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Published on: March 11, 2017
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.
Abstract:
Despite decades of research, effective therapies for metabolic (dysfunction)-associated fatty liver disease (MAFLD) are lacking. An increasing body of evidence suggests that epigenetic dysregulation is frequent in MAFLD, and orchestrates many aspects of its development and progression. Furthermore, the high plasticity of epigenetic modifications in response to environmental cues renders epigenetics a novel area for therapeutic drug discovery. Over recent years, several epigenetics-based drugs and diagnostic biomarkers have entered clinical development and/or obtained regulatory approval. Here, we review recent advances in our understanding of epigenetic regulation and programming during MAFLD, including DNA methylation, histone modifications, chromatin remodelling, transcriptional control, and noncoding (nc)RNAs. We also discuss the potential translational implications and challenges of epigenetics in the context of MAFLD.
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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