Факторы риска формирования и прогрессирования фиброза печени при неалкогольной жировой болезни печени: обзор литературы и собственные данные
Факторы риска формирования и прогрессирования фиброза печени при неалкогольной жировой болезни печени: обзор литературы и собственные данные
Кролевец Т.С., Ливзан М.А. Факторы риска формирования и прогрессирования фиброза печени при неалкогольной жировой болезни печени: обзор литературы и собственные данные. Гастроэнтерология. Хирургия. Интенсивная терапия. Consilium Medicum. 2019; 3: 21–26. DOI: 10.26442/26583739.2019.3.190486
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Krolevets T.S., Livzan M.A. Risk factors for the formation and progression of liver fibrosis in non-alcoholic fatty liver disease: a review and own data. Gastroenterology. Surgery. Intensive care. Consilium Medicum. 2019; 3: 21–26. DOI: 10.26442/26583739.2019.3.190486
Факторы риска формирования и прогрессирования фиброза печени при неалкогольной жировой болезни печени: обзор литературы и собственные данные
Кролевец Т.С., Ливзан М.А. Факторы риска формирования и прогрессирования фиброза печени при неалкогольной жировой болезни печени: обзор литературы и собственные данные. Гастроэнтерология. Хирургия. Интенсивная терапия. Consilium Medicum. 2019; 3: 21–26. DOI: 10.26442/26583739.2019.3.190486
________________________________________________
Krolevets T.S., Livzan M.A. Risk factors for the formation and progression of liver fibrosis in non-alcoholic fatty liver disease: a review and own data. Gastroenterology. Surgery. Intensive care. Consilium Medicum. 2019; 3: 21–26. DOI: 10.26442/26583739.2019.3.190486
Целью данной публикации стала актуализация информации о неалкогольной жировой болезни печени. Подробно рассмотрены возможные клинические и лабораторные факторы прогрессирования фиброза печени при неалкогольной жировой болезни печени. Представлены собственные результаты открытого исследования «случай–контроль» с включением 149 пациентов с неалкогольной жировой болезнью печени. Выявлено, что наиболее информативными маркерами формирования и прогрессирования фиброза печени являются абдоминальный тип ожирения (увеличение объема талии) в сравнении с общей оценкой избыточной массы тела или ожирения по индексу массы тела, а также лептинорезистентность в сравнении с инсулинорезистентностью. Представлена математическая модель, разработанная на основе комплексного количественного анализа клинических, инструментальных и лабораторных показателей, которая позволяет прогнозировать формирование и прогрессирование фиброза печени у лиц с неалкогольной жировой болезнью печени.
The purpose of this publication is updating information about non-alcoholic fatty liver disease. Possible clinical and laboratory factors of liver fibrosis progression in non-alcoholic fatty liver disease are considered in detail. The own results of the open case-control study with the inclusion of 149 patients with non-alcoholic fatty liver disease are presented. Revealed that the most informative markers of the formation and progression of liver fibrosis are abdominal obesity (increase in waist) in comparison with the overall assessment of overweight or obesity with body mass index, and leptin resistance in comparison with insulin resistance. Developed on the basis of a comprehensive quantitative analysis of clinical, instrumental and laboratory parameters a mathematical model is presented. It may predict the formation and progression of liver fibrosis in individuals with non-alcoholic fatty disease.
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37. Raman M et al. Fecal microbiome and volatile organic compound metabolome in obese humans with nonalcoholic fatty liver disease. Clin Gastroenterol Hepatol 2013; 11 (7): 868–75.
38. Gabele E et al. DSS induced colitis increases portal LPS levels and enhances hepatic inflammation and fibrogenesis in experimental NASH. J Hepatol 2011; 55 (6): 1391–9.
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1. EASL-EASD-EASO. Clinical Practice Guidelines for the management of non-alcoholic fatty liver disease. EASL-EASD-EASO. J Hepatol 2016; 64 (6): 1388–402.
2. Ivashkin V.T. et al. Rasprostranennost' nealkogol'noi zhirovoi bolezni pecheni u patsientov ambulatorno-poliklinicheskoi praktiki v Rossiiskoi Federatsii: rezul'taty issledovaniia DIREG 2. Ros. zhurn. gastroenterologii, gepatologii, koloproktologii. 2015; 6: 31–41 (in Russian).
3. Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis. World Gastroenterology Organisation Global Guidelines. 2012. http://www.worldgastroenterology.org/ NAFLD-NASH.html.
4. Ivashkin V.T. Diagnosis and treatment of non-alcoholic fatty liver disease: guidelines for doctors. Russian Society for the Study of the Liver. Moscow, 2015 (in Russian).
5. Adams LA, Lindor KD. Nonalcoholic fatty liver disease. Ann Epidemiol 2007; 17 (11): 863–9.
6. Loomba R et al. Heritability of Hepatic Fibrosis and Steatosis Based on a Prospective Twin Study. Gastroenterology. 2015; 149 (7): 1784–93.
7. Kononov A.V., Livzan M.A. Meditsina, osnovannaia na dokazatel'stvakh, v praktike klinicheskogo patologa. Sibirskii Konsilium. 2002; 2: 18–22 (in Russian).
8. Hossain N et al. Independent predictors of fibrosis in patients with nonalcoholic fatty liver disease. Clin Gastroenterol Hepatol 2009; 7 (11): 1224–29.
9. Bertot LC, Adams LA. The Natural Course of Non-Alcoholic Fatty Liver Disease. J Mol Sci 2016; 17 (5): 774.
10. Chalasani N et al. The Diagnosis and Management of Non-Alcoholic Fatty Liver Disease: Practice Guideline by the American Association for the Study of Liver Diseases, American College of Gastroenterology, and the American Gastroenterological Association. Hepato-logy 2012; 55 (6): 2005–23.
11. McPherson S et al. Simple non-invasive fibrosis scoring systems can reliably exclude advanced fibrosis in patients with non-alcoholic fatty liver disease. Gut 2010; 59 (9): 1265–9.
12. Klair JS et al. A longer duration of estrogen deficiency increases fibrosis risk among postmenopausal women with nonalcoholic fatty liver disease. Hepatology 2016; 64 (1): 85–91.
13. Yang JD et al. Gender and menopause impact severity of fibrosis among patients with nonalcoholic steatohepatitis. Hepatology 2014; 59 (4): 1406–14.
14. Kalia HS, Gaglio PJ. The Prevalence and Pathobiology of Nonalcoholic Fatty Liver Disease in Patients of Different Races or Ethnicities. Clin Liver Dis 2016; 20: 215–24.
15. Mohanty SR et al. Influence of ethnicity on histological differences in non-alcoholic fatty liver disease. J Hepatol 2009; 50 (4): 797–804.
16. Satapathy SK, Sanyal AJ. Epidemiology and Natural History of Nonalcoholic Fatty Liver Disease. Semin Liver Dis 2015; 35: 221–35.
17. Drapkina O.M., Popova I.V., Ivashkin V.T. Vliianie insulinorezistentnosti na razvitie nealkogol'noi zhirovoi bolezni pecheni i arterial'noi gipertenzii u patsientov s ozhireniem. Vrach. 2012; 8: 19–23 (in Russian).
18. Kosobian E.P., Smirnova O.M. Sovremennye kontseptsii patogeneza nealkogol'noi zhirovoi bolezni pecheni. Sakharnyi diabet. 2010; 1: 55–64 (in Russian).
19. Marchesini G et al. Association of nonalcoholic fatty liver disease with insulin resistance. Am J Med 1999; 107: 450–5.
20. Bugianesi E et al. Insulin resistance in non- diabetic patients with non- alcoholic fatty liver disease: sites and mechanisms. Diabetogia 2005; 48 (4): 634–42.
21. Mazzotti A et al. Pathophysiology of Nonalcoholic Fatty Liver Disease: Lifestyle-Gut-Gene Interaction. Dig Dis 2016; 34 (1): 3–10.
22. Zelber-Sagi S et al. Long term nutritional intake and the risk for non-alcoholic fatty liver disease (NAFLD): a population based study. J Hepatology 2007; 47 (5): 711–7.
23. Assy N et al. Soft drink consumption linked with fatty liver in the absence of traditional risk factors. Canad J Gastroenterol 2008; 22 (10): 811–6.
24. Stanhope KL et al. Consuming fructose-sweetened, not glucose-sweetened, beverages increases visceral adiposity and lipids and decreases insulin sensitivity in overweight/obese humans. J Clin Invest 2009; 119 (5): 1322–34.
25. Lambert JE, Ramos-Roman MA, Browning JD, Parks EJ. Increased de novo lipogenesis is a distinct characteristic of individuals with nonalcoholic fatty liver disease. Gastroenterology 2014; 146 (3): 726–35.
26. Arguello G, Balboa E, Arrese M, Zanlungo S. Recent insights on the role of cholesterol in non-alcoholic fatty liver disease. Biochimica et Biophysica Acta (BBA). Mol Basis Dis 2015; 1852 (9): 1765–78.
27. Alferink LJ et al. Association of dietary macronutrient composition and non-alcoholic fatty liver disease in an ageing population: the Rotterdam Study. Gut 2019; 68 (6): 1088–98.
28. Chang Y et al. Weight gain within the normal weight range predicts ultrasonographically detected fatty liver in healthy Korean men. Gut 2009; 58: 1419–25.
29. Hassan K et al. Non-alcoholic fatty liver disease: a comprehensive review of a growing epidemic. World J Gastroenterol 2014; 20 (34): 12082–101.
30. Livzan M.A., Kolbina M.V., Matoshina I.V. et al. Gormony zhirovoi tkani i nealkogol'naia zhirovaia bolezn' pecheni pri metabolicheskom sindrome. Dnevnik kazan. med. shkoly. 2014; 1 (4): 44–8 (in Russian).
31. Stojsavljevic S et al. Adipokines and proinflammatory cytokines, the key mediators in the pathogenesis of non-alcoholic fatty liver disease. World J Gastroenterol 2014; 20 (48): 18070–91.
32. Saxena NK, Anania FA. Adipocytokines and hepatic fibrosis. Trends Endocrinol Metab 2015; 26 (3): 153–61.
33. Haitao Pan, Jiao Guo, Zhengquan Su. Advances in understanding the interrelations between leptin resistance and obesity. Physiol Behav 2014; 130: 157–69.
34. Livzan M.A., Lapteva I.V., Miller T.S. Rol' leptina i leptinorezistentnosti v formirovanii nealkogol'noi zhirovoi bolezni pecheni u lits s ozhireniem i izbytochnoi massoi tela. Eksperiment. i klin. gastroenterologiia. 2014; 8 (108): 27–33 (in Russian).
35. Joong-Won Park et al. Predictors reflecting the pathological severity of non-alcoholic fatty liver disease: Comprehensive study of clinical and immunohistochemical findings in younger Asian patients. J Gastroenterol Hepatol 2007; 5: 23.
36. Gastaldelli A, Kozakova M, Hojlund Gastaldelli K. Fatty Liver Is Associated with Insulin Resistance, Risk of Coronary Heart Disease, and Early Atherosclerosis in a Large European Population. Hepatology 2009; 49: 1537–44.
37. Raman M et al. Fecal microbiome and volatile organic compound metabolome in obese humans with nonalcoholic fatty liver disease. Clin Gastroenterol Hepatol 2013; 11 (7): 868–75.
38. Gabele E et al. DSS induced colitis increases portal LPS levels and enhances hepatic inflammation and fibrogenesis in experimental NASH. J Hepatol 2011; 55 (6): 1391–9.
39. Miele L et al. Increased intestinal permeability and tight junction alterations in nonalcoholic fatty liver disease. Hepatology 2009; 49 (6): 1877–87.
40. Livzan M.A., Krolevets T.S., Lapteva I.V., Cherkashchenko N.A. Nealkogol'naia zhirovaia bolezn' pecheni u lits s abdominal'nym tipom ozhireniia. Dokazatel'naia gastroenterologiia. 2014; 3 (4): 8–14 (in Russian).
41. Krolevets T.S., Livzan M.A., Lapteva I.V., Cherkashchenko N.A. Leptinorezistentnost' u patsientov s nealkogol'noi zhirovoi bolezn'iu pecheni, assotsiirovannoi s ozhireniem i izbytochnoi massoi tela. Med. sovet. 2015; 13: 58–62 (in Russian).
42. Krolevets T.S., Livzan M.A., Lapteva I.V. Uroven' matriksnykh metalloproteinaz i ikh tkanevykh ingibitorov kak neinvazivnyi marker funktsional'nogo sostoianiia pecheni pri nealkogol'noi zhirovoi bolezni. Eksperiment. i klin. gastroenterologiia. 2016; 7 (131): 25–31 (in Russian).
43. Krolevets T.S., Livzan M.A., Chebanenko E.V. et al. Prognosticheskaia model' neinvazivnoi otsenki formirovaniia i progressirovaniia fibroza pecheni u patsientov s nealkogol'noi zhirovoi bolezn'iu pecheni. Sovr. problemy nauki i obrazovaniia. 2018; 3. http: //www.science-education.ru/ru/article/view?id=27713 (in Russian).
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Авторы
Т.С. Кролевец*, М.А. Ливзан
ФГБОУ ВО «Омский государственный медицинский университет» Минздрава России, Омск, Россия