Cited by 5Liver Disease Diagnosis and TreatmentDiabetes Treatment and ManagementDiabetes, Cardiovascular Risks, and Lipoproteins

Novel Antidiabetic Strategies and Diabetologists' Views in Nonalcoholic Steatohepatitis

Kahl, Sabine, Pützer, Jennifer, Roden, Michael·2022·Seminars in Liver Disease

Abstract

Abstract Nonalcoholic fatty liver disease (NAFLD) has become the most common chronic liver disease worldwide with high prevalence, especially in individuals with obesity and type 2 diabetes. Among individuals with type 2 diabetes, the severe insulin resistant subgroup has the greatest risk of NAFLD, likely due to dysfunctional adipose tissue mass but also genetic factors, and may progress earlier to inflammatory and profibrotic nonalcoholic steatohepatitis (NASH). NASH has been associated with increased liver-related as well as cardiovascular morbidity and mortality. International diabetes associations recommend certain screening and treatment strategies for NASH in type 2 diabetes, which, however, bear several limitations such as lack of accurate noninvasive diagnostic tools and targeted treatments. Currently, antihyperglycemic drug concepts based on glucagon-like peptide-1 receptor agonists and sodium glucose cotransporter 2 inhibitors offer metabolic as well as cardiorenal benefits and provide treatment options for both hyperglycemia and NASH in type 2 diabetes.

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Crossref · 10.1055/s-0041-1732354

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22 of 22 references verified0 citation errors · 0 not checkable

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  • Gliptins (DPP-4 inhibitors) have no clinically relevant effects on liver lipid content, inflammation or fibrosis.

    “Of note, although gliptins also mediate enhanced GLP-1 receptor stimulation by pharmacological inhibition of GLP-1-cleaving dipeptidyl peptidase 4 (DPP-4), no clinically relevant effects on liver lipid content, inflammation or fibrosis have been observed with these drugs (Table 1) [115].”

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Authors
Kahl, S., Pützer, J., & Roden, M.
Affiliations
  • Düsseldorf University Hospital (DE)
  • Deutsches Diabetes-Zentrum e.V. (DE)
Corresponding author
Kahl, Sabine
Venue
Seminars in Liver Disease
Published
2021-07-21
Volume
42
Issue
01
Pages
048-060
ISSN
  • 0272-8087 (ISSN-L)
  • 1098-8971
OpenAlex
W4229042748
Cited by
5
References
22
Citations by year
2025: 2 · 2024: 1 · 2023: 1 · 2021: 1
FWCI
0.54
Type
journal article
Language
en
Open access
closed
Locations
Seminars in Liver Disease (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
nonalcoholic steatohepatitis, non-alcoholic fatty liver disease, type 2 diabetes, insulin resistance, antidiabetic drugs, GLP-1 receptor agonists, SGLT2 inhibitors, cardiovascular risk, liver fibrosis

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