脂代谢异常与胸腺相关疾病的关系及临床干预策略OA
Relationship between abnormal lipid metabolism and thymus-related diseases and the clinical intervention strategies
脂代谢异常已成为威胁机体代谢与免疫稳态的重大临床挑战,其引发的"免疫-代谢轴"失衡是胸腺相关疾病发生发展的病理基础.胸腺内脂质沉积不仅驱动胸腺过早脂肪化萎缩及中枢免疫耐受破坏,更是诱发胸腺上皮肿瘤(TETs)恶性侵袭、加剧重症肌无力(MG)严重程度的重要机制之一.文章聚焦脂代谢异常与胸腺相关疾病的关系,阐述了以调脂为核心,联合减重、新型双靶点代谢调节药物、过氧化物酶体增殖物激活受体(PPAR)激活剂、前蛋白转化酶枯草溶菌素9型(PCSK9)抑制剂及肠道微生态营养的多靶点干预策略.通过降低脂毒性修复靶器官与重塑免疫稳态,旨在打破传统治疗方式的瓶颈,为胸腺相关疾病的诊疗与管理提供全新视角.
Abnormal lipid metabolism has emerged as a major clinical challenge threatening the body's metabolic and immune homeostasis.The subsequent imbalance of the"immune-metabolic axis"serves as the pathological foundation for the occurrence and development of thymus-related diseases.Intra-thymic lipid deposition not only drives premature fatty involution of the thymus and the disruption of central immune tolerance,but is also a core mechanism that induces the malignant invasion of thymic epithelial tumors(TETs)and exacerbates the severity of myasthenia gravis(MG).This article focuses on the relationship between abnormal lipid metabolism and thymus-related diseases,elaborating on a multi-target intervention strategy centering on lipid regulation,combined with weight management,novel dual-target metabolic modulators,peroxisome proliferator-activated receptor(PPAR)agonists,PCSK9 inhibitors,and gut microbiome nutrition.By reducing lipotoxicity to repair target organs and restore immune homeostasis,this strategy aims to break through the bottlenecks of traditional therapies,providing a novel perspective for the diagnosis,treatment and management of thymus-related diseases.
李群浩;高聆
内分泌糖脂代谢与脑老化教育部重点实验室 山东第一医科大学附属省立医院内分泌代谢病科,山东济南 250021山东省立医院科研中心,山东济南 250021
医药卫生
脂代谢异常胸腺疾病免疫-代谢轴胸腺上皮肿瘤重症肌无力
abnormal lipid metabolismthymus diseasesimmune-metabolic axisthymic epithelial tumorsmyasthenia gravis
《中国实用内科杂志》 2026 (8)
641-648,8
山东省重点研发计划(2024CXPT088)
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