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CELL METAB:肝星状细胞中的谷氨酸信号传导导致酒精性脂肪变性

2019-08-31 海北 MedSci原创

在酒精性肝病(ALD)中,肝星状细胞(HSC)衍生的2-花生四烯酰甘油(2-AG)激活肝细胞大麻素受体-1(CB1R),从而驱动脂肪的全新生成。

在酒精性肝病(ALD)中,肝星状细胞(HSC)衍生的2-花生四烯酰甘油(2-AG)激活肝细胞大麻素受体-1CB1R),从而驱动脂肪的全新生成。

但是至今为止,关于酒精是如何刺激HSC2-AG的产生尚不清楚。

在这里,研究人员报告,慢性酒精消耗诱导肝脏半胱氨酸缺乏,以及随后的转硫途径受损导致的谷胱甘肽耗竭。

肝脏胱氨酸 - 谷氨酸类抗porter xCT的代偿性增加促进了小鼠和ALD患者中细胞外谷氨酸水平与胱氨酸摄取。

酒精还诱导HSC中代谢型谷氨酸受体-5mGluR5)的选择性表达,其中mGluR5激活刺激2-AG产生。

一致地,mGluR5xCT的遗传或药理学抑制通过抑制2-AG产生和随后的CB1R介导的脂肪重新生成,减弱小鼠的酒精性脂肪变性。

因此,研究人员得出结论,双向信号通过xCT介导的谷氨酸-mGluR5信号传导,在肝细胞和HSC之间的代谢突触中起作用,以产生2-AG,其诱导CB1R介导的酒精性脂肪变性。


原始出处:

Won-Mook Choi et al. Glutamate Signaling in Hepatic Stellate Cells Drives Alcoholic Steatosis. Cell Metabolism, 2019; DOI: https://doi.org/10.1016/j.cmet.2019.08.001


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    2020-04-30 维他命
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    2019-09-10 guojianrong
  5. [GetPortalCommentsPageByObjectIdResponse(id=1871400, encodeId=13a118e1400f4, content=<a href='/topic/show?id=fd764459a8' target=_blank style='color:#2F92EE;'>#Cell#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4459, encryptionId=fd764459a8, topicName=Cell)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=524d95, createdName=zhaozhouchifen, createdTime=Thu Jan 09 19:55:00 CST 2020, time=2020-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1961685, encodeId=cd761961685d1, content=<a href='/topic/show?id=dbe6445416' target=_blank style='color:#2F92EE;'>#CEL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4454, encryptionId=dbe6445416, topicName=CEL)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3ff68, createdName=维他命, createdTime=Thu Apr 30 10:55:00 CST 2020, time=2020-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1948787, encodeId=e5dc1948e87fa, content=<a href='/topic/show?id=0602843360f' target=_blank style='color:#2F92EE;'>#脂肪变性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84336, encryptionId=0602843360f, topicName=脂肪变性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=346311, createdName=wgsun, createdTime=Thu Aug 13 21:55:00 CST 2020, time=2020-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1888058, encodeId=ea901888058a0, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f4110, createdName=guojianrong, createdTime=Tue Sep 10 12:55:00 CST 2019, time=2019-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1773117, encodeId=8a761e7311706, content=<a href='/topic/show?id=7ebb812317c' target=_blank style='color:#2F92EE;'>#肝星状细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81231, encryptionId=7ebb812317c, topicName=肝星状细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3c7a38475595, createdName=tulenzi, createdTime=Thu Jan 30 17:55:00 CST 2020, time=2020-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1896542, encodeId=aa171896542c1, content=<a href='/topic/show?id=4a391158248' target=_blank style='color:#2F92EE;'>#MET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11582, encryptionId=4a391158248, topicName=MET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Sat Feb 22 08:55:00 CST 2020, time=2020-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1673520, encodeId=1c9e16e35204b, content=<a href='/topic/show?id=757b954e922' target=_blank style='color:#2F92EE;'>#酒精性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95479, encryptionId=757b954e922, topicName=酒精性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=398f26933958, createdName=huiwelcome, createdTime=Wed Jul 15 23:55:00 CST 2020, time=2020-07-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1463691, encodeId=2b8c1463691bd, content=<a href='/topic/show?id=7d27381288e' target=_blank style='color:#2F92EE;'>#变性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38128, encryptionId=7d27381288e, topicName=变性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f69f6545041, createdName=huangdf, createdTime=Mon Sep 02 01:55:00 CST 2019, time=2019-09-02, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1871400, encodeId=13a118e1400f4, content=<a href='/topic/show?id=fd764459a8' target=_blank style='color:#2F92EE;'>#Cell#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4459, encryptionId=fd764459a8, topicName=Cell)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=524d95, createdName=zhaozhouchifen, createdTime=Thu Jan 09 19:55:00 CST 2020, time=2020-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1961685, encodeId=cd761961685d1, content=<a href='/topic/show?id=dbe6445416' target=_blank style='color:#2F92EE;'>#CEL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4454, encryptionId=dbe6445416, topicName=CEL)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3ff68, createdName=维他命, createdTime=Thu Apr 30 10:55:00 CST 2020, time=2020-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1948787, encodeId=e5dc1948e87fa, content=<a href='/topic/show?id=0602843360f' target=_blank style='color:#2F92EE;'>#脂肪变性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84336, encryptionId=0602843360f, topicName=脂肪变性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=346311, createdName=wgsun, createdTime=Thu Aug 13 21:55:00 CST 2020, time=2020-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1888058, encodeId=ea901888058a0, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f4110, createdName=guojianrong, createdTime=Tue Sep 10 12:55:00 CST 2019, time=2019-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1773117, encodeId=8a761e7311706, content=<a href='/topic/show?id=7ebb812317c' target=_blank style='color:#2F92EE;'>#肝星状细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81231, encryptionId=7ebb812317c, topicName=肝星状细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3c7a38475595, createdName=tulenzi, createdTime=Thu Jan 30 17:55:00 CST 2020, time=2020-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1896542, encodeId=aa171896542c1, content=<a href='/topic/show?id=4a391158248' target=_blank style='color:#2F92EE;'>#MET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11582, encryptionId=4a391158248, topicName=MET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Sat Feb 22 08:55:00 CST 2020, time=2020-02-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1673520, encodeId=1c9e16e35204b, content=<a href='/topic/show?id=757b954e922' target=_blank style='color:#2F92EE;'>#酒精性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95479, encryptionId=757b954e922, topicName=酒精性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=398f26933958, createdName=huiwelcome, createdTime=Wed Jul 15 23:55:00 CST 2020, time=2020-07-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1463691, encodeId=2b8c1463691bd, content=<a href='/topic/show?id=7d27381288e' target=_blank style='color:#2F92EE;'>#变性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38128, encryptionId=7d27381288e, topicName=变性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f69f6545041, createdName=huangdf, createdTime=Mon Sep 02 01:55:00 CST 2019, time=2019-09-02, status=1, ipAttribution=)]
    2020-02-22 一闲
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    2019-09-02 huangdf

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本《指南》旨在帮助临床医师对酒精性肝病的诊断与治疗作出正确决策,并非强制性标准。临床医师在针对某一具体患者时,应充分了解本病的最佳临床证据和现有医疗资源,并在全面考虑患者具体病情及其意愿的基础上,根据自己的知识和经验,制定合理的诊疗方案。由于酒精性肝病的研究不断发展,本《指南》将根据需要不断更新和完善。

2018 EASL临床实践指南:酒精性肝病的管理

2018年4月,欧洲肝脏研究学会(EASL)发布了酒精性肝病的管理指南,指南主要内容包括酒精性肝病的管理的诊断测试,临床管理,酒精相关性肝纤维化和肝硬化的管理,肝移植等。

《2018年欧洲肝病学会临床实践指南:酒精性肝病管理》摘译

欧洲肝病学会(EASL)理事会批准成立了肝病和酒精相关性肝病(ALD)专业临床医师小组,该小组于2016 年11 月-2017 年3 月撰写并讨论了新的ALD 管理临床实践指南。

J Hepatol:评估酒精性肝硬化患者肝细胞癌发病率

HCC年发病率上升到2.9%/100患者-人年,表明在这些患者中,监测可能是有成本效益的;大部分患者的HCC处于米兰标准内,但仅有一半的患者,接受了根治治疗;患者2年死亡率达到了7%。

Hepatology:在美国,肝硬化和肝细胞癌的病因学和基于种族的年死亡率的变化趋势

2007年至2016年间,美国的肝硬化和HCC相关死亡率有所上升。然而,在直接抗病毒药物时代,2014-2016年,肝硬化的死亡率明显下降。ALD/ NAFLD相关肝硬化和HCC的死亡率继续上升,而HBV相关肝硬化的相关死亡率在10年期间下降。

酒精性肝病的预防和治疗指南(2018,中国)-英文版

酒精性肝病是由于长期大量饮酒导致的肝脏疾病。初期通常表现为脂肪肝,进而可发展成酒精性肝炎、肝纤维化和肝硬化。严重酗酒时可诱发广泛肝细胞坏死,甚至引起肝功能衰竭。本文是酒精性肝病防治指南(2018年更新版)的英文版本。

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