Evolving Role of GLP-1 Therapies in Liver Disease.

Q1 Medicine
Mark Lindsay, Gretchen Arndt, Amanda Wieland, Thomas Jensen
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引用次数: 0

Abstract

Purpose of review: Metabolic dysfunction-associated steatotic liver disease (MASLD) has become the leading cause of chronic liver disease. This risk paralleled the rise in obesity rates, making MASLD a consequence of the Metabolic Syndrome (MetS). Until recently, clinicians have had limited pharmaceutical options in management this disorder. Glucagon-like Peptide 1 Receptor Agonist (GLP-1 RA) treatments have emerged as potential agents for noted benefits in many aspects related to the pathology and progression of MASLD.

Recent findings: Numerous trials including a recent Phase 3 trial utilizing GLP-1 RA based therapies have shown benefits for improvement in MASLD including MASH and fibrosis. Molecules that also act upon the glucose-dependent insulinotropic polypeptide (GIP) and/or glucagon have shown potential synergistic benefits in reversing inflammation and fibrosis. In summary, GLP-1 RA based therapies are being rigorously studied in management of MASLD in particular more advanced stages and likely will become foundational therapies in the future.

GLP-1在肝脏疾病治疗中的作用
综述目的:代谢功能障碍相关脂肪变性肝病(MASLD)已成为慢性肝病的主要病因。这种风险与肥胖率的上升平行,使MASLD成为代谢综合征(MetS)的结果。直到最近,临床医生在治疗这种疾病方面的药物选择有限。胰高血糖素样肽1受体激动剂(GLP-1 RA)治疗已成为潜在的药物,在与MASLD病理和进展相关的许多方面都有明显的益处。最近的发现:包括最近使用GLP-1 RA治疗的3期试验在内的许多试验显示,MASLD(包括MASH和纤维化)的改善有益处。同时作用于葡萄糖依赖性胰岛素性多肽(GIP)和/或胰高血糖素的分子在逆转炎症和纤维化方面显示出潜在的协同效应。总之,基于GLP-1 RA的治疗方法正在严格研究MASLD的管理,特别是更晚期的MASLD,并可能在未来成为基础治疗方法。
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来源期刊
Current Gastroenterology Reports
Current Gastroenterology Reports Medicine-Gastroenterology
CiteScore
7.80
自引率
0.00%
发文量
19
期刊介绍: As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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