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Published on: July 19, 2024
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.
Abstract:
The spectrum of nonalcoholic fatty liver disease (NAFLD) ranges from simple steatosis to nonalcoholic steatohepatitis (NASH) with hepatic fibrosis up to liver cirrhosis and hepatocellular carcinoma, displaying a global health problem with no effective therapy yet. Multiple preclinical models reflecting different aspects of the disease helped to identify a variety of different targets over the last years. However, some recent clinical trials have revealed a lack of translatability, emphasizing the need for more effective preclinical research. In this editorial, we discuss different NAFLD mouse models as well as emerging ex vivo and in vitro models that have been used in drug discovery and dissect the translational challenges that have to be considered in drug development.
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.
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