The Epigenetic Drug Discovery Landscape for Metabolic-associated Fatty Liver Disease

Ali Bayoumi1, Henning Grønbæk2, Jacob George1

  • 1Storr Liver Centre, Westmead Institute for Medical Research, Westmead Hospital and University of Sydney, NSW, Australia.

Insights

Epigenetic dysregulation drives metabolic dysfunction-associated fatty liver disease (MAFLD). Targeting epigenetics offers a promising therapeutic avenue for MAFLD, with several drugs and biomarkers in development.

Area of Science:

  • Hepatology
  • Epigenetics
  • Metabolic Diseases

Background:

  • Metabolic dysfunction-associated fatty liver disease (MAFLD) lacks effective therapies.
  • Epigenetic dysregulation is increasingly recognized as a key factor in MAFLD development and progression.
  • Epigenetic modifications are plastic and responsive to environmental factors, presenting therapeutic opportunities.

Purpose of the Study:

  • To review recent advances in understanding epigenetic regulation in MAFLD.
  • To explore the translational potential and challenges of epigenetics in MAFLD therapy.

Main Methods:

  • Review of current literature on epigenetic mechanisms in MAFLD.
  • Analysis of DNA methylation, histone modifications, chromatin remodeling, transcriptional control, and noncoding RNAs.
  • Discussion of epigenetics-based drug and biomarker development.

Main Results:

  • Epigenetic dysregulation significantly contributes to MAFLD pathogenesis.
  • Epigenetic mechanisms offer novel targets for MAFLD treatment.
  • Several epigenetics-based drugs and diagnostic biomarkers are advancing in clinical development.

Conclusions:

  • Epigenetics represents a promising frontier for MAFLD therapeutic strategies.
  • Translational challenges in epigenetics for MAFLD require further investigation.
  • Targeting epigenetic modifications holds potential for improved MAFLD management.

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