Nonalcoholic Steatohepatitis (NASH) and Atherosclerosis: Explaining Their Pathophysiology, Association and the Role of Incretin-Based Drugs

Nonalcoholic steatohepatitis (NASH) is the most severe manifestation of nonalcoholic fatty liver disease (NAFLD), a common complication of type 2 diabetes, and may lead to cirrhosis and hepatocellular carcinoma. Oxidative stress and liver cell damage are the major triggers of the severe hepatic infl...

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Main Authors: Eleftheria Galatou, Elena Mourelatou, Sophia Hatziantoniou, Ioannis S. Vizirianakis
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/11/6/1060
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author Eleftheria Galatou
Elena Mourelatou
Sophia Hatziantoniou
Ioannis S. Vizirianakis
author_facet Eleftheria Galatou
Elena Mourelatou
Sophia Hatziantoniou
Ioannis S. Vizirianakis
author_sort Eleftheria Galatou
collection DOAJ
description Nonalcoholic steatohepatitis (NASH) is the most severe manifestation of nonalcoholic fatty liver disease (NAFLD), a common complication of type 2 diabetes, and may lead to cirrhosis and hepatocellular carcinoma. Oxidative stress and liver cell damage are the major triggers of the severe hepatic inflammation that characterizes NASH, which is highly correlated with atherosclerosis and coronary artery disease. Regarding drug therapy, research on the role of GLP-1 analogues and DPP4 inhibitors, novel classes of antidiabetic drugs, is growing. In this review, we outline the association between NASH and atherosclerosis, the underlying molecular mechanisms, and the effects of incretin-based drugs, especially GLP-1 RAs, for the therapeutic management of these conditions.
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spelling doaj.art-f22c40c6a5b944488e66c167fe074d5c2023-11-23T15:18:50ZengMDPI AGAntioxidants2076-39212022-05-01116106010.3390/antiox11061060Nonalcoholic Steatohepatitis (NASH) and Atherosclerosis: Explaining Their Pathophysiology, Association and the Role of Incretin-Based DrugsEleftheria Galatou0Elena Mourelatou1Sophia Hatziantoniou2Ioannis S. Vizirianakis3Department of Life & Health Sciences, School of Sciences and Engineering, University of Nicosia, 2417 Nicosia, CyprusDepartment of Life & Health Sciences, School of Sciences and Engineering, University of Nicosia, 2417 Nicosia, CyprusLaboratory of Pharmaceutical Technology, Department of Pharmacy, School of Health Sciences, University of Patras, 26504 Patras, GreeceDepartment of Life & Health Sciences, School of Sciences and Engineering, University of Nicosia, 2417 Nicosia, CyprusNonalcoholic steatohepatitis (NASH) is the most severe manifestation of nonalcoholic fatty liver disease (NAFLD), a common complication of type 2 diabetes, and may lead to cirrhosis and hepatocellular carcinoma. Oxidative stress and liver cell damage are the major triggers of the severe hepatic inflammation that characterizes NASH, which is highly correlated with atherosclerosis and coronary artery disease. Regarding drug therapy, research on the role of GLP-1 analogues and DPP4 inhibitors, novel classes of antidiabetic drugs, is growing. In this review, we outline the association between NASH and atherosclerosis, the underlying molecular mechanisms, and the effects of incretin-based drugs, especially GLP-1 RAs, for the therapeutic management of these conditions.https://www.mdpi.com/2076-3921/11/6/1060nonalcoholic steatohepatitis (NASH)nonalcoholic fatty liver disease (NAFLD)atherosclerosisinflammationoxidative stressGLP-1 RAs
spellingShingle Eleftheria Galatou
Elena Mourelatou
Sophia Hatziantoniou
Ioannis S. Vizirianakis
Nonalcoholic Steatohepatitis (NASH) and Atherosclerosis: Explaining Their Pathophysiology, Association and the Role of Incretin-Based Drugs
Antioxidants
nonalcoholic steatohepatitis (NASH)
nonalcoholic fatty liver disease (NAFLD)
atherosclerosis
inflammation
oxidative stress
GLP-1 RAs
title Nonalcoholic Steatohepatitis (NASH) and Atherosclerosis: Explaining Their Pathophysiology, Association and the Role of Incretin-Based Drugs
title_full Nonalcoholic Steatohepatitis (NASH) and Atherosclerosis: Explaining Their Pathophysiology, Association and the Role of Incretin-Based Drugs
title_fullStr Nonalcoholic Steatohepatitis (NASH) and Atherosclerosis: Explaining Their Pathophysiology, Association and the Role of Incretin-Based Drugs
title_full_unstemmed Nonalcoholic Steatohepatitis (NASH) and Atherosclerosis: Explaining Their Pathophysiology, Association and the Role of Incretin-Based Drugs
title_short Nonalcoholic Steatohepatitis (NASH) and Atherosclerosis: Explaining Their Pathophysiology, Association and the Role of Incretin-Based Drugs
title_sort nonalcoholic steatohepatitis nash and atherosclerosis explaining their pathophysiology association and the role of incretin based drugs
topic nonalcoholic steatohepatitis (NASH)
nonalcoholic fatty liver disease (NAFLD)
atherosclerosis
inflammation
oxidative stress
GLP-1 RAs
url https://www.mdpi.com/2076-3921/11/6/1060
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