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.

Biomedicines
|February 26, 2025
PubMed

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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