机制(生物学)
急性胰腺炎
胰腺炎
重症监护医学
医学
内科学
哲学
认识论
作者
Yiteng Meng,Peiyu Han,Xiaoyu Ma,Yiting He,Hetian Chen,Hongbo Ren
出处
期刊:Pancreas
[Ovid Technologies (Wolters Kluwer)]
日期:2024-05-01
标识
DOI:10.1097/mpa.0000000000002364
摘要
The incidence rate of hypertriglyceridemia pancreatitis (HTGP) has experienced a notable increase in recent years, with eclipsing alcohol as the second leading cause of acute pancreatitis (AP). HTGP is often associated with more severe local and systemic complications. Recognized as a metabolic disorder hypertriglyceridemia (HTG), it holds significant relevance in the pathogenesis of HTGP, yet its mechanisms are not fully understood. Both primary (genetic) and secondary (acquired) factors contribute to elevated triglyceride (TG) levels, which concurrently influence the progression of HTGP. This article presents a comprehensive review of the evolving research on HTGP pathogenesis, encompassing lipid synthesis and metabolism, calcium signal transduction, inflammatory mediators, endoplasmic reticulum stress, autophagy, mitochondrial injury by fatty acids, oxidative stress response, genetic factors, and gene mutations. By unraveling the intricate mechanisms underlying HTGP, this article aims to enhance physicians' understanding of the disease and facilitate the development of potential targeted pharmacological interventions for patients.
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