Raising the curtain: from the gut lumen to human health and disease—the point of interest for internal medicine DOI Open Access
Rachele Ciccocioppo, Piero Portincasa

Internal and Emergency Medicine, Journal Year: 2023, Volume and Issue: 18(5), P. 1255 - 1258

Published: July 7, 2023

Language: Английский

Luteolin as a potential hepatoprotective drug: Molecular mechanisms and treatment strategies DOI Open Access

Chenhao Yao,

Shu Dai,

Cheng Wang

et al.

Biomedicine & Pharmacotherapy, Journal Year: 2023, Volume and Issue: 167, P. 115464 - 115464

Published: Sept. 15, 2023

Luteolin is a flavonoid widely present in various traditional Chinese medicines. In recent years, luteolin has received more attention due to its impressive liver protective effect, such as metabolic associated fatty disease, hepatic fibrosis and hepatoma. This article summarizes the pharmacological effects, pharmacokinetic characteristics, toxicity of against diseases, provides prospect. The results indicate that improves lesions through mechanisms, including inhibiting inflammatory factors, reducing oxidative stress, regulating lipid balance, slowing down excessive aggregation extracellular matrix, inducing apoptosis autophagy cancer cells. Pharmacokinetics research manifested bioavailability relatively low. It worth noting appropriate modification, new delivery systems, derivatives can enhance bioavailability. Although many studies have shown minimal, strict experiments are still needed evaluate safety promote reasonable development. addition, this study also discussed clinical applications related luteolin, indicating it key component commonly used drugs practice. view excellent expected become potential drug for treatment diseases.

Language: Английский

Citations

42

Metabolic Dysfunction–Associated Steatotic Liver Disease: From Pathogenesis to Current Therapeutic Options DOI Open Access
Piero Portincasa, Mohamad Khalil, Laura Mahdi

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(11), P. 5640 - 5640

Published: May 22, 2024

The epidemiological burden of liver steatosis associated with metabolic diseases is continuously growing worldwide and in all age classes. This condition generates possible progression damage (i.e., inflammation, fibrosis, cirrhosis, hepatocellular carcinoma) but also independently increases the risk cardio-metabolic cancer. In recent years, terminological evolution from “nonalcoholic fatty disease” (NAFLD) to “metabolic dysfunction-associated (MAFLD) and, finally, steatotic (MASLD) has been paralleled by increased knowledge mechanisms linking local hepatic) systemic pathogenic pathways. As a consequence, need for an appropriate classification individual phenotypes oriented investigation innovative therapeutic tools. Besides well-known role lifestyle change, number pharmacological approaches have explored, ranging antidiabetic drugs agonists acting on gut–liver axis at level (mainly farnesoid X receptor (FXR) agonists, PPAR thyroid hormone agonists), anti-fibrotic anti-inflammatory agents. intrinsically complex pathophysiological history MASLD makes selection single effective treatment major challenge, so far. this evolving scenario, cooperation between different stakeholders (including subjects risk, health professionals, pharmaceutical industries) could significantly improve management disease implementation primary secondary prevention measures. high healthcare search new, effective, safe pressing need, together accurate characterization phenotypes. Recent promising advances indicate that we may soon enter era precise personalized therapy MASLD/MASH.

Language: Английский

Citations

21

Gut microbes in metabolic disturbances. Promising role for therapeutic manipulations? DOI
Piero Portincasa, Mohamad Khalil,

Annarita Graziani

et al.

European Journal of Internal Medicine, Journal Year: 2023, Volume and Issue: 119, P. 13 - 30

Published: Oct. 4, 2023

Language: Английский

Citations

29

Metabolic dysfunction-associated steatotic liver disease: Evolution of the final terminology DOI Creative Commons
Piero Portincasa, György Baffy

European Journal of Internal Medicine, Journal Year: 2024, Volume and Issue: 124, P. 35 - 39

Published: April 22, 2024

The medical term nonalcoholic fatty liver disease (NAFLD) was coined in 1986 for a condition that has since become the most prevalent disorder worldwide. In last 3 years, global professional community launched 2 consecutive efforts to purge NAFLD from dictionary and recommended new terms based on pathophysiology rather than distinction similar conditions featuring steatosis. A consensus by renowned clinical scholars primarily residing Asian-Pacific region introduced metabolic dysfunction-associated (MAFLD) as name replace 2020. 2023, nomenclature classification resulting steatotic (MASLD) developed large expert panel under auspices of leading societies Europe Americas. These marked rapid shifts have garnered attention many researchers clinicians across globe due multilevel impact frequent potentially progressive chronic both adult pediatric populations. proposed terminologies differ several ways but they more common differences. They capture key features associated with cardiometabolic risk factors significant all-cause liver-related mortality. framework MASLD incorporated innovative aspects MAFLD while conceptual disparities remain work progress, should focus insights into pathogenesis, outcome trajectories, prevention, treatment. Here, some these challenges are discussed facilitate this process.

Language: Английский

Citations

11

Early and accurate diagnosis of steatotic liver by artificial intelligence (AI)-supported ultrasonography DOI
Sérgio Santoro, Mohamad Khalil,

Hala Abdallah

et al.

European Journal of Internal Medicine, Journal Year: 2024, Volume and Issue: 125, P. 57 - 66

Published: March 14, 2024

Language: Английский

Citations

10

Metabolic dysfunction: The silenced connection with fatty liver disease DOI Creative Commons
Mariana M. Ramírez-Mejía, Xingshun Qi, Ludovico Abenavoli

et al.

Annals of Hepatology, Journal Year: 2023, Volume and Issue: 28(6), P. 101138 - 101138

Published: July 18, 2023

Non-alcoholic fatty liver disease (NAFLD) represents a global public health burden. Despite the increase in its prevalence, has not received sufficient attention compared to associated diseases such as diabetes mellitus and obesity. In 2020 it was proposed rename NAFLD metabolic dysfunction-associated (MAFLD) order recognize risk factors complex pathophysiological mechanisms with development. Furthermore, along implementation of diagnostic criteria, aim is address whole clinical spectrum disease, regardless BMI presence other hepatic comorbidities. As would be expected paradigm shift, differing viewpoints have emerged regarding benefits disadvantages renaming disease. The following review aims describe way MAFLD from historical, perspective highlight why approach follow.

Language: Английский

Citations

20

Phenotyping the obesities: reality or utopia? DOI Creative Commons
Piero Portincasa, Gema Frühbeck

Reviews in Endocrine and Metabolic Disorders, Journal Year: 2023, Volume and Issue: 24(5), P. 767 - 773

Published: Aug. 4, 2023

In this thematic issue on phenotyping the obesities, prominent international experts offer an insightful and comprehensive collection of articles covering current knowledge in field. order to actually capture all polyhedral determinants diverse types obesity, granularity phenotypic information acquired must be expanded context a personalized approach. Whilst use precision medicine has been successfully implemented areas like cancer other diseases, health care providers are more reluctant embrace detailed guide diagnosis, treatment prevention obesity. Given its multiple complex layers, necessarily needs go beyond multi-omics approach incorporate spheres that conform reality people living with Potential barriers, difficulties, roadblocks opportunities together their interaction syndemic analyzed. Plausible lacunae also highlighted addition pointing need redefining new conceptual frameworks. Therefore, extraordinary state-ofthe-art reviews provides useful both experienced clinicians trainees as well academics steer clinical practice research management obesity irrespective setting or career stage.

Language: Английский

Citations

19

Unraveling the Role of the Human Gut Microbiome in Health and Diseases DOI Creative Commons
Mohamad Khalil, Agostino Di Ciaula, Laura Mahdi

et al.

Microorganisms, Journal Year: 2024, Volume and Issue: 12(11), P. 2333 - 2333

Published: Nov. 15, 2024

The human gut is a complex ecosystem that supports billions of living species, including bacteria, viruses, archaea, phages, fungi, and unicellular eukaryotes. Bacteria give genes enzymes for microbial host-produced compounds, establishing symbiotic link between the external environment host at both systemic levels. microbiome, which primarily made up commensal critical maintaining healthy host's immune system, aiding digestion, synthesizing essential nutrients, protecting against pathogenic as well influencing endocrine, neural, humoral, immunological functions metabolic pathways. Qualitative, quantitative, and/or topographic shifts can alter resulting in dysbiosis dysfunction, contribute to variety noncommunicable illnesses, hypertension, cardiovascular disease, obesity, diabetes, inflammatory bowel cancer, irritable syndrome. While most evidence date observational does not establish direct causation, ongoing clinical trials advanced genomic techniques are steadily enhancing our understanding these intricate interactions. This review will explore key aspects relationship microbiota, eubiosis, health highlighting emerging strategies microbiome engineering potential therapeutic approaches various conditions.

Language: Английский

Citations

6

What Is in a Name: from NAFLD to MAFLD and MASLD—Unraveling the Complexities and Implications DOI
Mariana M. Ramírez-Mejía, Nahúm Méndez‐Sánchez

Current Hepatology Reports, Journal Year: 2023, Volume and Issue: 22(4), P. 221 - 227

Published: Oct. 26, 2023

Language: Английский

Citations

11

Effects of time restricted feeding combined with Lacto Ovo vegetarian diet on metabolic associated fatty liver disease management: a randomized clinical trial DOI Creative Commons

Mahshad Shafiee,

Amir Sadeghi, Fariba Taleghani

et al.

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: Feb. 6, 2025

Metabolic Associated Fatty Liver Disease (MAFLD) is becoming a major global health concern due to its links with obesity, insulin resistance, and cardiovascular risk. This randomized clinical trial assessed the effects of combining time-restricted feeding (TRF; 16/8) Lacto-Ovo-Vegetarian (LOV) diet on various factors in overweight obese patients MAFLD. Forty-six participants were randomly assigned either intervention group (TRF LOV diet) or control group, 21 completing 12-week study each group. The showed significant reductions weight (-8.07 ± 4.31 kg), BMI (-2.70 1.32 kg/m2), waist circumference (-8.00 4.06 cm), as well ALT (-17.14 14.33 U/L), GGT (-21.09 24.06 Index (-26.90 15.81), levels (-3.89 4.69 mU/L), TNF-α (-11.85 12.52 pg/mL) compared (all P < 0.05). Lipid profiles also improved reduction triglycerides (-46.85 54.55 mg/dL) an increase HDL-C (3.91 5.07 (P These findings imply that TRF combined enhances metabolic markers, liver health, loss, thus potentially offering practical dietary approach for managing Further long-term studies are necessary validate these results investigate their applications.

Language: Английский

Citations

0