临床新进展

抗血小板药物与肝纤维化

  • 赵芯 ,
  • 李晖 ,
  • 邓秀秀 ,
  • 陶雨静
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  • 1.成都中医药大学附属医院中心实验室 (成都 610072 )
    2.成都市郫都区中医医院 (成都 611730 )
    3.成都中医药大学临床医学院 (成都 610072 )
李晖,教授,博士研究生导师,就职于成都中医药大学,第五批四川省名中医,四川省中医药管理局学术和技术带头人,四川省卫生计生委学术和技术带头人,四川省第十批学术和技术带头人后备人选。担任四川省防痨协会结核病结核病临床专业委员会,中国防痨协会结核病与肝病专业分会常委,成都医学会医疗事故鉴定专家库成员,四川省医学会结核病学专委会常务委员,成都医学会感染专科分会常务委员,寄生虫病与感染性疾病编委。长期从事感染性疾病的中西医结合防治工作,研究方向为以肝纤维化的中西医结合防治。主持或主研国家级课题3项,省部级等课题10余项;获国家发明专利授权2项,发表学术论文100余篇,SCI收录8篇,参与编写《结核病中西医治疗学》、《病毒性肝炎的中西医结合防治研究》,担任国家卫生和计生委规划教材编委。

收稿日期: 2023-10-21

  网络出版日期: 2024-04-19

基金资助

国家自然科学基金面上项目(82274323)

Antiplatelet drugs and liver fibrosis

  • Xin ZHAO ,
  • Hui LI ,
  • Xiuxiu DENG ,
  • Yujing. TAO
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  • *.Central Laboratory,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,China

Received date: 2023-10-21

  Online published: 2024-04-19

摘要

肝纤维化的实质是肝组织内细胞外基质的生成和降解失衡,是各种慢性肝病进展到肝硬化必经的阶段,早期抑制肝纤维化的发生发展在肝病治疗中至关重要。而血小板会释放多种细胞因子,在促进肝细胞增殖和肝实质再生的同时激活肝星状细胞与内皮细胞、诱导白细胞招募、加重微血管功能障碍,参与肝纤维化的进程。本文介绍了当前抗血小板药物在肝纤维化研究中的进展,以期为肝纤维化提供新的诊疗思路。

本文引用格式

赵芯 , 李晖 , 邓秀秀 , 陶雨静 . 抗血小板药物与肝纤维化[J]. 实用医学杂志, 2024 , 40(8) : 1083 -1087 . DOI: 10.3969/j.issn.1006-5725.2024.08.011

Abstract

The essence of hepatic fibrosis is the imbalance of the formation and degradation of extracellular matrix in the liver tissue. Hepatic fibrosis is a necessary stage for the progression of various chronic liver diseases to cirrhosis. Early inhibition of the occurrence and development of hepatic fibrosis is very important in the treatment of liver diseases. Platelets release a variety of cytokines, which promote hepatocyte proliferation and liver parenchyma regeneration while activating endothelial cells, inducing leukocyte recruitment, aggravating microvascular dysfunction, and participating in the process of liver fibrosis. In this paper, the research progress of antiplatelet drugs in hepatic fibrosis is reviewed, in order to provide new diagnosis and treatment ideas for hepatic fibrosis.

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