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中国临床药理学与治疗学 ›› 2023, Vol. 28 ›› Issue (3): 341-346.doi: 10.12092/j.issn.1009-2501.2023.03.013

• 综述与讲座 • 上一篇    下一篇

肌少性肥胖的发病机制及潜在治疗靶点研究进展

郭怡洵1,关晓印2,王博2,魏英达1,张岩1,2,林建华2   

  1. 1上海中医药大学附属龙华医院,上海 200032;2深圳平乐骨伤科医院,深圳 518118,广东 
  • 收稿日期:2022-12-21 修回日期:2023-01-24 出版日期:2023-03-26 发布日期:2023-04-19
  • 通讯作者: 林建华,男,副主任中医师,硕士生导师,研究方向:中医治未病。 E-mail:51478468@qq.com 张岩,男,研究员,博士生导师,研究方向:药理学。 E-mail:medicineyan@aliyun.com
  • 作者简介:郭怡洵,女,硕士研究生,研究方向:代谢性疾病与药理学。 E-mail:gyx9818@163.com
  • 基金资助:
    国家自然科学基金(82074468);上海市科技创新行动计划(21400760400)

Research progress on pathogenesis and potential therapeutic target of sarcopenia obesity 

GUO Yixun1, GUAN Xiaoyin2, WANG Bo2, WEI Yingda1, ZHANG Yan1,2, LIN Jianhua2    

  1. 1 Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China; 2 Shenzhen Pingle Orthopaedic Hospital, Shenzhen 518118, Guangdong, China 
  • Received:2022-12-21 Revised:2023-01-24 Online:2023-03-26 Published:2023-04-19

摘要: 肌少性肥胖(sarcopenia obesity, SO)是肥胖与肌少症同时出现的特殊疾病,临床表现为异常脂肪蓄积、肌量减少、肌力下降等,同时,增加其他慢性疾病及死亡的风险。目前,全球各地区有多种对于 SO的定义与诊断,其患病率在人群中以年龄依赖性呈升高趋势。本文首先从慢性炎症、氧化应激、胰岛素抵抗、Hippo途径总结了 SO可能的发病机制,进而,列举并分析了潜在的治疗 SO药理靶点(成纤维细胞生长因子、CD44、脂联素等),以期为临床诊断、治疗 SO患者以及创新药物研发提供新思路。

关键词: 肌少性肥胖, Hippo通路, FGF19, 脂联素

Abstract:

Sarcopenia obesity (SO), a specific dis-ease with co-occurrence of obesity and sarcopenia, is shown clinically as abnormal accumulation of fat, decreased mass and strength of muscle, and in-creased risk of incidence and mortality of other chronic diseases. Currently, there exist various defi-nitions and diagnoses about SO in the various re-gions of the world. Its prevalence in populations el-evates in an age-dependent manner. This article summarized the possible pathogenesis of SO from the view of chronic inflammation, oxidative stress, insulin resistance, and Hippo pathway, subsequent-ly listed and analyzed potential pharmacological targets (fibroblast growth factor, CD44, adiponec-tin, etc) involved in treating SO, in order to provide new ideas for clinical diagnosis, treatment of SO pa-tients and research and development of innovative drugs.

Key words: sarcopenia obesity, hippo pathway, FGF19, adiponectin

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