近年来,非酒精性脂肪性肝病(NAFLD)的发病率呈逐年上升趋势,现巳成为全球严重的公共健康问题之一。机械屏障、化学屏障、生物屏障、免疫屏障的作用不是孤立的,而是存在密切联系的。肠道屏障的损伤可以导致NAFLD,而NAFLD发展到一定阶段也会反过来影响肠道屏障功能,从而产生相互影响,形成恶性循环。该文主要从机械屏障、化学屏障、免疫屏障、生物屏障四个方面对肠道黏膜屏障在NAFLD发病中的作用进行系统叙述。
Incidence of nonalcoholic fatty liver disease ( NAFLD ) is increasing yearly in recently years, and has become one of the serious global public health problems. The mechanical barrier, chemi- cal barrier, immune barrier, and biological barrier are not independent but closely related. Damage of the intestinal barrier may lead to NAFLD,which will inversely affect the intestinal barrier function when developing to a certain stage, resulting in mutual influence and a vicious cycle. Here is to make a review on the intestinal mucosal barrier in the pathogenesis of NAFLD mainly from four aspects of the mechan- ical barrier, chemical barrier, immune barrier, and biological barrier.