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Perspectives on Nonalcoholic Fatty Liver Disease: An Overview of Present and Future Therapies
John Vizuete1, Alfredo Camero1, Mazyar Malakouti1
1Department of Medicine, Division of Gastroenterology, University of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Abstract:
Nonalcoholic fatty liver disease (NAFLD) represents a major public health epidemic. Pharmacologic therapies for this condition are scarce, but multiple agents with novel mechanisms of action are in development. Here we review the pathophysiology and natural history of NALFD, diagnostic testing and data for currently available treatment strategies. We then turn our attention to promising developmental drugs and their respective trials. As the prevalence of fatty liver disease increases, clinicians will have more tools at hand for management of this condition. We conclude the horizon is bright for patients and doctors who deal with NAFLD.
Insights
Nonalcoholic fatty liver disease (NAFLD) is a growing health concern with limited treatments. Promising new drugs are in development, offering hope for better management of this condition.
Area of Science:
- Hepatology
- Gastroenterology
- Internal Medicine
Background:
- Nonalcoholic fatty liver disease (NAFLD) is a significant global health issue.
- Current pharmacologic treatments for NAFLD are limited.
- The prevalence of NAFLD is increasing worldwide.
Purpose of the Study:
- To review the pathophysiology and natural history of NAFLD.
- To discuss diagnostic testing and current treatment strategies.
- To highlight promising pharmacologic agents in development for NAFLD.
Main Methods:
- Literature review of NAFLD pathophysiology and natural history.
- Analysis of diagnostic testing modalities for NAFLD.
- Evaluation of current and investigational pharmacologic therapies for NAFLD.
Main Results:
- NAFLD encompasses a spectrum of liver conditions.
- Diagnostic approaches include imaging and liver biopsy.
- Several novel drug candidates targeting different pathways are in clinical trials.
Conclusions:
- The development pipeline for NAFLD therapies is robust.
- Clinicians will soon have expanded options for NAFLD management.
- The future outlook for NAFLD patients and healthcare providers is optimistic.
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