内科理论与实践 ›› 2024, Vol. 19 ›› Issue (02): 136-139.doi: 10.16138/j.1673-6087.2024.02.09

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PCSK9抑制剂治疗非酒精性脂肪性肝病研究进展

沈赟, 徐一娇, 韦晓, 张瑞祥, 刘超()   

  1. 南京中医药大学附属中西医结合医院内分泌科 江苏省中医药研究院国家中医药管理局瘿病证治重点研究室,江苏 南京 210028
  • 收稿日期:2023-09-04 出版日期:2024-04-30 发布日期:2024-07-08
  • 通讯作者: 刘超 E-mail:liuchao@nfmcn.com
  • 基金资助:
    江苏省研究生科研创新计划项目(KYCX23_2096)

Advances in study of PCSK9 inhibitors in treatment of non-alcoholic fatty liver disease

SHEN Yun, XU Yijiao, WEI Xiao, ZHANG Ruixiang, LIU Chao()   

  1. Endocrine and Diabetes Center, Jiangsu Province Hospital on Integration of Chinese and Western Medicine, Nanjing University of Traditional Chinese Medicine, Jiangsu Branch of China Academy of Chinese Medical Science,Nanjing 210028,China
  • Received:2023-09-04 Online:2024-04-30 Published:2024-07-08
  • Contact: LIU Chao E-mail:liuchao@nfmcn.com

摘要:

非酒精性脂肪性肝病(non-alcoholic fatty liver disease,NAFLD)作为发病率最高的慢性肝脏疾病,其主要原因是脂质代谢紊乱,异位脂肪沉积对肝脏造成损害。前蛋白转化酶枯草溶菌素9(proprotein convertase subtilisin/kexin 9,PCSK9)作为体内脂质调节的蛋白酶,在脂代谢异常中起关键作用,通过抑制体内循环的PCSK9与受体结合,能够显著改善血脂异常。因此,PCSK9抑制剂可能使NAFLD患者病情得到改善,达到治疗效果。

关键词: 非酒精性脂肪性肝病, PCSK9抑制剂, 胰岛素抵抗

Abstract:

Non-alcoholic fatty liver disease (NAFLD) is the chronic liver disease with the highest incidence rate, and its main cause is due to disorders of lipid metabolism and damage to the liver caused by ectopic fat deposition. Proprotein convertase bacillus subtilis/ kexin type 9 (PCSK9), as a lipid-regulating protease in vivo, plays a key role in abnormal lipid metabolism. Dyslipidemia levels can be significantly improved by inhibiting PCSK9 binding to receptors circulating in vivo. Therefore, PCSK9 inhibitors may improve the condition of NAFLD patients and achieve therapeutic effects.

Key words: Nonalcoholic fatty liver disease, PCSK9 inhibitor, Insulin resistance

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