Liver International,
Год журнала:
2024,
Номер
45(1)
Опубликована: Дек. 17, 2024
We
would
like
to
acknowledge
the
contribution
of
meta-analysis
conducted
by
Mantovani
et
al.
[1],
which
substantiates
significant
association
between
dysfunction-associated
steatotic
liver
disease
(MASLD)
and
an
elevated
risk
serious
bacterial
infections
necessitating
hospital
admission.
With
shifts
in
lifestyle
dietary
patterns,
MASLD
has
emerged
as
predominant
disease,
imposing
a
substantial
social
economic
burden
globally
[2].
MAFLD
extends
beyond
hepatic
implications,
exhibiting
close
associations
with
cardiovascular,
renal,
orthopaedic,
endocrine
oncological
systems
[3].
The
infection
remains
insufficiently
explored
existing
literature.
This
article
presents
rigorous
investigation
sample
size
is
pioneering
performing
examine
correlation
severe
infections.
By
synthesising
data
from
eight
studies,
encompassing
approximately
26
million
individuals,
study
elucidates
relationship
findings
have
generated
considerable
interest
warrant
further
inquiry.
Nevertheless,
following
points
require
in-depth
exploration.
Firstly,
figure
1,
author
combined
analyses
cross-sectional
case–control
studies
within
meta-analysis,
could
introduce
potential
bias
into
results.
Secondly,
incorporated
this
(references
18–21),
notable
age
disparity
exists
group
non-MASLD
group,
older
patients
higher
propensity
for
developing
comparison
their
younger
counterparts
[4,
5].
Consequently,
variability
baseline
may
substantially
influence
outcomes
analysis.
Finally,
some
included
analysis
contain
duplicate
patient
data,
such
those
21
22),
both
derived
Swedish
Nationwide
population-based
cohort
overlapping
follow-up
periods
(1969
2017
vs.
1987
2020).
overlap
contradicts
principles
literature
inclusion
meta-analyses
affect
strongly
concur
author's
article.
Given
that
these
factors
above
might
results,
we
enumerate
them
reference
readers.
In
conclusion,
has,
first
time,
elucidated
infections,
thereby
enhancing
awareness
risks
linked
among
researchers.
Nonetheless,
large-sample,
multi-centre
long-term
are
necessary
substantiate
findings.
Z.W.,
D.W.,
M.X.,
Y.J.
contributed
preparation
paper.
read
agreed
published
version
manuscript.
all
authors'
hard
work.
authors
declare
no
conflicts
interest.
Data
sharing
not
applicable
datasets
were
or
analysed
during
current
study.
Clinical and Molecular Hepatology,
Год журнала:
2024,
Номер
unknown
Опубликована: Авг. 19, 2024
As
the
rates
of
obesity
and
type
2
diabetes
(T2D)
continue
to
increase
globally,
so
does
prevalence
metabolic
dysfunction
associated
steatotic
liver
disease
(MASLD).
Currently,
38%
all
adults
7-14%
children
adolescents
have
MASLD.
By
2040,
MASLD
rate
for
is
projected
over
55%.
Although
many
with
will
not
develop
progressive
disease,
given
vast
number
patients
MASLD,
it
has
now
become
top
indication
transplant
in
United
States
those
hepatocellular
carcinoma
(HCC)
women.
However,
most
common
cause
mortality
among
remains
death
cardiovascular
diseases.
In
addition
outcomes
(cirrhosis
HCC),
increased
risk
developing
de-novo
T2D,
chronic
kidney
sarcopenia
extrahepatic
cancers.
Furthermore,
decreased
health
related
quality
life,
work
productivity,
fatigue
healthcare
resource
utilization
substantial
economic
burden.
Similar
other
lifestyle
interventions
heathy
diet
physical
activity
remain
cornerstone
managing
these
patients.
a
T2D
drugs
are
available
treat
co-morbid
Resmetirom
only
MASH-targeted
medication
that
was
recently
approved
by
Federal
Drug
Administration
use
stage
2-3
fibrosis.
The
following
review
provides
an
overview
epidemiology,
its
factors
demonstrates
without
further
global
initiatives,
may
increase.
BMC Gastroenterology,
Год журнала:
2025,
Номер
25(1)
Опубликована: Янв. 3, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
has
become
the
most
common
chronic
worldwide.
The
pan-immune-inflammation
value
(PIV)
been
proposed
as
a
biomarker
for
assessing
immune
status
and
inflammation.
There
is
currently
no
evidence
regarding
effect
of
PIV
on
risk
MASLD.
This
study
aimed
to
investigate
association
between
cross-sectional
included
6462
adults
aged
≥
20
years
from
National
Health
Nutrition
Examination
Survey
2017–2020.
was
calculated
based
blood
count
data.
Weighted
multivariable
logistic
regression
employed
calculate
odds
ratio
(OR)
95%
confidence
interval
(CI)
Restricted
cubic
spline
(RCS)
analysis
conducted
explore
dose-response
relationship
Stratified
sensitivity
analyses
were
performed
confirm
robustness
our
findings.
Among
participants,
2458
diagnosed
with
Positive
associations
LnPIV
MASLD
observed
in
all
three
models
(Model
1:
OR
=
1.46,
CI:
1.28–1.66,
P
<
0.001;
Model
2:
1.41,
1.24–1.60,
3:
1.39,
1.16–1.65,
0.004).
When
classified
into
quartiles,
both
Q3
Q4
exhibited
significantly
increased
risks
compared
reference
Q1
full
adjusted
3
(Q3:
1.63,
1.20–2.22,
0.012;
Q4:
1.76,
1.28–2.41,
0.008;
trend
0.002).
RCS
did
not
show
nonlinear
(P
0.093
nonlinearity).
showed
consistent
positive
subgroups,
supported
reliability
these
results.
Higher
levels
are
associated
an
prevalence
MASLD,
indicating
that
potentially
effective
inflammatory
marker
participants.
BMC Gastroenterology,
Год журнала:
2025,
Номер
25(1)
Опубликована: Март 12, 2025
Imbalance
in
the
gut
microbiota
is
a
key
factor
pathogenesis
of
non-alcoholic
fatty
liver
disease
(NAFLD)
and
fibrosis.
The
Dietary
Index
for
Gut
Microbiota
(DI-GM)
integrates
potential
relationship
between
diet
diversity.
This
study
aims
to
investigate
association
DI-GM
risk
NAFLD
fibrosis,
providing
theoretical
support
dietary
intervention
strategies.
utilized
data
from
NHANES
2017–2020,
including
6,181
eligible
adult
participants.
fibrosis
was
assessed
using
quartiles,
multivariate
logistic
regression,
restricted
cubic
spline
(RCS)
analysis.
Subgroup
analysis
performed
explore
predictive
role
different
populations.
All
analyses
were
weighted
ensure
representativeness
results.
negatively
associated
with
risks
As
scores
increased,
significantly
decreased
(52.81%,
43.16%,
40.40%,
31.98%,
p
<
0.05;
17.52%,
9.04%,
7.21%,
6.78%,
0.05).
Multivariate
regression
revealed
that,
unadjusted
model
(Model
1),
each
unit
increase
DI-GM,
by
6.9%
(OR
=
0.931,
95%
CI:
0.886–0.979,
0.001),
while
15.6%
0.844,
0.757–0.941,
In
quartile
analysis,
individuals
highest
(Q4)
had
58%
lower
compared
those
lowest
(Q1)
0.42,
0.219–0.806,
0.001).
results
remained
significant
even
after
adjusting
covariates.
RCS
showed
that
nonlinear
inflection
points
at
2
5,
indicating
enhanced
protective
effects.
reveals
negative
highlighting
healthy
patterns
prevention
management
through
modulation,
basis
interventions.
The American Journal of Gastroenterology,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 5, 2025
1Division
of
Gastroenterology
and
Hepatology,
Mayo
Clinic,
Rochester,
Minnesota,
USA.
Correspondence:
Joseph
C.
Ahn,
MD,
MS.
E-mail:
[email
protected].
World Journal of Gastrointestinal Oncology,
Год журнала:
2025,
Номер
17(3)
Опубликована: Фев. 13, 2025
BACKGROUND
Although
the
link
between
cardiovascular
disease
(CVD)
and
various
cancers
is
well-established,
relationship
CVD
risk
colorectal
cancer
(CRC)
remains
underexplored.
AIM
To
elucidate
scores
CRC
incidence.
METHODS
In
this
population-based
cohort
study,
participants
from
2009
National
Health
Checkup
were
followed-up
until
2020.
The
(CV)
score
was
calculated
as
sum
of
factors
(age,
family
history
coronary
artery
disease,
hypertension,
smoking
status,
high-density
lipoprotein
levels)
with
(≥
60
mg/dL)
reducing
by
one.
primary
outcome
incidence
newly
diagnosed
CRC.
RESULTS
Among
2526628
individuals,
30329
developed
during
a
mean
follow-up
10.1
years.
Categorized
CV
(0,
1,
2,
≥
3).
increased
higher
after
adjusting
for
covariates
[(hazard
ratio
=
1.155,
95%
confidence
interval:
1.107-1.205)
in
3,
P
<
0.001].
This
association
exclusively
observed
males,
most
notably
younger
(<
50
years)
more
pronounced
individuals
not
using
statins.
Moreover,
even
without
diabetes,
associated
an
risk.
CONCLUSION
Increased
significantly
risk,
especially
among
populations,
non-statin
users.
Thus,
males
score,
at
age,
are
recommended
to
control
their
undergo
individualized
screening.
Romanian Journal of Morphology and Embryology,
Год журнала:
2025,
Номер
65(4), С. 627 - 635
Опубликована: Фев. 13, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
the
most
prevalent
chronic
worldwide
and
has
become
a
major
public
health
problem.
MASLD
frequently
progresses
to
cirrhosis
hepatocellular
carcinoma,
but
recent
studies
also
show
frequent
association
with
extrahepatic
cancers.
One
of
mechanisms
involved
in
both
locations
insulin
resistance
hyperinsulinemia.
The
aim
this
narrative
review
was
present
main
etiopathogenic
cancer
development
patients
MASLD.
BMC Gastroenterology,
Год журнала:
2025,
Номер
25(1)
Опубликована: Март 7, 2025
With
the
rising
incidence
of
MASLD,
extensive
drug
research
has
been
conducted
in
clinical
trials.
The
study
examined
design
principles
and
objectives
MASLD
therapeutics,
order
to
offer
guidance
trial
participants
decision
makers.
By
searching
data
registered
on
clinicaltrials.gov
platform,
1209
interventional
trials
were
screened.
These
subsequently
evaluated
based
stage,
design,
intervention
modalities,
outcome
metrics,
other
pertinent
factors.
A
total
1,209
included,
which
199
from
2000
2012
(16.46%)
1010
2013
2024
(83.54%),
reflecting
growing
body
MASLD.
Regarding
model
type,
single-group
designs
employed
232
(19.19%)
trials,
parallel
873(72.21%).
13
early
phase
1
(1.08%),
152
(12.57%)
1,
34
(2.81%)
1/phase
2,
301
2
(24.90%),
19
(1.57%)
2/phase
3,
72
(5.96%)
84
(6.95%)
4.
Within
these
three
primary
outcomes
for
interventions
hepatic
histological
improvement,
fat
content
adverse
events.
Furthermore,
140
with
results
therapeutic
purposes
(This
accounted
88.61%
158
results)
primarily
aimed
improve
through
mechanisms
such
as
metabolic
energy
balance,
inflammatory
immunomodulatory,
lipid
reduction,
targeting
PPAR,
FXR,
ACC
GLP-1.
This
suggests
basic
characteristics
global
current
are
mainly
focused
drug-related
treatments,
drugs
inflammation
metabolism
still
first
choice
studies.