SIRT2在代谢功能障碍相关脂肪性肝病中的作用机制

Mechanism of SIRT2 in Metabolic Dysfunction-associated Steatotic Liver Disease

  • 摘要: 代谢功能障碍相关脂肪性肝病(metabolic dysfunction-associated steatotic liver disease, MASLD) 以肝脏脂质异常沉积为特征, 发病机制与胰岛素抵抗、脂质代谢紊乱、氧化应激及肠肝轴异常等因素密切相关,目前临床尚缺乏有效的治疗手段。沉默信息调节因子2(silent information regulator 2, SIRT2)是一种依赖烟酰胺腺嘌呤二核苷酸(nicotinamide adenine dinucleotide, NAD+) 的去乙酰化酶,通过与不同底物相互作用而发挥多种病理生理功能,如参与改善代谢平衡、缓解肝脏炎症、促进肝脏再生、延缓MASLD进展。本文就SIRT2在MASLD中的作用机制作一综述,以阐述SIRT2作为MASLD治疗靶点的潜在价值。

     

    Abstract: Metabolic dysfunction-associated steatotic liver disease (MASLD) is characterized by abnormal lipid deposition in the liver and its mechanism is closely related to insulin resistance, lipid metabolism disorders, oxidative stress, and abnormalities of the gut-liver axis. Currently, there is no effective treatment for this disease. Silent information regulator 2 (SIRT2) is a nicotinamide adenine dinucleotide (NAD+)-dependent deacetylase which performs various pathophysiological functions by interacting with different substrates. For example, it is involved in improving metabolic homeostasis, alleviating liver inflammation, promoting liver regeneration, and delaying the progression of MASLD. In this paper, we present a review of the mechanism of action of SIRT2 in MASLD to analyze the potential value of SIRT2 as a therapeutic target in MASLD.

     

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