Abstract:
:There has been a rise in the prevalence of nonalcoholic fatty liver disease (NAFLD), paralleling a worldwide increase in diabetes and metabolic syndrome. NAFLD, a continuum of liver abnormalities from nonalcoholic fatty liver (NAFL) to nonalcoholic steatohepatitis (NASH), has a variable course but can lead to cirrhosis and liver cancer. Here we review the pathogenic and clinical features of NAFLD, its major comorbidities, clinical progression and risk of complications and in vitro and animal models of NAFLD enabling refinement of therapeutic targets that can accelerate drug development. We also discuss evolving principles of clinical trial design to evaluate drug efficacy and the emerging targets for drug development that involve either single agents or combination therapies intended to arrest or reverse disease progression.
journal_name
Nat Medjournal_title
Nature medicineauthors
Friedman SL,Neuschwander-Tetri BA,Rinella M,Sanyal AJdoi
10.1038/s41591-018-0104-9subject
Has Abstractpub_date
2018-07-01 00:00:00pages
908-922issue
7eissn
1078-8956issn
1546-170Xpii
10.1038/s41591-018-0104-9journal_volume
24pub_type
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