骨骼肌肌间脂肪浸润在代谢相关疾病中的研究进展
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1.南京医科大学第一附属医院老年内分泌科;2.江苏省人民医院老年内分泌科

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基金项目:

国家重点研发计划资助(2022YFA0806100);国家自然科学基金(82201740)


Research progress on skeletal muscle intermuscular fat infiltration in metabolic-related diseases
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Affiliation:

Department of Gerontoendocrinology,the First Affiliated Hospital of Nanjing Medical University

Fund Project:

National Key R&D Program of China(2022YFA0806100);National Natural Science Foundation of China(82201740)

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    摘要:

    伴随着人类疾病谱的改变,肥胖及其并发症已成为重要的健康危险因素。在正常生理状态下,骨骼肌中存在一定量的脂滴,这被称为肌间脂肪。然而,当机体肥胖时,脂滴的生成速率超过消耗,导致脂肪组织的存储能力超负荷,进而引发异位脂肪沉积。这种肌间脂肪的过度积累,会严重干扰骨骼肌的正常功能,并在肌少症、肥胖及糖尿病的发生和发展过程中发挥关键作用。尽管肌间脂肪浸润在肥胖及相关代谢性疾病中的重要性已得到广泛认可,但其具体的调控机制尚不明确。因此,探索新的策略和方法以改善肌间脂肪浸润的状况,不仅有助于我们更深入地理解这些疾病的发病机制,还可能为治疗上述疾病提供全新的视角和思路。本文的核心内容在于全面阐述肌间脂肪组织的生理功能,以及在病理状态下导致肌间脂肪浸润的机制。同时,对目前对肌间脂肪浸润干预手段的研究进展进行综述,以期为治疗与肌间脂肪浸润相关的临床疾病提供潜在的治疗策略和方法。

    Abstract:

    With the change of human disease spectrum,obesity and its complications have become important health risk factors.Under normal conditions, there is a certain amount of fat droplets in skeletal muscle,which is called intermuscular fat.In obesity,fat droplet production is greater than consumption, exceeding the storage function of adipose tissue,resulting in ectopic fat deposition.Excessive accumulation of intermuscular fat will lead to poor skeletal muscle function and play an important role in the occurrence and development of sarcopenia,obesity and diabetes.However,the specific regulatory mechanism of the occurrence and development of skeletal muscle intermuscular fat infiltration is still unclear.Exploring new ways and new methods to improve skeletal muscle intermuscular fat infiltration will not only help deepen our understanding of the pathogenesis of these diseases,but also provide new ideas for the treatment of these diseases.In this paper,the physiological function and pathological mechanism of intermuscular adipose tissue causing intermuscular adipose infiltration were reviewed,and the research progress on the intervention of intermuscular adipose infiltration was reviewed to provide potential therapeutic means for the treatment of clinical diseases related to intermuscular adipose infiltration.

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  • 收稿日期:2023-12-12
  • 最后修改日期:2024-02-27
  • 录用日期:2024-04-19
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