUNOSSI ZM, GOLABI P, PAIK JM, et al. The global epidemiology of nonalcoholic fatty liver disease(NAFLD) and nonalcoholic steatohepatitis(NASH): a systematic review[J]. Hepatology, 2023, 77( 4): 1335- 1347. DOI: 10.1097/HEP.0000000000000004.
    [7] LUUKKONEN PK, QADRI S, AHLHOLM N, et al. Distinct contributions of metabolic dysfunction and genetic risk factors in the pathogenesis of non-alcoholic fatty liver disease[J]. J Hepatol, 2022, 76( 3): 526- 535. DOI: 10.1016/j.jhep.2021.10.013.
    [8] YOUNOSSI ZM, KOENIG AB, ABDELATIF D, et al. Global epidemiology of nonalcoholic fatty liver disease-Meta-analytic assessment of prevalence, incidence, and outcomes[J]. Hepatology, 2016, 64( 1): 73- 84. DOI: 10.1002/hep.28431.
    [9] HUANG DQ, EL-SERAG HB, LOOMBA R. Global epidemiology of NAFLD-related HCC: trends, predictions, risk factors and prevention[J]. Nat Rev Gastroenterol Hepatol, 2021, 18( 4): 223- 238. DOI: 10.1038/s41575-020-00381-6.
    [10] 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. DOI: 10.1016/j.jhep.2020.03.039.
    [11] SHI YW, YANG RX, FAN JG. Chronic hepatitis B infection with concomitant hepatic steatosis: Current evidence and opinion[J]. World J Gastroenterol, 2021, 27( 26): 3971- 3983. DOI: 10.3748/wjg.v27.i26.3971.
    [12] THOMOPOULOS KC, ARVANITI V, TSAMANTAS AC, et al. Prevalence of liver steatosis in patients with chronic hepatitis B: a study of associated factors and of relationship with fibrosis[J]. Eur J Gastroenterol Hepatol, 2006, 18( 3): 233- 237. DOI: 10.1097/00042737-200603000-00002.
    [13] MACHADO MV, OLIVEIRA AG, CORTEZ-PINTO H. Hepatic steatosis in hepatitis B virus infected patients: meta-analysis of risk factors and comparison with hepatitis C infected patients[J]. J Gastroenterol Hepatol, 2011, 26( 9): 1361- 1367. DOI: 10.1111/j.1440-1746.2011.06801.x.
    [14] ZHENG Q, ZOU B, WU Y, et al. Systematic review with meta-analysis: prevalence of hepatic steatosis, fibrosis and associated factors in chronic hepatitis B[J]. Aliment Pharmacol Ther, 2021, 54( 9): 1100- 1109. DOI: 10.1111/apt.16595.
    [15] JIANG D, CHEN C, LIU X, et al. Concurrence and impact of hepatic steatosis on chronic hepatitis B patients: a systematic review and meta-analysis[J]. Ann Transl Med, 2021, 9( 23): 1718. DOI: 10.21037/atm-21-3052.
    [16] YANG M, WEI L. Impact of NAFLD on the outcome of patients with chronic hepatitis B in Asia[J]. Liver Int, 2022, 42( 9): 1981- 1990. DOI: 10.1111/liv.15252.
    [17] XIONG J, ZHANG H, WANG Y, et al. Hepatitis B virus infection and the risk of nonalcoholic fatty liver disease: a meta-analysis[J]. Oncotarget, 2017, 8( 63): 107295- 107302. DOI: 10.18632/oncotarget.22364.
    [18] WANG CC, KAO JH. Hepatitis B virus infection and decreased risk of nonalcoholic fatty liver disease: A cohort study[J]. Hepatology, 2017, 66( 2): 681. DOI: 10.1002/hep.29252.
    [19] WONG VW, WONG GL, CHU WC, et al. Hepatitis B virus infection and fatty liver in the general population[J]. J Hepatol, 2012, 56( 3): 533- 540. DOI: 10.1016/j.jhep.2011.09.013.
    [20] CHENG YL, WANG YJ, KAO WY, et al. Inverse association between hepatitis B virus infection and fatty liver disease: a large-scale study in populations seeking for check-up[J]. PLoS One, 2013, 8( 8): e72049. DOI: 10.1371/journal.pone.0072049.
    [21] HUANG J, JING M, WANG C, et al. The impact of hepatitis B virus infection status on the prevalence of nonalcoholic fatty liver disease: A population-based study[J]. J Med Virol, 2020, 92( 8): 1191- 1197. DOI: 10.1002/jmv.25621.
    [22] YU MW, LIN CL, LIU CJ, et al. Hepatic steatosis and development of type 2 diabetes: Impact of chronic hepatitis B and viral specific factors[J]. J Formos Med Assoc, 2022, 121( 8): 1478- 1487. DOI: 10.1016/j.jfma.2021.10.014.
    [23] CHEN YY, FANG WH, WANG CC, et al. Increased body fat percentage in patients with hepatitis B and C virus infection[J]. PLoS One, 2018, 13( 7): e0200164. DOI: 10.1371/journal.pone.0200164.
    [24] LEI S, CHEN S, ZHAO X, et al. Hepatitis B virus infection and diabetes mellitus: the Kailuan prospective cohort study in China[J]. Hepatol Int, 2020, 14( 5): 743- 753. DOI: 10.1007/s12072-020-10086-2.
    [25] JOO EJ, CHANG Y, YEOM JS, et al. Chronic hepatitis B virus infection and risk of dyslipidaemia: A cohort study[J]. J Viral Hepat, 2019, 26( 1): 162- 169. DOI: 10.1111/jvh.13014.
    [26] BAKER F ABU, DAVIDOV Y, ISRAEL A, et al. Chronic hepatitis B infection and diabetes mellitus: a double liver trouble?[J]. Minerva Med, 2023, 114( 5): 658- 666. DOI: 10.23736/S0026-4806.23.08428-8.
    [27] KIM K, CHOI S, PARK SM. Association of fasting serum glucose level and type 2 diabetes with hepatocellular carcinoma in men with chronic hepatitis B infection: A large cohort study[J]. Eur J Cancer, 2018, 102: 103- 113. DOI: 10.1016/j.ejca.2018.07.008.
    [28] WANG MM, WANG GS, SHEN F, et al. Hepatic steatosis is highly prevalent in hepatitis B patients and negatively associated with virological factors[J]. Dig Dis Sci, 2014, 59( 10): 2571- 2579. DOI: 10.1007/s10620-014-3180-9.
    [29] CHU CM, LIN DY, LIAW YF. Clinical and virological characteristics post HBsAg seroclearance in hepatitis B virus carriers with hepatic steatosis versus those without[J]. Dig Dis Sci, 2013, 58( 1): 275- 281. DOI: 10.1007/s10620-012-2343-9.
    [30] CHU CM, LIN DY, LIAW YF. Does increased body mass index with hepatic steatosis contribute to seroclearance of hepatitis B virus(HBV) surface antigen in chronic HBV infection?[J]. Int J Obes(Lond), 2007, 31( 5): 871- 875. DOI: 10.1038/sj.ijo.0803479.
    [31] FUNG J, YUEN MF, LAI CL. The role of steatosis in HBsAg seroclearance for patients with chronic hepatitis B infection: fact or fiction?[J]. Dig Dis Sci, 2013, 58( 1): 20- 22. DOI: 10.1007/s10620-012-2441-8.
    [32] MAK LY, HUI RW, FUNG J, et al. Diverse effects of hepatic steatosis on fibrosis progression and functional cure in virologically quiescent chronic hepatitis B[J]. J Hepatol, 2020, 73( 4): 800- 806. DOI: 10.1016/j.jhep.2020.05.040.
    [33] CHAN AW, WONG GL, CHAN HY, et al. Concurrent fatty liver increases risk of hepatocellular carcinoma among patients with chronic hepatitis B[J]. J Gastroenterol Hepatol, 2017, 32( 3): 667- 676. DOI: 10.1111/jgh.13536.
    [34] LEE YB, HA Y, CHON YE, et al. Association between hepatic steatosis and the development of hepatocellular carcinoma in patients with chronic hepatitis B[J]. Clin Mol Hepatol, 2019, 25( 1): 52- 64. DOI: 10.3350/cmh.2018.0040.
    [35] MAO X, CHEUNG KS, PENG C, et al. Steatosis, HBV-related HCC, cirrhosis, and HBsAg seroclearance: A systematic review and meta-analysis[J]. Hepatology, 2023, 77( 5): 1735- 1745. DOI: 10.1002/hep.32792.
    [36] VAN KLEEF LA, CHOI H, BROUWER WP, et al. Metabolic dysfunction-associated fatty liver disease increases risk of adverse outcomes in patients with chronic hepatitis B[J]. JHEP Rep, 2021, 3( 5): 100350. DOI: 10.1016/j.jhepr.2021.100350.
    [37] LIN S, HUANG J, WANG M, et al. Comparison of MAFLD and NAFLD diagnostic criteria in real world[J]. Liver Int, 2020, 40( 9): 2082- 2089. DOI: 10.1111/liv.14548.
    [38] ZHAO J, ZHAO Y, WANG H, et al. Association between metabolic abnormalities and HBV related hepatocelluar carcinoma in Chinese: a cross-sectional study[J]. Nutr J, 2011, 10: 49. DOI: 10.1186/1475-2891-10-49.
    [39] MARENGO A, ROSSO C, BUGIANESI E. Liver cancer: connections with obesity, fatty liver, and cirrhosis[J]. Annu Rev Med, 2016, 67: 103- 117. DOI: 10.1146/annurev-med-090514-013832.
    [40] LIU F, GUO Z, DONG C. Influences of obesity on the immunogenicity of Hepatitis B vaccine[J]. Hum Vaccin Immunother, 2017, 13( 5): 1014- 1017. DOI: 10.1080/21645515.2016.1274475.
    [41] KHALILI M, SHUHART MC, LOMBARDERO M, et al. Relationship between metabolic syndrome, alanine aminotransferase levels, and liver disease severity in a multiethnic North American cohort with chronic hepatitis B[J]. Diabetes Care, 2018, 41( 6): 1251- 1259. DOI: 10.2337/dc18-0040.
    [42] WONG GL, WONG VW, CHOI PC, et al. Metabolic syndrome increases the risk of liver cirrhosis in chronic hepatitis B[J]. Gut, 2009, 58( 1): 111- 117. DOI: 10.1136/gut.2008.157735.
    [43] WONG GL, CHAN HL, YU Z, et al. Coincidental metabolic syndrome increases the risk of liver fibrosis progression in patients with chronic hepatitis B--a prospective cohort study with paired transient elastography examinations[J]. Aliment Pharmacol Ther, 2014, 39( 8): 883- 893. DOI: 10.1111/apt.12658.
    [44] CHAO LT, WU CF, SUNG FY, et al. Insulin, glucose and hepatocellular carcinoma risk in male hepatitis B carriers: results from 17-year follow-up of a population-based cohort[J]. Carcinogenesis, 2011, 32( 6): 876- 881. DOI: 10.1093/carcin/bgr058.
    [45] CAMPBELL C, WANG T, MCNAUGHTON AL, et al. Risk factors for the development of hepatocellular carcinoma(HCC) in chronic hepatitis B virus(HBV) infection: a systematic review and meta-analysis[J]. J Viral Hepat, 2021, 28( 3): 493- 507. DOI: 10.1111/jvh.13452.
    [46] YU MW, LIN CL, LIU CJ, et al. Influence of metabolic risk factors on risk of hepatocellular carcinoma and liver-related death in men with chronic hepatitis B: a large cohort study[J]. Gastroenterology, 2017, 153( 4): 1006- 1017. e 5. DOI: 10.1053/j.gastro.2017.07.001.
  • 加载中
计量
  • 文章访问数:  417
  • HTML全文浏览量:  123
  • PDF下载量:  92
  • 被引次数: 0
出版历程
  • 收稿日期:  2024-01-09
  • 录用日期:  2024-01-28
  • 出版日期:  2024-03-20
  • 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