Vizuete John, Camero Alfredo, Malakouti Mazyar, Garapati Karthik, Gutierrez Julio
Department of Medicine, Division of Gastroenterology, University of Texas Health Science Center San Antonio, San Antonio, TX, USA.
The Texas Liver Institute, San Antonio, TX, USA.
J Clin Transl Hepatol. 2017 Mar 28;5(1):67-75. doi: 10.14218/JCTH.2016.00061. Epub 2017 Mar 20.
Nonalcoholic fatty liver disease (NAFLD) represents a major public health epidemic. Pharmacologic therapies for this condition are scarce, but multiple agents with novel mechanisms of action are in development. Here we review the pathophysiology and natural history of NALFD, diagnostic testing and data for currently available treatment strategies. We then turn our attention to promising developmental drugs and their respective trials. As the prevalence of fatty liver disease increases, clinicians will have more tools at hand for management of this condition. We conclude the horizon is bright for patients and doctors who deal with NAFLD.
非酒精性脂肪性肝病(NAFLD)是一种主要的公共卫生流行病。针对这种疾病的药物治疗方法稀缺,但多种具有新型作用机制的药物正在研发中。在此,我们综述NAFLD的病理生理学和自然史、诊断检测以及当前可用治疗策略的数据。然后,我们将注意力转向有前景的正在研发的药物及其各自的试验。随着脂肪性肝病患病率的增加,临床医生在管理这种疾病时将有更多手段。我们得出结论,对于治疗NAFLD的患者和医生来说,前景是光明的。