肠道菌群的改变是酒精性脂肪肝的主要病因之一

2016年4月20日 09:57 阅读 348
酒精性肝炎AH包含从亚临床炎症到急性肝衰竭的疾病谱。① 酒精性肝病ALD中AH导致纤维化的风险最高,在40%病例中导致肝硬化;② 住院患者一月死亡率高达40–50%;③ AH患者在疾病严重性和病因方面是一个异质群体;③ 这种多样性的临床表现可能由多种因素造成,包括免疫和肠道菌群。

Title:
Altered intestinal microbiota as a major driving force in alcoholic steatohepatitis

Abstract:
Alcoholic hepatitis (AH) covers a spectrum of disease severities from subclinical liver inflammation to acute liver failure. Among the histological features of alcoholic liver disease (ALD), AH is associated with the highest risk of fibrosis progres- sion, leading to development of cirrhosis in 40% of cases. Patients hospitalised for severe forms of AH show 1-month mortality rates of 40–50%. Patients with AH form a heterogeneous population, in severity, and probably in disease pathogenesis. This diverse clinical picture might be caused by various factors including host factors, immunity and as recently suggested, intestinal microbiota (IM).

All Authors:
Tilg H, Mathurin P

First Authors:
Herbert Tilg

Correspondence:
Herbert Tilg,Philippe Mathurin

DOI:
10.1136/gutjnl-2015-311014

  

 

酒精性肝炎AH包含从亚临床炎症到急性肝衰竭的疾病谱。① 酒精性肝病ALD中AH导致纤维化的风险最高,在40%病例中导致肝硬化;② 住院患者一月死亡率高达40–50%;③ AH患者在疾病严重性和病因方面是一个异质群... °肠道菌群的改变是酒精性脂肪肝的主要病因之一 ​​​​
酒精性肝炎AH包含从亚临床炎症到急性肝衰竭的疾病谱。① 酒精性肝病ALD中AH导致纤维化的风险最高,在40%病例中导致肝硬化;② 住院患者一月死亡率高达40–50%;③ AH患者在疾病严重性和病因方面是一个异质群... °肠道菌群的改变是酒精性脂肪肝的主要病因之一 ​​​​

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