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Novel In Vivo Micro-Computed Tomography Imaging Techniques for Assessing the Progression of Non-Alcoholic Fatty Liver Disease
Published on: March 24, 2023
Therapeutic Targets and Approaches to Manage Inflammation of NAFLD
Wanying Geng1,2, Wanying Liao2, Xinyuan Cao2
14+4 Medical Doctor Program, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China.
Abstract:
Non-alcoholic fatty liver disease (NAFLD) and its advanced form, non-alcoholic steatohepatitis (NASH), are the leading causes of chronic liver disease globally. They are driven by complex mechanisms where inflammation plays a pivotal role in disease progression. Current therapies, including lifestyle changes and pharmacological agents, are limited in efficacy, particularly in addressing the advanced stages of the disease. Emerging approaches targeting inflammation, metabolic dysfunction, and fibrosis offer promising new directions, though challenges such as treatment complexity and heterogeneity persist. This review concludes the main therapeutic targets and approaches to manage inflammation currently and emphasizes the critical need for future drug development and combination therapy for NAFLD/NASH management.
Insights
Non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH) are leading liver diseases. This review highlights inflammation
Area of Science:
- Hepatology and Gastroenterology
- Immunology and Inflammation Research
- Metabolic and Cardiovascular Diseases
Background:
- Non-alcoholic fatty liver disease (NAFLD) and its progressive form, non-alcoholic steatohepatitis (NASH), represent a major global health burden.
- Inflammation is a key driver in the progression of NAFLD/NASH, contributing to liver damage and fibrosis.
- Current treatments for NAFLD/NASH, including lifestyle modification and existing drugs, show limited efficacy, especially in advanced disease stages.
Purpose of the Study:
- To review current therapeutic targets and strategies for managing inflammation in NAFLD/NASH.
- To explore emerging treatment approaches focusing on inflammation, metabolic dysfunction, and fibrosis.
- To emphasize the need for novel drug development and combination therapies for effective NAFLD/NASH management.
Main Methods:
- This review synthesizes current scientific literature on NAFLD/NASH pathogenesis and treatment.
- It analyzes emerging therapeutic strategies targeting key inflammatory pathways.
- The review discusses the challenges and future directions in clinical management.
Main Results:
- Inflammation is central to NAFLD/NASH progression, necessitating targeted therapies.
- Emerging strategies focus on modulating inflammation, metabolic pathways, and fibrotic processes.
- Despite promising avenues, challenges in treatment complexity and patient heterogeneity remain.
Conclusions:
- Effective management of NAFLD/NASH requires addressing underlying inflammation.
- Future therapeutic development should prioritize novel anti-inflammatory agents and combination therapies.
- Addressing the complexity and heterogeneity of NAFLD/NASH is crucial for improving patient outcomes.
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