The Effects of Hypoglycemic Agents on Non-alcoholic Fatty Liver Disease: Focused on Sodium-Glucose Cotransporter 2 Inhibitors and Glucagon-Like Peptide-1 Receptor Agonists

J Obes Metab Syndr. 2019 Mar;28(1):18-29. doi: 10.7570/jomes.2019.28.1.18. Epub 2019 Mar 30.

Abstract

The only known, effective intervention for non-alcoholic fatty liver disease (NAFLD) is weight loss, and there is no approved pharmacotherapy. Recently, new hypoglycemic agents, such as sodium-glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide-1 receptor agonists (GLP-1RAs), and their effects on NAFLD have received substantial interest. Herein, we review the currently available human studies regarding the effects of SGLT2 inhibitors and GLP-1RAs on NAFLD/non-alcoholic steatohepatitis in patients with type 2 diabetes mellitus, and we describe the possible mechanisms explaining the positive effects of these agents on NAFLD.

Keywords: Glucagon-like peptide-1 receptor agonist; Non-alcoholic fatty liver disease; Sodium-glucose cotransporter 2 inhibitor; Type 2 diabetes mellitus.

Publication types

  • Review