Articles
| Open Access |
https://doi.org/10.37547/ijmscr/Volume05Issue11-24
Contemporary Approaches To The Diagnosis Of Metabolically Associated Fatty Liver Disease
Abstract
Non-alcoholic fatty liver disease (NAFLD), now referred to as metabolically associated fatty liver disease (MAFLD), is one of the most common liver diseases worldwide, closely linked to the growing obesity epidemic. Despite the growing prevalence of this disease, there is a notable lack of pharmacological agents specifically designed to treat MAFLD. This gap in therapeutic options can be explained by the multifaceted nature of MAFLD, characterized by an incomplete understanding of its underlying mechanisms, a lack of accurate and accessible imaging tools, and the inadequacy of non-invasive biomarkers for effective diagnosis and monitoring.
In addition, this review highlights existing methods for diagnosing MAFLD and emphasizes the growing importance of non-coding RNAs as promising diagnostic biomarkers. Today, the urgent need for non-invasive biomarkers combined with accurate and cost-effective diagnostic tools cannot be overstated, as they play a key role in identifying early signs of MAFLD progression.
Keywords
Non-alcoholic fatty liver disease (NAFLD), metabolically associated fatty liver disease (MAFLD), non-alcoholic steatohepatitis (NASH)
References
Adams, L.A.; Anstee, Q.M.; Tilg, H.; Targher, G. Non-alcoholic fatty liver disease and its relationship with cardiovascular disease and other extrahepatic diseases. Gut 2017, 66, 1138–1153. [Google Scholar] https://doi.org/10.1136/gutjnl-2017-313884
Eslam, M.; Sanyal, A.J.; George, J.; Sanyal, A.; Neuschwander-Tetri, B.; Tiribelli, C.; Kleiner, D.E.; Brunt, E.; Bugianesi, E.; Yki-Järvinen, H.; et al. MAFLD: A Consensus-Driven Proposed Nomenclature for Metabolic Associated Fatty Liver Disease. Gastroenterology 2020, 158, 1999–2014.
Gluchowski, N.L.; Gabriel, K.R.; Chitraju, C.; Bronson, R.T.; Mejhert, N.; Boland, S.; Wang, K.; Lai, Z.W.; Farese, R.V., Jr.; Walther, T.C. Hepatocyte Deletion of Triglyceride-Synthesis Enzyme Acyl CoA: Diacylglycerol Acyltransferase 2 Reduces Steatosis without Increasing Inflammation or Fibrosis in Mice. Hepatology 2019, 70, 1972–1985.
Guan H, Zhang Y, Gao S, Bai L, Zhao S, Cheng XW, Fan J, Liu E. Diff erential Patterns of Secreted Frizzled- Related Protein 4 (SFRP4) in Adipocyte Diff erentiation: Adipose Depot Specifi city. Cell Physiol. Biochem. 2018; 46(5): 2149–2164. Doi:10.1159/000489545.
Peters, K.M.; Wilson, R.B.; Borradaile, N.M. Non-parenchymal hepatic cell lipotoxicity and the coordinated progression of non-alcoholic fatty liver disease and atherosclerosis. Curr. Opin. Lipidol. 2018, 29, 417–422.
Rich, N.E.; Oji, S.; Mufti, A.R.; Browning, J.D.; Parikh, N.D.; Odewole, M.; Mayo, H.; Singal, A.G. Racial and Ethnic Disparities in Nonalcoholic Fatty Liver Disease Prevalence, Severity, and Outcomes in the United States: A Systematic Review and Meta-analysis. Clin. Gastroenterol. Hepatol. 2018, 16, 198–210.e192. https://doi.org/10.1016/j.cgh.2017.09.041
Schulze, R.J.; Schott, M.B.; Casey, C.A.; Tuma, P.L.; McNiven, M.A. The cell biology of the hepatocyte: A membrane trafficking machine. J. Cell Biol. 2019, 218, 2096–2112.
Wallace, M.; Metallo, C.M. Tracing insights into de novo lipogenesis in liver and adipose tissues. Semin. Cell Dev. Biol. 2020, 108, 65–71.
Younossi, Z.M.; Koenig, A.B.; Abdelatif, D.; Fazel, Y.; Henry, L.; Wymer, M. Global epidemiology of nonalcoholic fatty liver disease-Meta-analytic assessment of prevalence, incidence, and outcomes. Hepatology 2016, 64, 73–84.
Бакулин И. Г., Сандлер Ю. Г., Кейян В. А., Винницкая Е. В. и др. Оценка стеатоза печени с помощью неинвазивного метода: миф или реальность? // Доктор.Ру. Гастроэнтерология. 2015. № 12. С. 57–64.
Диомидова В. Н., Тарасова Л. В., Трухан Д. И., Цыганова Ю. В., Виноградова В. С. Информативность эластографии сдвиговой волной с эластометрией при неалкогольной жировой болезни печени // Практич. медицина. 2018. № 1. С. 81–85.
Ивашкин В. Т., Маевская М. В., Павлов Ч. С. и др. Клинические рекомендации по диагностике и лечению неалкогольной жировой болезни печени Российского общества по изучению печени и Российской гастроэнтерологической ассоциации // Рос. журн. гастроэнтерологии, гепатологии, колопроктологии. 2016. № 2. С. 24–42.
Кручинина М. В., Курилович С. А., Громов А. А. и др. К вопросу о дифференциальной диагностике алкогольной и неалкогольной жировой болезни печени // Междунар. журн. приклад. и фундамент. исслед. 2016. № 7 (1). С. 36–45. URL: http://applied-research.ru/ru/article/view?id=9753 (дата обращения: 03.09.2018).
Куяров А. В, Мартынов М. Ю., Куяров А. А., Попова А. В. Социально-гигиенический мониторинг качества питания населения северного города // Вестник СурГУ. Медицина. 2017. № 4. С. 44–48.
Лившиц И. К. Алкогольное поражение печени: место гепатопротективной терапии // Вестник СурГУ. Медицина. № 1. 2018. С. 16–20.
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