Emerging drugs for non-alcoholic fatty liver disease

Alessandro Federico1, Marco Niosi, Camillo Del Vecchio Blanco

  • 1Via Alcide De Gasperi 80, 84018 Scafati (SA), Italy. alessandro.federico@unina2.it

Abstract

Insights

Non-alcoholic fatty liver disease (NAFLD) management focuses on treating associated conditions. Lifestyle changes like diet and exercise are key, as specific drugs for NAFLD and non-alcoholic steatohepatitis (NASH) are still under development.

Area of Science:

  • Hepatology
  • Internal Medicine
  • Gastroenterology

Background:

  • Non-alcoholic fatty liver disease (NAFLD) encompasses a spectrum of liver damage, from simple steatosis to steatohepatitis (NASH) with fibrosis.
  • NASH can progress to cirrhosis and hepatocellular carcinoma, highlighting the need for effective management strategies.

Purpose of the Study:

  • To review and discuss the therapeutic management of NAFLD.
  • To emphasize that only NASH, which requires liver biopsy for diagnosis, necessitates treatment due to its progressive nature.

Main Methods:

  • Literature review of proposed therapeutic approaches for NAFLD patients.
  • Discussion of management strategies based on current scientific understanding.

Main Results:

  • Treatment of comorbid conditions improves NAFLD and NASH.
  • Currently, no specific pharmaceutical agents are available to treat liver steatosis or NASH directly.

Conclusions:

  • NAFLD treatment is individualized, with diet and physical exercise forming a foundational approach.
  • Future research is expected to yield specific pharmacological treatments for liver steatosis and NASH.

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