How effective are nonalcoholic fatty liver disease models for drug discovery?

Jana Hundertmark1, Frank Tacke1

  • 1Dept of Hepatology and Gastroenterology, Charité University Medicine Berlin , Berlin, Germany.

Insights

Nonalcoholic fatty liver disease (NAFLD) research faces challenges in translating preclinical findings to effective therapies. This review examines NAFLD models and discusses translational hurdles in drug development.

Area of Science:

  • Hepatology and drug discovery
  • Preclinical and translational research

Background:

  • Nonalcoholic fatty liver disease (NAFLD) spectrum includes simple steatosis, nonalcoholic steatohepatitis (NASH), fibrosis, cirrhosis, and hepatocellular carcinoma.
  • NAFLD is a global health issue with no current effective therapeutic strategies.
  • Preclinical models have identified numerous drug targets for NAFLD.

Discussion:

  • Recent clinical trials highlight a lack of translatability from preclinical models to human efficacy.
  • This editorial critically evaluates various NAFLD mouse models.
  • Emerging ex vivo and in vitro models used in drug discovery are also discussed.

Key Insights:

  • Effective preclinical research is crucial due to translatability issues in NAFLD drug development.
  • A comprehensive understanding of different NAFLD models is essential for advancing therapeutic strategies.
  • Translational challenges must be addressed for successful NAFLD drug development.

Outlook:

  • Future research should focus on improving the predictive validity of preclinical NAFLD models.
  • Developing more translatable models is key to overcoming current therapeutic limitations.
  • Continued investigation into ex vivo and in vitro systems may offer novel drug discovery avenues.