成纤维细胞生长因子21在酒精性肝病致病机制中的作用研究进展Research progress on the role of fibroblast growth factor 21 in pathogenesis of alcoholic liver disease
常春艳;杨松;
摘要(Abstract):
成纤维细胞生长因子21(fibroblast growth factor 21,FGF21)是一种主要由肝脏合成分泌的内分泌激素,既往研究提示其在人体糖、脂肪与能量代谢中发挥重要调节作用。酒精性肝病是危害人类健康的主要肝脏疾病之一。近年来研究提示FGF21在酒精性肝病致病过程中发挥多种保护作用。FGF21不仅可以下调机体饮酒欲望,改善肝脏脂肪变、肝脏炎症及纤维化,还可在肝癌的发生中发挥一定保护作用。目前,FGF21用于糖尿病与代谢相关脂肪性肝病的临床试验正在进行中,FGF21作为酒精性肝病的治疗靶点值得深入研究。
关键词(KeyWords): 成纤维细胞生长因子21;酒精性肝病;肝纤维化;原发性肝癌
基金项目(Foundation): 国家科技重大专项(2017ZX10202202,2018ZX10715-005);; 中国肝炎防治基金会天晴肝病研究基金(TQGB20210050)
作者(Authors): 常春艳;杨松;
参考文献(References):
- [1]中华医学会肝病学分会脂肪肝和酒精性肝病学组,中国医师协会脂肪性肝病专家委员会.酒精性肝病防治指南(2018年更新版)[J].实用肝脏病杂志,2018,21(2):170-176.
- [2]CRABB D W,IM G Y,SZABO G,et al.Diagnosis and Treatment of Alcohol-Associated Liver Diseases:2019 Practice Guid ance From the American Association for the Study of Liver Diseases[J].Hepatology,2020,71(1):306-333.
- [3]GENG L,LAM K,XU A.The therapeutic potential of FGF21in metabolic diseases:from bench to clinic[J].Nat Rev Endocrinol,2020,16(11):654-667.
- [4]BONDURANT L D,POTTHOFF M J.Fibroblast Growth Factor 21:A Versatile Regulator of Metabolic Homeostasis[J].Annu Rev Nutr,2018,38:173-196.
- [5]BONDURANT L D,AMEKA M,NABER M C,et al.FGF21Regulates Metabolism Through Adipose-Dependent and Independent Mechanisms[J].Cell Metab,2017,25(4):935-944.
- [6]GAN F,HUANG J,DAI T,et al.Serum level of fibroblast growth factor 21 predicts long-term prognosis in patients with both diabetes mellitus and coronary artery calcification[J].Ann Palliat Med,2020,9(2):368-374.
- [7]NISHIMURA T,NAKATAKE Y,KONISHI M,et al.Identification of a novel FGF,FGF-21,preferentially expressed in the liver[J].Biochim Biophys Acta,2000,1492(1):203-206.
- [8]WANG L,MAZAGOVA M,PAN C,et al.YIPF6 controls sorting of FGF21 into COPIⅡvesicles and promotes obes ity[J].Proc Natl Acad Sci U S A,2019,116(30):15184-15193.
- [9]HEISLER L K,LAM D D.An appetite for life:brain regulation of hunger and satiety[J].Curr Opin Pharmacol,2017,37:100-106.
- [10]TALUKDAR S,ZHOU Y,LI D,et al.A Long-Acting FGF21Molecule,PF-05231023,Decreases Body Weight and Improves Lipid Profile in Non-human Primates and Type 2 Diabetic Subjects[J].Cell Metab,2016,23(3):427-440.
- [11]CHARLES E D,NEUSCHWANDER-TETRI B A,PABLOFRIAS J,et al.Pegbelfermin (BMS-986036),PEGylated FGF21,in Patients with Obesity and Type 2 Diabetes:Results from a Randomized Phase 2 Study[J].Obesity (Silver Spring),2019,27(1):41-49.
- [12]SANYAL A,CHARLES E D,NEUSCHWANDER-TETRI B A,et al.Pegbelfermin (BMS-986036),a PEGylated fibroblast growth factor 21 analogue,in patients with non-alcoholic steatohepatitis:a randomised,double-blind,placebo-controlled,phase 2a trial[J].Lancet,2019,392(10165):2705-2717.
- [13]LANNG A R,GASBJERG L S,BERGMANN N C,et al.Gluco-metabolic effects of oral and intravenous alcohol adminis tration in men[J].Endocr Connect,2019,8(10):1372-1382.
- [14]WAGNER-SKACEL J,HORVATH A,GRANDE P,et al.Association of fibroblast growth factor 21 with alcohol consumption and alcohol liver cirrhosis[J].Neuropsychiatr,2020.Epub ahead of print.
- [15]S?BERG S,ANDERSEN E S,DALSGAARD N B,et al.FGF21,a liver hormone that inhibits alcohol intake in mice,increases in human circulation after acute alcohol ingestion and sustained binge drinking at Oktoberfest[J].Mol Metab,2018,11:96-103.
- [16]SCHUMANN G,LIU C,O'REILLY P,et al.KLB is associated with alcohol drinking,and its gene productβ-Klotho is necessary for FGF21 regulation of alcohol preference[J].Proc Natl Acad Sci U S A,2016,113(50):14372-14377.
- [17]WU G,LIU Y,LIU Y,et al.FGF 21 deficiency slows gastric emptying and reduces initial blood alcohol concentration in mice exposed to acute alcohol in fasting state[J].Biochem Biophys Res Commun,2018,497(1):46-50.
- [18]TUCKER B,MCCLELLAND R L,ALLISON M A,et al.Relationship of fibroblast growth factor 21 levels with inflammation,lipoproteins and non-alcoholic fatty liver disease[J].Atherosclerosis,2020,299:38-44.
- [19]TUCKER B,LI H,LONG X,et al.Fibroblast growth factor21 in non-alcoholic fatty liver disease[J].Metabolism,2019,101:153994.
- [20]KEINICKE H,SUN G,MENTZEL C,et al.FGF21 regulates hepatic metabolic pathways to improve steatosis and inflammation[J].Endocr Connect,2020,9(8):755-768.
- [21]ZHAO C,LIU Y,XIAO J,et al.FGF21 mediates alcohol-induced adipose tissue lipolysis by activation of systemic rele ase of catecholamine in mice[J].J Lipid Res,2015,56(8):1481-1491.
- [22]LIU Y,ZHAO C,XIAO J,et al.Fibroblast growth factor21 deficiency exacerbates chronic alcohol-induced hepatic steatosis and injury[J].Sci Rep,2016,6:31026.
- [23]CHEN X,WARD S C,CEDERBAUM A I,et al.Alcoholic fatty liver is enhanced in CYP2A5 knockout mice:The role of the PPARα-FGF21 axis[J].Toxicology,2017,379:12-21.
- [24]ZHU S,MA L,WU Y,et al.FGF21 treatment ameliorates alcoholic fatty liver through activation of AMPK-SIRT1 pathway[J].Acta Biochim Biophys Sin (Shanghai),2014,46(12):1041-1048.
- [25]DESAI B N,SINGHAL G,WATANABE M,et al.Fibroblast growth factor 21 (FGF21) is robustly induced by ethanol and has a protective role in ethanol associated liver injury[J].Mol Metab,2017,6(11):1395-1406.
- [26]XU P,ZHANG Y,LIU Y,et al.Fibroblast growth factor 21attenuates hepatic fibrogenesis through TGF-β/smad2/3 and NF-κB signaling pathways[J].Toxicol Appl Pharmacol,2016,290:43-53.
- [27]OPOKU Y K,LIU Z,AFRIFA J,et al.Fibroblast Growth Factor-21 ameliorates hepatic encephalopathy by activating the STAT3-SOCS3 pathway to inhibit activated hepatic stellate cells[J].EXCLI J,2020,19:567-581.
- [28]KANG H,SEO E,PARK J M,et al.Effects of FGF21-secreting adipose-derived stem cells in thioacetamide-induced hepatic fibrosis[J].J Cell Mol Med,2018,22(10):5165-5169.
- [29]RUIZ-MARGáIN A,POHLMANN A,RYAN P,et al.Fibroblast growth factor 21 is an early predictor of acute-on-chronic liver failure in critically ill patients with cirrhosis[J].Liver Transpl,2018,24(5):595-605.
- [30]SINGHAL G,KUMAR G,CHAN S,et al.Deficiency of fibroblast growth factor 21 (FGF21) promotes hepatocellular carcinoma (HCC) in mice on a long term obesogenic diet[J].Mol Metab,2018,13:56-66.
- [31]ZHENG Q,MARTIN R C,SHI X,et al.Lack of FGF21promotes NASH-HCC transition via hepatocyte-TLR4-IL-17Asignaling[J].Theranostics,2020,10(22):9923-9936.
- [32]XU P,ZHANG Y,WANG W,et al.Long-Term Administration of Fibroblast Growth Factor 21 Prevents Chemically-Induced Hepatocarcinogenesis in Mice[J].Dig Dis Sci,2015,60(10):3032-3043.
- [33]ATHYROS V G,LIBEROPOULOS E N,MIKHAILIDIS D P,et al.Association of drinking pattern and alcohol beverage type with the prevalence of metabolic syndrome,diabetes,coronary heart disease,stroke,and peripheral arterial disease in a Mediterranean cohort[J].Angiology,2007,58(6):689-697.
- [34]LIU Q,LIU Y,LI F,et al.Probiotic culture supernatant improves metabolic function through FGF21-adiponectin pathway in mice[J].J Nutr Biochem,2020,75:108-256.
- [35]ZHAO C,LIU L,LIU Q,et al.Fibroblast growth factor 21 is required for the therapeutic effects of Lactobacillus rhamnosus GG against fructose-induced fatty liver in mice[J].Mol Metab,2019,29:145-157.
- [36]FERNáNDEZ-SOLàJ,PLANAVILA PORTA A.New Treatment Strategies for Alcohol-Induced Heart Damage[J].Int J Mol Sci,2016,17(10):1651.