Targeting Metabolism: Innovative Therapies for MASLD Unveiled DOI Open Access
Weixin Wang, Xin Gao, Wei Niu

et al.

International Journal of Molecular Sciences, Journal Year: 2025, Volume and Issue: 26(9), P. 4077 - 4077

Published: April 25, 2025

The recent introduction of the term metabolic-dysfunction-associated steatotic liver disease (MASLD) has highlighted critical role metabolism in disease’s pathophysiology. This innovative nomenclature signifies a shift from previous designation non-alcoholic fatty (NAFLD), emphasizing condition’s progressive nature. Simultaneously, MASLD become one most prevalent diseases worldwide, highlighting urgent need for research to elucidate its etiology and develop effective treatment strategies. review examines delineates revised definition MASLD, exploring epidemiology pathological changes occurring at various stages disease. Additionally, it identifies metabolically relevant targets within provides summary latest targeted drugs under development, including those clinical some preclinical stages. finishes with look ahead future therapy goal summarizing providing fresh ideas insights.

Language: Английский

Relationship Between Thyroid Function Tests and Birth Parameters at 41-Week-And-Above Pregnancies: A Prospective Cohort Study DOI Creative Commons
Mustafa Can Sivas, Karolin Ohanoğlu, Ipek Emine Geyikoglu

et al.

Diagnostics, Journal Year: 2025, Volume and Issue: 15(5), P. 641 - 641

Published: March 6, 2025

Background: In the literature, there is no study investigating relationship between thyroid hormones in pregnancies at 41 weeks and above birth timing, labor duration, frequency of fetal distress, premature rupture membranes (PROM), maternal hemogram values. Methods: A total 68 nulliparous pregnant women who were admitted to Basaksehir Cam Sakura City Hospital with indications delivery August 2023 January 2024, ages 20 38 comorbidities, included study. Pregnant ≥41 gestation classified as late-term pregnancy group (n = 37), those 37 control 31). The thyrotropin (TSH), free thyroxine (FT4), hemoglobin levels relevant parameters evaluated. Results: FT4 values diagnosed distress entire population observed be statistically significantly lower (p < 0.05). significant negative linear was detected weights newborns It determined that, decreased, newborn increased. There difference two groups terms TSH/FT4 values, types, or postpartum Hb/Htc decrease > No found diagnosis PROM, amount Conclusions: may important mature late-mature periods pregnancy. an association risk, type birth, weight.

Language: Английский

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Subtypes of MASLD confer distinct clinical trajectories DOI
Panu K. Luukkonen

Journal of Hepatology, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

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Mechanism of liver x receptor alpha in intestine, liver and adipose tissues in metabolic associated fatty liver disease DOI

Kaiwen Lei,

Runsheng Chen, Jian‐Xing Wu

et al.

International Journal of Biological Macromolecules, Journal Year: 2025, Volume and Issue: unknown, P. 142275 - 142275

Published: March 1, 2025

Language: Английский

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Revisiting the Role of CBL in Liver Fibrosis: Unveiling the Antifibrotic Potential of CBLB inhibitor NX-1607 DOI

Kaikai Lu,

Yitong Xu,

Lei He

et al.

Journal of Hepatology, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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Drug Pipeline for MASLD: What Can Be Learned from the Successful Story of Resmetirom DOI Creative Commons

Elizabeta Knezović,

Marija Hefer,

Suzana Blažanović

et al.

Current Issues in Molecular Biology, Journal Year: 2025, Volume and Issue: 47(3), P. 154 - 154

Published: Feb. 27, 2025

Metabolic dysfunction-associated steatotic liver disease (MASLD) and its progressive form, metabolic steatohepatitis (MASH), represent a growing global health problem linked to obesity, insulin resistance, dyslipidemia. MASLD often leads fibrosis, cirrhosis, hepatocellular carcinoma. Currently, therapeutic options are limited, emphasizing the need for novel, targeted pharmacological interventions. Resmetirom, selective thyroid hormone receptor beta (THR-β) agonist, offers promising approach by specifically enhancing hepatic metabolism while minimizing systemic effects. Clinical trials have demonstrated capacity reduce triglyceride accumulation improve lipid profiles. Early- advanced-phase studies, including MAESTRO program, highlight significant reductions in fat content favorable impacts on noninvasive biomarkers of fibrosis with minimal side This review highlights evidence from pivotal explores resmetirom's mechanism action, compares efficacy safety other emerging agents. While resmetirom marks breakthrough non-cirrhotic MASH management, further long-term studies essential fully evaluate clinical benefits potential regulatory approval broader use MASH.

Language: Английский

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Pathogenic Mechanisms of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)-Associated Hepatocellular Carcinoma DOI Creative Commons
Toru Nakamura, Atsutaka Masuda, Dan Nakano

et al.

Cells, Journal Year: 2025, Volume and Issue: 14(6), P. 428 - 428

Published: March 13, 2025

Hepatocellular carcinoma (HCC) is the sixth most common cancer and third leading cause of deaths worldwide. The etiology HCC has now dramatically changed from viral hepatitis to metabolic dysfunction-associated steatotic liver disease (MASLD). main pathogenesis MASLD-related hepatic lipid accumulation hepatocytes, which causes chronic inflammation subsequent progression fibrosis. Chronic generates oxidative stress DNA damage in contribute genomic instability, resulting development HCC. Several molecular pathways are also linked MASLD. In particular, MAPK PI3K-Akt-mTOR upregulated MASLD, promoting survival proliferation cells. addition, MASLD been reported enhance patients with infection. Although there no approved medication for besides resmetirom USA, some preventive strategies onset Sodium-glucose cotransporter-2 (SGLT2) inhibitor, a class medications, exert anti-tumor effects on by regulating reprogramming. Moreover, CD34-positive cell transplantation improves fibrosis intrahepatic angiogenesis supplying various growth factors. Furthermore, exercise through an increase energy consumption as well changes chemokines myokines. this review, we summarize recent progress made pathogenic mechanisms MASLD-associated introduced new therapeutic preventing based

Language: Английский

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Effectiveness and risks of dapagliflozin in treatment for metabolic dysfunction-associated steatotic liver disease with type 2 diabetes: a randomized controlled trial DOI Creative Commons

Hiroo Fukada,

Kazuyoshi Kon,

Reiko Yaginuma

et al.

Frontiers in Medicine, Journal Year: 2025, Volume and Issue: 12

Published: March 25, 2025

Introduction Pharmacotherapy for metabolic dysfunction-associated steatotic liver disease (MASLD) is still under development and has not been fully established. For patients with MASLD type 2 diabetes, treatment antidiabetic drugs, including sodium–glucose cotransporter (SGLT2) inhibitors, recommended, vitamin E supplementation when efficacy insufficient. The benefits risks of SGLT2 inhibitors diabetes have thoroughly investigated. Objective This prospective randomized controlled trial aimed to elucidate the effectiveness inhibitor dapagliflozin in comparison comorbid diabetes. Methods enrolled 24 who were assigned receive either (5 mg/day) or (150 weeks. primary outcomes included serum levels AST, ALT, γ-GT, IV collagen, FIB-4 index. secondary BMI, HbA1c ferritin levels, lipid profile, body composition assessed using InBody, hepatic fat content fibrosis evaluated FibroScan. Adverse events monitored throughout study period. Results Both groups demonstrated significant reductions AST ALT but intergroup differences significant. group showed additional benefits, decreases BMI HbA1c, ferritin, LDL cholesterol, indicating improved glycemic control profile. Dapagliflozin administration was associated a decline skeletal muscle index, risk loss absent group. reduction mass clinically as it suggests potential worsened overall survival treatment. Conclusion indicates that provides several enzymes fat, observed decrease adverse effect on long-term outcomes. Muscle should be receiving therapy mitigate sarcopenia progression ensure comprehensive approach management. Clinical registration https://jrct.niph.go.jp/re/reports/detail/81182 , identifier jRCT1031180386.

Language: Английский

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Resmetirom directly inhibits lipid accumulation in human liver-derived organoids DOI
Jiajing Li, Ibrahim Ayada, Qiuwei Pan

et al.

Journal of Hepatology, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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Glutathionylation and Metabolic Dysfunction-associated Steatotic Liver Disease DOI
Zhe Jiang, Lin Chen, Xiaobing Dou

et al.

Biochimie, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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Thyroid Function and MASLD Risk Stratification in Children with Obesity: a not negligible link DOI

Anna Di Sessa,

Gabriele Forcina, Giuseppina Rosaria Umano

et al.

Journal of Hepatology, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Language: Английский

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0