Geng Wanying, Liao Wanying, Cao Xinyuan, Yang Yingyun
4+4 Medical Doctor Program, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China.
Department of Gastroenterology, Department of Internal Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China.
Biomedicines. 2025 Feb 6;13(2):393. doi: 10.3390/biomedicines13020393.
Non-alcoholic fatty liver disease (NAFLD) and its advanced form, non-alcoholic steatohepatitis (NASH), are the leading causes of chronic liver disease globally. They are driven by complex mechanisms where inflammation plays a pivotal role in disease progression. Current therapies, including lifestyle changes and pharmacological agents, are limited in efficacy, particularly in addressing the advanced stages of the disease. Emerging approaches targeting inflammation, metabolic dysfunction, and fibrosis offer promising new directions, though challenges such as treatment complexity and heterogeneity persist. This review concludes the main therapeutic targets and approaches to manage inflammation currently and emphasizes the critical need for future drug development and combination therapy for NAFLD/NASH management.
非酒精性脂肪性肝病(NAFLD)及其晚期形式非酒精性脂肪性肝炎(NASH)是全球慢性肝病的主要病因。它们由复杂的机制驱动,其中炎症在疾病进展中起关键作用。目前的治疗方法,包括生活方式改变和药物治疗,疗效有限,尤其是在应对疾病的晚期阶段。针对炎症、代谢功能障碍和纤维化的新兴方法提供了有前景的新方向,尽管治疗复杂性和异质性等挑战仍然存在。本综述总结了目前管理炎症的主要治疗靶点和方法,并强调了未来开发治疗NAFLD/NASH的药物和联合疗法的迫切需求。