中国药物警戒 ›› 2025, Vol. 22 ›› Issue (8): 956-960.
DOI: 10.19803/j.1672-8629.20240725

• 综述 • 上一篇    

自噬在病变肝脏中不同功能的研究

王映荷, 李明奇, 赵晓璐, 马月宏*   

  1. 内蒙古医科大学基础医学院,内蒙古 呼和浩特 010000
  • 收稿日期:2024-09-13 出版日期:2025-08-15 发布日期:2025-08-13
  • 通讯作者: *马月宏,男,硕士,教授,中蒙药抗肝纤维化药理。E-mail: myh19982002@sina.com
  • 作者简介:王映荷,女,在读硕士,药理学与中蒙药药理。
  • 基金资助:
    国家自然科学基金资助项目(82460819、8196079、81560706); 内蒙古自治区自然科学基金资助项目(2024LHMS08029、2019MS08010); 内蒙古自治区草原英才培养计划; 内蒙古医科大学致远人才项目治学人才(ZY20241201); 内蒙古人才开发基金(22056); 内蒙古医科大学重点项目(YKD2022ZD019); 内蒙古医科大学蒙药抗肝纤维化作用研究科技创新团队(YKD2022TD039)

Different Functions of Autophagy in Diseased Livers

WANG Yinghe, LI Mingqi, ZHAO Xiaolu, MA Yuehong*   

  1. School of Basic Medical Sciences, Inner Mongolia Medical University, Hohhot, Inner Mongolia Autonomous Region, 010000, China
  • Received:2024-09-13 Online:2025-08-15 Published:2025-08-13

摘要: 目的 探讨自噬在病变肝脏中起到的不同作用,为肝脏病变研究提供参考。方法 查阅中国知网和PubMed等从建库截至2024年5月31日,汇总自噬在病变肝脏中的不同作用,包括肝损伤、肝纤维化和肝癌中承担的不同作用。结果 在肝脏炎症的发展过程中,适度自噬可以通过减少肝细胞焦亡、减少脂滴聚集等维持肝脏中正常组织的动态平衡缓解肝损伤;自噬在病毒性肝炎中具有双向调控的作用;在肝纤维化过程中,自噬通过不同的作用机制来抑制或者促进纤维化的进展;自噬在肝癌发展的不同时期的发挥不同作用。结论 肝损伤在病变肝脏中,自噬参与多种疾病的发生,研究自噬在肝脏中的作用机制和进展具有一定的意义。

关键词: 自噬, 肝损伤, 肝纤维化, 肝癌, 作用机制, 酒精相关性肝病

Abstract: Objective To investigate the different roles of autophagy in lesioned livers and provide references for the study of liver lesions. Methods By reviewing a large amount of related literature published at home and abroad, the different roles of autophagy in lesioned livers were summarized, involving liver injury, liver fibrosis and liver cancer. Results During the development of hepatitis, moderate autophagy could maintain the dynamics of normal tissues of the liver by reducing hepatocyte pyroptosis and lipid droplet aggregation. Autophagy was found to exert a bidirectional regulatory effect in viral hepatitis. In liver fibrosis, autophagy could inhibit or promote the development of fibrosis through different mechanisms of action. However, autophagy played different roles in different stages of liver cancer. Conclusion In diseased livers, autophagy is involved in the occurrence and development of a variety of diseases so that studies on autophagy are of great significance for the study of liver diseases.

Key words: Autophagy, Liver Damage, Hepatic Fibrosis, Hepatocarcinoma, Mechanism of Action, Alcohol-related Liver Disease

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