实用肝脏病杂志 ›› 2018, Vol. 21 ›› Issue (1): 149-152.doi: 10.3969/j.issn.1672-5069.2018.01.043

• 综述 • 上一篇    

非酒精性脂肪性肝病与结直肠癌

徐言 综述, 石翠翠, 范建高 审校   

  1. 200092 上海市 上海交通大学医学院附属新华医院消化内科
  • 收稿日期:2017-03-10 出版日期:2018-01-10 发布日期:2018-01-29
  • 通讯作者: 范建高,E-mail:fattyliver2004@126.com
  • 作者简介:徐言,女,26岁,硕士研究生,住院医师。主要从事非酒精性脂肪性肝病防治研究。E-mail:hsuian@163.com

What role the nonalcoholic fatty liver disease play in carcinogenesis of colorectal cancer

Xu Yan, Shi Cuicui, Fan Jiangao   

  1. Department of Gastroenterology,Xinhua Hospital,Shanghai JiaoTong University School of Medicine,Shanghai 200092,China
  • Received:2017-03-10 Online:2018-01-10 Published:2018-01-29

摘要: 非酒精性脂肪性肝病(NAFLD)是肥胖和代谢综合征(MS)累及肝脏的表现,近来愈来愈多的研究显示NAFLD与结直肠癌(CRC)发生密切相关,伴随的胰岛素抵抗和系统性低度炎症反应可能参与了结直肠腺瘤和CRC的发病,但是NAFLD对于CRC风险增加的具体机制尚未完全明确。本文主要综述了NAFLD与结直肠腺瘤和CRC发生的相互关系及其可能的机制。

关键词: 非酒精性脂肪性肝病, 结直肠癌, 胰岛素抵抗, 代谢综合征

Abstract: Nonalcoholic fatty liver disease (NAFLD) is the hepatic manifestation of obecity and metabolic syndrome (MS). Recently, more and more studies have shown the NAFLD is closely related to the occurrence of colorectal cancer (CRC). The insulin resistance and systemic low-grade inflammation in the process of NAFLD may be involved in the carcinogenesis of colorectal adenoma and CRC. However, the mechanism by which the NAFLD increase the risk of CRC is not fully understood. In this article, we reviews the possible mechanisms NAFLD increase the colorectal adenomas and CRC occurrence.

Key words: Nonalcoholic fatty liver disease, Colorectal cancer, Insulin resistance, Metabolic syndrome