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Updated: Jul 16, 2026

Mouse Model of Metabolic Dysfunction-Associated Steatotic Liver Disease with Fibrosis
Published on: July 18, 2025
MASLD and the Cardiovascular-Kidney-Liver-Metabolic syndrome
Angeliki M Angelidi1,2, Chrysoula Boutari1, Michail Kokkorakis3,4
1Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Obesity drives a spectrum of diseases, including type 2 diabetes and cardiovascular issues. Metabolic dysfunction-associated steatotic liver disease (MASLD) is now recognized as a key part of this cardio-kidney-liver-metabolic (CKLM) syndrome.
Area of Science:
- Cardiology
- Endocrinology
- Hepatology
- Nephrology
Background:
- Obesity is a global epidemic linked to type 2 diabetes, cardiovascular disease (CVD), metabolic syndrome, and chronic kidney disease (CKD).
- Metabolic dysfunction-associated steatotic liver disease (MASLD) is increasingly recognized as a significant factor in this cluster of conditions.
- These interconnected disorders are now conceptualized as cardio-kidney-liver-metabolic (CKLM) syndrome.
Purpose of the Study:
- To review the epidemiological, clinical, and research evidence on the associations between obesity, MASLD, and CKLM syndrome.
- To explore the complex interplay and shared pathophysiological mechanisms underlying these conditions.
- To highlight the clinical implications and therapeutic strategies for managing CKLM syndrome.
Main Methods:
- Narrative review of epidemiological studies.
- Synthesis of findings from clinical trials.
- Analysis of ongoing scientific research.
Main Results:
- Obesity, MASLD, and CKLM syndrome share significant pathophysiological links.
- The interplay between these conditions necessitates a holistic clinical approach.
- Effective management involves early detection, risk assessment, and multi-targeted interventions.
Conclusions:
- MASLD plays a crucial role in the CKLM syndrome spectrum.
- Integrated management strategies are essential for improving patient outcomes.
- Further research is needed to elucidate shared mechanisms and refine therapeutic approaches for the global burden of CKLM syndrome.
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