NAFLD: Mechanisms, Treatments, and Biomarkers

Nonalcoholic fatty liver disease (NAFLD), recently renamed metabolic-associated fatty liver disease (MAFLD), is one of the most common causes of liver diseases worldwide. NAFLD is growing in parallel with the obesity epidemic. No pharmacological treatment is available to treat NAFLD, specifically. T...

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Main Author: Fatiha Nassir
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/12/6/824
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author Fatiha Nassir
author_facet Fatiha Nassir
author_sort Fatiha Nassir
collection DOAJ
description Nonalcoholic fatty liver disease (NAFLD), recently renamed metabolic-associated fatty liver disease (MAFLD), is one of the most common causes of liver diseases worldwide. NAFLD is growing in parallel with the obesity epidemic. No pharmacological treatment is available to treat NAFLD, specifically. The reason might be that NAFLD is a multi-factorial disease with an incomplete understanding of the mechanisms involved, an absence of accurate and inexpensive imaging tools, and lack of adequate non-invasive biomarkers. NAFLD consists of the accumulation of excess lipids in the liver, causing lipotoxicity that might progress to metabolic-associated steatohepatitis (NASH), liver fibrosis, and hepatocellular carcinoma. The mechanisms for the pathogenesis of NAFLD, current interventions in the management of the disease, and the role of sirtuins as potential targets for treatment are discussed here. In addition, the current diagnostic tools, and the role of non-coding RNAs as emerging diagnostic biomarkers are summarized. The availability of non-invasive biomarkers, and accurate and inexpensive non-invasive diagnosis tools are crucial in the detection of the early signs in the progression of NAFLD. This will expedite clinical trials and the validation of the emerging therapeutic treatments.
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spelling doaj.art-d2a8b1b1b265446aaef7e6089009a03d2023-11-23T15:47:35ZengMDPI AGBiomolecules2218-273X2022-06-0112682410.3390/biom12060824NAFLD: Mechanisms, Treatments, and BiomarkersFatiha Nassir0Division of Gastroenterology and Hepatology, Department of Medicine, University of Missouri, Columbia, MO 65212, USANonalcoholic fatty liver disease (NAFLD), recently renamed metabolic-associated fatty liver disease (MAFLD), is one of the most common causes of liver diseases worldwide. NAFLD is growing in parallel with the obesity epidemic. No pharmacological treatment is available to treat NAFLD, specifically. The reason might be that NAFLD is a multi-factorial disease with an incomplete understanding of the mechanisms involved, an absence of accurate and inexpensive imaging tools, and lack of adequate non-invasive biomarkers. NAFLD consists of the accumulation of excess lipids in the liver, causing lipotoxicity that might progress to metabolic-associated steatohepatitis (NASH), liver fibrosis, and hepatocellular carcinoma. The mechanisms for the pathogenesis of NAFLD, current interventions in the management of the disease, and the role of sirtuins as potential targets for treatment are discussed here. In addition, the current diagnostic tools, and the role of non-coding RNAs as emerging diagnostic biomarkers are summarized. The availability of non-invasive biomarkers, and accurate and inexpensive non-invasive diagnosis tools are crucial in the detection of the early signs in the progression of NAFLD. This will expedite clinical trials and the validation of the emerging therapeutic treatments.https://www.mdpi.com/2218-273X/12/6/824non-alcoholic fatty liver disease (NAFLD)metabolic-associated fatty liver disease (MAFLD)non-alcoholic steatohepatitis (NASH)metabolic-associated steatohepatitis (MASH)livermitochondria
spellingShingle Fatiha Nassir
NAFLD: Mechanisms, Treatments, and Biomarkers
Biomolecules
non-alcoholic fatty liver disease (NAFLD)
metabolic-associated fatty liver disease (MAFLD)
non-alcoholic steatohepatitis (NASH)
metabolic-associated steatohepatitis (MASH)
liver
mitochondria
title NAFLD: Mechanisms, Treatments, and Biomarkers
title_full NAFLD: Mechanisms, Treatments, and Biomarkers
title_fullStr NAFLD: Mechanisms, Treatments, and Biomarkers
title_full_unstemmed NAFLD: Mechanisms, Treatments, and Biomarkers
title_short NAFLD: Mechanisms, Treatments, and Biomarkers
title_sort nafld mechanisms treatments and biomarkers
topic non-alcoholic fatty liver disease (NAFLD)
metabolic-associated fatty liver disease (MAFLD)
non-alcoholic steatohepatitis (NASH)
metabolic-associated steatohepatitis (MASH)
liver
mitochondria
url https://www.mdpi.com/2218-273X/12/6/824
work_keys_str_mv AT fatihanassir nafldmechanismstreatmentsandbiomarkers