Commented Articles

PanNASH covers commented articles ans publications to acquire sufficient information, understanding, and skills to cope with NASH/NAFLD healthcare demands.

Noninvasive Tools for Diagnosing NASH: an expert panel consensus?

Noninvasive tests (NITs) have been developed as an alternative to invasive liver biopsy, the current gold standard for non-alcoholic steatohepatitis (NASH) diagnosis and hepatic fibrosis stage identification. The use of NITs in clinical practice should facilitate the early diagnosis of high-risk non-alcoholic fatty liver disease (NAFLD).

Read MoreNoninvasive Tools for Diagnosing NASH: an expert panel consensus?

Manganese exposure level: a biomarker of the development of NAFLD?

Non-alcoholic fatty liver disease (NAFLD) has recently been regarded as a hepatic manifestation of metabolic syndrome (MetS) due to its similarities in aetiology with diabetes mellitus, obesity, and dyslipidaemia. Several studies in recent years have suggested that exposure toxic environmental compounds may contribute to liver disease onset.

Read MoreManganese exposure level: a biomarker of the development of NAFLD?

Depression in non-alcoholic fatty liver disease is associated with an increased risk of complications and mortality

It is known that NAFLD is associated with intra- and extra-hepatic complications, including increased risk of cardiovascular disease (CVD) and chronic kidney disease. Emerging evidence has also suggested the existence of an association between NAFLD and depression.

Read MoreDepression in non-alcoholic fatty liver disease is associated with an increased risk of complications and mortality

Metabolic syndrome: an upstream metabolic defect leading to manifestations in both the heart and liver?

Nonalcoholic fatty liver disease (NAFLD) is characterised by the presence of hepatic
steatosis without significant alcohol consumption or concomitant liver disease. Cardiovascular disease (CVD) is a leading cause of death in people living with NAFLD.

Read MoreMetabolic syndrome: an upstream metabolic defect leading to manifestations in both the heart and liver?

NAFLD–related HCC: Lower surveillance rates and cirrhosis prevalence

Patients with non-alcoholic fatty liver disease (NAFLD) are at a higher risk of developing liver-related complications. This includes liver decompensation and hepatocellular carcinoma (HCC).
Although this association is well-known, no comprehensive meta-analysis comparing the clinical presentation and outcomes of NAFLD-related HCC to that of non-NAFLD-related HCC currently exists.

Read MoreNAFLD–related HCC: Lower surveillance rates and cirrhosis prevalence

MAFLD-HCC in Italy: a rapidly increasing prevalence, a reduced cancer aggressiveness?

Non-alcoholic liver disease (NAFLD)’s current nomenclature supports an exclusionary diagnosis, i.e. based on the ruling out of other liver disease causes instead of active case-finding. As an alternative to NAFLD, an international panel of experts has recently proposed a new definition of NAFLD, termed metabolic dysfunction-associated fatty liver disease (MAFLD), based on active identification of its associated metabolic risk factors.

Read MoreMAFLD-HCC in Italy: a rapidly increasing prevalence, a reduced cancer aggressiveness?