Effects of newer antidiabetic drugs on nonalcoholic fatty liver and steatohepatitis: Think out of the box!

Ranjbar, G. and Mikhailidis, D.P. and Sahebkar, A. (2019) Effects of newer antidiabetic drugs on nonalcoholic fatty liver and steatohepatitis: Think out of the box! Metabolism: Clinical and Experimental, 101.

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Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in Western societies and a major cause of hepatic disease worldwide. Its more severe type, namely nonalcoholic steatohepatitis (NASH), may result in the development of cirrhosis and hepatocellular carcinoma. NAFLD, and especially NASH, are also associated with increased cardiovascular morbidity and mortality. Type 2 diabetes mellitus (T2DM) predisposes to NAFLD development and progression via insulin resistance and hyperglycemia. It has also been reported that the majority of T2DM patients have NAFLD/NASH, thus potentially further increasing their cardiometabolic risk. Current guidelines recommend to screen for NAFLD in all T2DM patients and vice-versa. Lifestyle remains the first-line therapeutic option for NAFLD/NASH. Among antidiabetic drugs, pioglitazone was shown to improve histological features of NASH. More recently, there is an increasing interest regarding the effects of newer anti-diabetic drugs, such as dipeptidyl peptidase 4 inhibitors (DPP-4i), sodium glucose cotransporter 2 inhibitors (SGLT2i), and glucagon-like peptide-1 receptor agonists (GLP-1 RAs) on NAFLD/NASH. The present narrative review considers the up-to-date data on the impact of DPP-4i, SGLT2i, and GLP-1 RAs on biochemical and/or histological markers of NAFLD/NASH. The potential clinical implications of these findings in daily practice are also discussed. Taking into consideration the global increasing prevalence of NAFLD/NASH, therapeutic options that can prevent or treat this disease will exert considerable benefits on human health. © 2019 Elsevier Inc.

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: antidiabetic agent; dipeptidyl peptidase IV inhibitor; glucagon like peptide 1 receptor agonist; sodium glucose cotransporter 2 inhibitor, cardiometabolic risk; drug effect; histopathology; human; lifestyle modification; non insulin dependent diabetes mellitus; nonalcoholic fatty liver; nonalcoholic steatohepatitis; priority journal; Review
Subjects: QT physiology
Divisions: Faculty of Medicine
Depositing User: sasan raisian
Date Deposited: 14 Dec 2019 09:15
Last Modified: 17 Dec 2019 07:20
URI: http://eprints.mums.ac.ir/id/eprint/12288

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