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Ann. hepatol ; 16(1): 48-56, Jan.-Feb. 2017. graf
Artículo en Inglés | LILACS | ID: biblio-838085

RESUMEN

Abstract: Liver fibrosis resulting from chronic liver injury are major causes of morbidity and mortality worldwide. Among causes of hepatic fibrosis, viral infection is most common (hepatitis B and C). In addition, obesity rates worldwide have accelerated the risk of liver injury due to nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH). Also liver fibrosis is associated with the consumption of alcohol, or autoimmune hepatitis and chronic cholangiophaties. The response of hepatocytes to inflammation plays a decisive role in the physiopathology of hepatic fibrosis, which involves the recruitment of both pro- and anti-inflammatory cells such as monocytes and macrophages. As well as the production of other cytokines and chemokines, which increase the stimulus of hepatic stellate cells by activating proinflammatory cells. The aim of this review is to identify the therapeutic options available for the treatment of the liver fibrosis, enabling the prevention of progression when is detected in time.


Asunto(s)
Humanos , Animales , Cirrosis Hepática/tratamiento farmacológico , Antiinflamatorios/uso terapéutico , Factores de Tiempo , Transducción de Señal/efectos de los fármacos , Comunicación Celular/efectos de los fármacos , Citocinas/metabolismo , Resultado del Tratamiento , Mediadores de Inflamación/metabolismo , Progresión de la Enfermedad , Hepatocitos/efectos de los fármacos , Hepatocitos/metabolismo , Hepatocitos/patología , Células Estrelladas Hepáticas/efectos de los fármacos , Células Estrelladas Hepáticas/metabolismo , Células Estrelladas Hepáticas/patología , Hígado/efectos de los fármacos , Hígado/metabolismo , Hígado/patología , Cirrosis Hepática/etiología , Cirrosis Hepática/metabolismo , Cirrosis Hepática/mortalidad , Antiinflamatorios/efectos adversos
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