Emerging Therapies for Nonalcoholic Fatty Liver Disease

Clin Liver Dis. 2016 May;20(2):365-85. doi: 10.1016/j.cld.2015.10.015. Epub 2016 Feb 26.

Abstract

Nonalcoholic fatty liver disease is the most common cause of liver disease in the United States. There are no drug therapies approved for the treatment of nonalcoholic steatohepatitis (NASH). Multiple different pathways are involved in the pathogenesis and each can be the target of the therapy. It is possible that more than 1 target is involved in disease development and progression. Multiple clinical trials with promising agents are underway. Because NASH is a slowly progressive disease and treatment likely to be of prolonged duration, acceptance and approval of any agent will require information on long-term clinical benefits and safety.

Keywords: Antifibrotic agents; FXR agonists; Insulin sensitizers; Nonalcoholic fatty liver disease; PPAR agonists.

Publication types

  • Review

MeSH terms

  • Angiotensin Receptor Antagonists / therapeutic use
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use
  • Animals
  • Anti-Inflammatory Agents / therapeutic use
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Antioxidants / therapeutic use
  • Caspase Inhibitors / therapeutic use
  • Chenodeoxycholic Acid / analogs & derivatives*
  • Chenodeoxycholic Acid / therapeutic use
  • Cholic Acids / therapeutic use
  • Fatty Acids, Omega-3 / therapeutic use
  • Humans
  • Incretins / therapeutic use
  • Insulin Resistance
  • Liraglutide / therapeutic use
  • Liver X Receptors / antagonists & inhibitors
  • Non-alcoholic Fatty Liver Disease / drug therapy*
  • Non-alcoholic Fatty Liver Disease / metabolism
  • Pectins / therapeutic use
  • Peroxisome Proliferator-Activated Receptors / agonists
  • Receptors, Cytoplasmic and Nuclear / agonists*
  • Sodium-Glucose Transporter 2
  • Sodium-Glucose Transporter 2 Inhibitors

Substances

  • Angiotensin Receptor Antagonists
  • Angiotensin-Converting Enzyme Inhibitors
  • Anti-Inflammatory Agents
  • Antibodies, Monoclonal, Humanized
  • Antioxidants
  • Caspase Inhibitors
  • Cholic Acids
  • Fatty Acids, Omega-3
  • Incretins
  • Liver X Receptors
  • Peroxisome Proliferator-Activated Receptors
  • Receptors, Cytoplasmic and Nuclear
  • SLC5A2 protein, human
  • Sodium-Glucose Transporter 2
  • Sodium-Glucose Transporter 2 Inhibitors
  • obeticholic acid
  • farnesoid X-activated receptor
  • Chenodeoxycholic Acid
  • simtuzumab
  • Liraglutide
  • Pectins
  • belapectin
  • aramchol