Medicina,
Год журнала:
2024,
Номер
61(1), С. 38 - 38
Опубликована: Дек. 30, 2024
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
a
multisystemic
disease,
i.e.,
influencing
various
organ
systems
beyond
the
and,
thus,
contributing
to
comorbidities.
Characterized
by
excessive
fat
accumulation
in
hepatocytes,
MASLD
frequently
linked
metabolic
syndrome
components,
such
as
obesity,
insulin
resistance,
dyslipidemia,
and
hypertension.
Therefore,
exploring
intricate
connection
between
other
systems,
including
eyes,
seems
be
essential.
In
this
context,
retinopathy
has
been
investigated
for
its
potential
association
with
MASLD,
since
both
conditions
share
common
pathogenetic
pathways.
Chronic
low-grade
inflammation,
oxidative
stress,
endothelial
dysfunction
are
only
some
of
those
mechanisms
progression
possibly,
determining
bidirectional
interplay
retinal
pathology.
This
narrative
review
aims
summarize
data
concerning
multisystemicity
primarily
focusing
on
eyes
particularly,
retinopathy.
Identifying
possible
may
emphasize
need
early
screening
integrated
management
approaches
that
address
interconnected
components
within
framework
systemic
disease.
Further
research
necessary
delineate
precise
develop
targeted
interventions
mitigate
impact
aiming
reduce
overall
burden
improve
patient
outcomes.
Nutrients,
Год журнала:
2025,
Номер
17(1), С. 164 - 164
Опубликована: Янв. 1, 2025
Background/Objectives:
Despite
the
abundant
body
of
evidence
linking
high-intensity
interval
training
(HIIT)
to
cardiometabolic
markers,
little
is
known
about
how
HIIT
affects
liver
enzymes,
particularly
in
obese
adolescents.
This
study
aimed
investigate
effects
on
metabolic
dysfunction-associated
steatotic
disease
(MASLD)-related
biomarkers
overweight/obese
adolescent
girls.
Methods:
Thirty-three
girls
(age,
17.0
±
1.15
yr.;
mass
index,
33.3
4.77
kg/m2)
were
randomly
assigned
(n
=
17)
or
control
16)
groups.
The
group
participated
a
nine-week
program
(three
times
weekly)
without
caloric
restriction.
Maximal
aerobic
speed,
composition
indexes,
blood
pressure,
MASLD-related
[liver
enzymes
(alanine
aminotransferase
(ALT)
and
aspartate
(AST)),
plasma
lipids,
uric
acid,
platelet
count,
homeostasis
model
assessment
index
for
insulin-resistance
(HOMA-IR)]
examined
at
baseline
after
intervention.
Results:
Significant
“time
×
group”
interactions
found
systolic
maximal
ALT
AST,
glucose,
HOMA-IR.
resulted
an
increase
speed
(p
0.035)
decrease
lipids
<
0.01),
pressure
0.011),
0.013),
AST
0.012),
HOMA-IR
but
no
significant
changes
acid
count.
None
these
markers
changed
group.
Conclusions:
improvement
biomarkers.
could
be
effective
exercise
therapy
prevent
reverse
MASLD
adolescents
with
obesity.
Biomedicines,
Год журнала:
2025,
Номер
13(4), С. 855 - 855
Опубликована: Апрель 2, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
the
most
common
chronic
influenced
by
genetic,
lifestyle,
and
environmental
factors.
While
MASLD
more
prevalent
in
men,
women
are
at
increased
risk
after
menopause,
highlighting
critical
pathogenetic
role
of
sex
hormones.
The
complex
interplay
between
estrogen
deficiency,
visceral
fat
accumulation,
metabolic
syndrome
(MetS),
inflammation
accelerates
progression,
increases
cardiovascular
(CV)
risk,
triggers
a
cycle
worsening
adiposity,
dysfunction,
psychological
problems,
including
eating
disorders.
Weight
loss
postmenopausal
can
significantly
improve
both
outcomes,
helping
to
prevent
related
conditions.
This
review
examines
prevalence
MASLD,
its
comorbidities
(type
2
diabetes
T2D,
CV,
mental
disorders),
mechanisms,
pharmacological
treatment
with
GLP-1
receptor
agonists
(GLP1-RAs),
focus
on
women.
Given
use
GLP1-RAs
obesity
T2D
patients,
increase
MetS
this
analyzes
potential
stable
GLP-1–estrogen
conjugate
as
therapeutic
approach
subgroup.
By
combining
synergistic
effects
hormones,
dual
agonist
has
been
shown
food
intake
reward
suppression,
resulting
greater
weight
improved
insulin
sensitivity,
glucose,
lipid
metabolism.
Therefore,
we
hypothesize
that
pharmacotherapy
may
provide
targeted
benefits
than
either
hormone
alone
protecting
liver,
β-cells,
overall
health.
As
these
only
supported
preclinical
data,
highlights
need
for
future
research
evaluate
confirm
mechanisms
efficacy
clinical
settings,
particularly
Nutrients,
Год журнала:
2024,
Номер
16(17), С. 3007 - 3007
Опубликована: Сен. 5, 2024
Background:
Exercise
and
dietary
interventions
are
essential
for
maintaining
weight
reducing
fat
accumulation.
With
the
growing
popularity
of
various
strategies,
evidence
suggests
that
combining
exercise
with
offers
greater
benefits
than
either
approach
alone.
Consequently,
this
combined
strategy
has
become
a
preferred
method
many
individuals
aiming
to
maintain
health.
Calorie
restriction,
5/2
intermittent
fasting,
time-restricted
feeding,
ketogenic
diet
among
most
popular
today.
Aerobic
exercise,
resistance
training,
mixed
widely
practiced
forms
physical
activity.
Exploring
best
combinations
these
approaches
determine
which
yields
effective
results
is
both
meaningful
valuable.
Despite
trend,
comparative
analysis
effects
different
lacking.
This
study
uses
network
meta-analysis
evaluate
impact
on
body
composition
compare
their
efficacy.
Methods:
We
systematically
reviewed
literature
from
database
inception
through
May
2024,
searching
PubMed,
Web
Science,
Embase,
Cochrane
Library.
The
was
registered
in
PROSPERO
under
title:
“Effects
Combined
Different
Dietary
Interventions
Body
Composition:
A
Systematic
Review
Network
Meta-Analysis”
(identifier:
CRD42024542184).
Studies
were
meticulously
selected
based
specific
inclusion
exclusion
criteria
(The
included
studies
must
be
randomized
controlled
trials
involving
healthy
adults
aged
18
65
years.
Articles
rigorously
screened
according
specified
criteria.),
risk
bias
assessed
using
tool.
Data
aggregated
analyzed
meta-analysis,
intervention
efficacy
ranked
by
Surface
Under
Cumulative
Ranking
(SUCRA)
curves.
Results:
78
5219
participants,
comparing
four
interventions:
calorie
restriction
(CR+EX),
eating
(TRF+EX),
fasting
(5/2F+EX),
(KD+EX)
composition.
Intervention
ranking
as
follows:
(1)
Weight
Reduction:
CR+EX
>
KD+EX
TRF+EX
5/2F+EX
(Relative
CR+EX,
effect
sizes
5/2F+EX,
2.94
(−3.64,
9.52);
2.37
(−0.40,
5.15);
1.80
(−1.75,
5.34)).
(2)
BMI:
1.95
(−0.49,
4.39);
2.20
(1.08,
3.32);
1.23
(−0.26,
2.71)).
(3)
Fat
Percentage:
2.66
(−1.56,
6.89);
2.84
(0.56,
5.13);
3.14
(0.52,
5.75).).
(4)
Lean
Mass
Male:
−1.60
(−6.98,
3.78);
−2.76
(−7.93,
2.40)).
(5)
Female:
TRF+EX,
−0.52
(−2.58,
1.55);
−1.83
(−4.71,
1.04);
−2.46
(−5.69,0.76).).
Conclusion:
emerged
percentage
while
lean
mass.
For
women,
proved
optimal
preserving
muscle
While
effectively
reduces
weight,
it
comparatively
less
at
decreasing
Hence,
considered
suboptimal.
Antioxidants,
Год журнала:
2025,
Номер
14(1), С. 83 - 83
Опубликована: Янв. 13, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
characterized
by
lipid
accumulation
in
the
due
to
an
excess
their
supplies
or
impairment
management.
While
some
patients
remain
stable
for
years,
a
proportion
of
them
progress
up
steatohepatitis
(MASH).
MASLD
links
with
systemic
pathways
being
associated
metabolic
and
non-metabolic
diseases.
Although
represents
first
hit
MASLD,
pathophysiology
its
development
progression
MASH
remains
not
completely
understood.
Oxidative
stress
has
received
particular
attention
recent
as
most
oxidative
process
occurs
liver,
which
also
target
stress-induced
damage.
Growing
evidence
linked
activity
nicotinamide
adenine
dinucleotide
phosphate
(NADPH)
oxidases
(NOX)
increased
production
reactive
oxygen
species
damage
fibrosis.
NOX
acts
both
hepatocytes
non-parenchymal
hepatic
cells,
contributing
hepatocyte
lipotoxicity,
impaired
microcirculation,
stellate,
mesenchymal
stem
cells
activation
proliferation.
This
review
aims
summarize
current
knowledge
on
involvement
MASLD-MASH
transition,
focusing
role
isoforms,
suggest
targeting
therapeutic
approach
MASLD.
Current Opinion in Nephrology & Hypertension,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 30, 2025
Metabolic
dysfunction
associated
steatotic
liver
disease
(MASLD)
is
increasing
throughout
the
world,
affecting
nearly
one
in
three
individuals.
Kidney
stone
disease,
which
also
increasing,
with
MASLD.
Common
risk
factors
for
both,
including
obesity,
diabetes,
dyslipidemia,
hypertension,
and
metabolic
syndrome,
are
likely
drivers
of
this
association.
We
present
here
a
review
associations
possible
interconnections
between
these
two
common
processes.
Epidemiological
studies
discordant
regarding
impact
sex
on
association
MASLD
incident
risk.
The
nature
kidney
stones
rarely
taken
into
account.A
favorable
milieu
uric
acid
formation
may
be
created
by
lower
urine
pH
resulting
from
defective
ammonium
production
insulin
resistance,
MASLD.Endogenous
oxalate
synthesis,
major
factor
calcium
stones,
increased
via
decline
activity
enzymes
involved
detoxification
glyoxylate,
immediate
precursor
oxalate.
driving
remain
to
elucidated.
Potential
mechanisms
identified
underlying
include
an
increase
both
stones.
Research Square (Research Square),
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 3, 2025
AbstractBackground:
Althoughpemafibrate
has
shown
promise
in
treating
metabolic
dysfunction
associated
steatotic
liver
disease
(MASLD),
reports
on
its
effects
and
alcohol
(MetALD)
are
limited.
The
aim
of
this
study
was
to
evaluate
the
efficacy
pemafibrate
both
conditions
complicated
with
dyslipidemia,
focus
alanine
aminotransferase
(ALT)
reduction.
Predictive
factors
for
treatment
response
were
also
identified.
Methods:
This
retrospective,
single-center
cohort
included
96
patients
MASLDand14
MetALD
treated
24
weeks.
Changes
function
tests,
lipid
profiles,
body
mass
index
analyzed.
Factors
predicting
ALT
reduction
identified
using
correlation
analysis
multivariate
regression.
Patients
categorized
as
responders
or
non-responders
based
changes
at
Results:
After
weeks,
significant
improvements
observed
tests
profiles
MASLD;
similar
benefits
found
MetALD.
median
rate
-24.75%.
Higher
baseline
aspartate
(AST)
gamma-glutamyl
transferase
(GGT)
levels
greater
Baseline
AST
GGT
above
upper
limit
normal
predictors
Conclusions:
Pemafibrate
effectively
improved
MASLD
by
dyslipidemia.
enzyme
levels,
particularly
normal,
treatment.
JHEP Reports,
Год журнала:
2025,
Номер
7(5), С. 101358 - 101358
Опубликована: Фев. 13, 2025
The
relationship
between
biopsy-proven
liver
fibrosis
progression
and
renal
function
decline
in
patients
with
metabolic
dysfunction-associated
steatotic
disease
(MASLD)
has
not
been
fully
elucidated.
We
used
an
automated
quantitative
assessment
(qFibrosis)
technique
to
investigate
the
temporal
changes
regional
fibrosis.
This
retrospective
longitudinal
study
included
68
MASLD
their
paired
formalin-fixed
sections
of
biopsies.
One
hundred
eighty-four
parameters
were
quantified
five
different
hepatic
regions,
including
portal
tract,
peri-portal,
zone
2,
peri-central
central
vein
qFibrosis
continuous
values
calculated
for
all
samples
based
on
10
using
assessment.
Liver
(QLF+,
n
=
18)
regression
(QLF-,
23)
was
defined
as
at
least
a
20%
relative
change
over
23-month
follow-up.
Renal
assessed
by
estimated
glomerular
filtration
rate
(eGFR)
changes.
eGFR
greater
QLF+
group
(106.53
±
13.71
ml/min/1.73
m2
vs.
105.28
12.46
m2)
than
QLF-
(110.87
14.58
114.18
14.81
m2).
In
addition,
pericentral
regions
more
strongly
associated
periportal,
2
tract
regions.
combined
these
construct
prediction
model,
which
better
differentiated
(a
cut-off
value
index
0.52,
p
<0.001).
A
is
significantly
related
MASLD.
Regional
may
efficiently
predict
decline,
thus
highlighting
importance
assessing
worsening
shows
that
be
provides
new
perspective
understanding
complex
pathological
processes.
combination
artificial
intelligence
digital
pathology
earlier
precisely
quantify
fibrosis,
identifying
function.
opens
possibility
early
interventions,
are
essential
improve
patients'
outcomes.