Nonalcoholic steatohepatitis: recent advances from experimental models to clinical management.

Abstract:

:A condition defined as nonalcoholic fatty liver disease (NAFLD) is frequently found in humans. Deemed as a benign condition until recently, more emphasis is now put on the potential harmful evolution of the inflammatory form, that is, nonalcoholic steatohepatitis (NASH), toward end-stage liver disease. This review highlights the major morphologic and pathophysiological features of NASH. The link between experimental biochemical findings in animal models and clinical and therapeutic approaches in humans is discussed. Once all the other causes of persistent elevation of serum transaminase levels have been excluded, the diagnosis of NASH can be only confirmed by liver histology. Other noninvasive diagnostic tools, however, are being investigated to assess specific subcellular functions and to allow the follow-up of patients at higher risk for major liver dysfunction. A better understanding of various pathogenic aspects of NASH will help in identifying potential therapeutic approaches in these patients.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Portincasa P,Grattagliano I,Palmieri VO,Palasciano G

doi

10.1016/j.clinbiochem.2004.10.014

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

203-17

issue

3

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(04)00297-8

journal_volume

38

pub_type

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