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Pharmacological Therapy of Non-Alcoholic Fatty Liver Disease: What Drugs Are Available Now and Future Perspectives

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  • Grazia Pennisi

    (Section of Gastroenterology and Hepatology, PROMISE, Policlinico Universitario Paolo Giaccone, Piazza delle Cliniche 2, 90127 Palermo, Italy)

  • Ciro Celsa

    (Section of Gastroenterology and Hepatology, PROMISE, Policlinico Universitario Paolo Giaccone, Piazza delle Cliniche 2, 90127 Palermo, Italy)

  • Federica Spatola

    (Section of Gastroenterology and Hepatology, PROMISE, Policlinico Universitario Paolo Giaccone, Piazza delle Cliniche 2, 90127 Palermo, Italy)

  • Marcello Dallio

    (Department of Precision Medicine, University of Campania Luigi Vanvitelli, via Pansini 5, 80131 Naples, Italy)

  • Alessandro Federico

    (Department of Precision Medicine, University of Campania Luigi Vanvitelli, via Pansini 5, 80131 Naples, Italy)

  • Salvatore Petta

    (Section of Gastroenterology and Hepatology, PROMISE, Policlinico Universitario Paolo Giaccone, Piazza delle Cliniche 2, 90127 Palermo, Italy)

Abstract

The non-alcoholic fatty liver disease (NAFLD) is rapidly becoming the most common cause of chronic liver disease as well as the first cause of liver transplantation. NAFLD is commonly associated with metabolic syndrome (MetS), and this is the most important reason why it is extremely difficult to treat this disease bearing in mind the enormous amount of interrelationships between the liver and other systems in maintaining the metabolic health. The treatment of NAFLD is a key point to prevent NASH progression to advanced fibrosis, to prevent cirrhosis and to prevent the development of its hepatic complications (such as liver decompensation and HCC) and even extrahepatic one. A part of the well-known healthy effect of diet and physical exercise in this setting it is important to design the correct pharmaceutical strategy in order to antagonize the progression of the disease. In this regard, the current review has the scope to give a panoramic view on the possible pharmacological treatment strategy in NAFLD patients.

Suggested Citation

  • Grazia Pennisi & Ciro Celsa & Federica Spatola & Marcello Dallio & Alessandro Federico & Salvatore Petta, 2019. "Pharmacological Therapy of Non-Alcoholic Fatty Liver Disease: What Drugs Are Available Now and Future Perspectives," IJERPH, MDPI, vol. 16(22), pages 1-26, November.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:22:p:4334-:d:284384
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    References listed on IDEAS

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    1. Sander Kersten & Béatrice Desvergne & Walter Wahli, 2000. "Roles of PPARs in health and disease," Nature, Nature, vol. 405(6785), pages 421-424, May.
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    Cited by:

    1. Jesús Funuyet-Salas & María Ángeles Pérez-San-Gregorio & Agustín Martín-Rodríguez & Manuel Romero-Gómez, 2021. "Quality of Life and Coping in Nonalcoholic Fatty Liver Disease: Influence of Diabetes and Obesity," IJERPH, MDPI, vol. 18(7), pages 1-15, March.

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