Novel Antidiabetic Strategies and Diabetologists' Views in Nonalcoholic Steatohepatitis
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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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].”
From Obesity and MASLD: Is weight loss the (only) key to treat metabolic liver disease? (2024) · cites this paper as [115]
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Phase 3 Trial of Semaglutide in Metabolic Dysfunction–Associated Steatohepatitis
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Self-citation
- 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
- Publisher
- Georg Thieme Verlag KG
- 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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