The Efficacy of Tofogliflozin on Metabolic Dysfunction-Associated Fatty Liver Disease

The increasing number of patients with fatty liver disease is a major health problem. Fatty liver disease with metabolic dysfunction has been recognized as nonalcoholic fatty liver disease (NAFLD). Although there is no standard therapy for NAFLD, previous reports support the effect of sodium-glucose...

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Main Authors: Takeshi Goya, Koji Imoto, Shigeki Tashiro, Tomomi Aoyagi, Motoi Takahashi, Miho Kurokawa, Hideo Suzuki, Masatake Tanaka, Masaki Kato, Motoyuki Kohjima, Yoshihiro Ogawa
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Gastroenterology Insights
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Online Access:https://www.mdpi.com/2036-7422/13/1/3
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author Takeshi Goya
Koji Imoto
Shigeki Tashiro
Tomomi Aoyagi
Motoi Takahashi
Miho Kurokawa
Hideo Suzuki
Masatake Tanaka
Masaki Kato
Motoyuki Kohjima
Yoshihiro Ogawa
author_facet Takeshi Goya
Koji Imoto
Shigeki Tashiro
Tomomi Aoyagi
Motoi Takahashi
Miho Kurokawa
Hideo Suzuki
Masatake Tanaka
Masaki Kato
Motoyuki Kohjima
Yoshihiro Ogawa
author_sort Takeshi Goya
collection DOAJ
description The increasing number of patients with fatty liver disease is a major health problem. Fatty liver disease with metabolic dysfunction has been recognized as nonalcoholic fatty liver disease (NAFLD). Although there is no standard therapy for NAFLD, previous reports support the effect of sodium-glucose cotransporter 2 (SGLT2) inhibitors on NAFLD. Recently, fatty liver disease with metabolic dysfunction was proposed to be defined as a novel concept, “metabolic associated fatty liver disease (MAFLD)”, and it was proposed that new criteria for MAFLD diagnosis be established. To clarify the effect of SGLT2 inhibitors on MAFLD, we analyzed the efficacy of tofogliflozin in patients with MAFLD. We conducted a single-center, retrospective study to evaluate the efficacy of tofogliflozin in patients with MAFLD treated at Kyushu University Hospital between 2017 and 2019. Tofogliflozin was used to treat 18 patients with MAFLD. To determine the efficacy of tofogliflozin, we evaluated glucose metabolism, insulin resistance, liver injury, hepatic steatosis, and body composition three and six months after drug initiation. Although our study was a preliminary study because of some limitations (e.g., retrospective, observational, single-arm study, small sample size), we show that tofogliflozin could improve liver injury in patients with MAFLD by improving glucose metabolism and insulin resistance without causing muscle loss.
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spelling doaj.art-82a8c35dab504599ab35d0af0bad627c2023-11-24T01:15:52ZengMDPI AGGastroenterology Insights2036-74142036-74222022-01-01131202610.3390/gastroent13010003The Efficacy of Tofogliflozin on Metabolic Dysfunction-Associated Fatty Liver DiseaseTakeshi Goya0Koji Imoto1Shigeki Tashiro2Tomomi Aoyagi3Motoi Takahashi4Miho Kurokawa5Hideo Suzuki6Masatake Tanaka7Masaki Kato8Motoyuki Kohjima9Yoshihiro Ogawa10Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanThe increasing number of patients with fatty liver disease is a major health problem. Fatty liver disease with metabolic dysfunction has been recognized as nonalcoholic fatty liver disease (NAFLD). Although there is no standard therapy for NAFLD, previous reports support the effect of sodium-glucose cotransporter 2 (SGLT2) inhibitors on NAFLD. Recently, fatty liver disease with metabolic dysfunction was proposed to be defined as a novel concept, “metabolic associated fatty liver disease (MAFLD)”, and it was proposed that new criteria for MAFLD diagnosis be established. To clarify the effect of SGLT2 inhibitors on MAFLD, we analyzed the efficacy of tofogliflozin in patients with MAFLD. We conducted a single-center, retrospective study to evaluate the efficacy of tofogliflozin in patients with MAFLD treated at Kyushu University Hospital between 2017 and 2019. Tofogliflozin was used to treat 18 patients with MAFLD. To determine the efficacy of tofogliflozin, we evaluated glucose metabolism, insulin resistance, liver injury, hepatic steatosis, and body composition three and six months after drug initiation. Although our study was a preliminary study because of some limitations (e.g., retrospective, observational, single-arm study, small sample size), we show that tofogliflozin could improve liver injury in patients with MAFLD by improving glucose metabolism and insulin resistance without causing muscle loss.https://www.mdpi.com/2036-7422/13/1/3MAFLDfatty liverSGLT2 inhibitortype 2 diabetes mellitusbody composition
spellingShingle Takeshi Goya
Koji Imoto
Shigeki Tashiro
Tomomi Aoyagi
Motoi Takahashi
Miho Kurokawa
Hideo Suzuki
Masatake Tanaka
Masaki Kato
Motoyuki Kohjima
Yoshihiro Ogawa
The Efficacy of Tofogliflozin on Metabolic Dysfunction-Associated Fatty Liver Disease
Gastroenterology Insights
MAFLD
fatty liver
SGLT2 inhibitor
type 2 diabetes mellitus
body composition
title The Efficacy of Tofogliflozin on Metabolic Dysfunction-Associated Fatty Liver Disease
title_full The Efficacy of Tofogliflozin on Metabolic Dysfunction-Associated Fatty Liver Disease
title_fullStr The Efficacy of Tofogliflozin on Metabolic Dysfunction-Associated Fatty Liver Disease
title_full_unstemmed The Efficacy of Tofogliflozin on Metabolic Dysfunction-Associated Fatty Liver Disease
title_short The Efficacy of Tofogliflozin on Metabolic Dysfunction-Associated Fatty Liver Disease
title_sort efficacy of tofogliflozin on metabolic dysfunction associated fatty liver disease
topic MAFLD
fatty liver
SGLT2 inhibitor
type 2 diabetes mellitus
body composition
url https://www.mdpi.com/2036-7422/13/1/3
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