Pathophysiology Articles

Explore articles focused on the pathophysiology of NASH. Gain a deeper understanding of the disease processes, from risk factors and progression to potential treatment targets.

Dysregulations in Gut Microbiota Composition and Hepatic DNA Methylation in NAFLD: Is There a Link?

Patients with non-alcoholic fatty liver disease (NAFLD) exhibit alterations in their gut microbiota composition. Indeed, both nuclear and mitochondrial DNA methylation have been linked to the development of NAFLD and metabolic diseases, including obesity and type 2 diabetes mellitus.

Read MoreDysregulations in Gut Microbiota Composition and Hepatic DNA Methylation in NAFLD: Is There a Link?

T2D-Related Complications and its Impact on Fibrosis Levels: An Emerging Association?

Patients with T2D complications have a 4.5x greater risk of developing fibrosis, independent of HbA1c levels. FIB-4 index can help identify diabetic patients at highest risk, improving primary care screening.

Read MoreT2D-Related Complications and its Impact on Fibrosis Levels: An Emerging Association?

Non-Invasive Tests to Stratify NAFLD Based on Liver-Related Events: A Review

FIB4 and VCTE show promise in predicting prognosis for NAFLD patients. These non-invasive tests offer an alternative to liver biopsies for risk stratification. Quick and easily prescribed, they can streamline referrals and specialized management. A sequential algorithm with FIB4 and VCTE may improve NAFLD care.

Read MoreNon-Invasive Tests to Stratify NAFLD Based on Liver-Related Events: A Review

Inflammation in Non-alcoholic Fatty Liver Disease: Part 1

Non-alcoholic fatty liver disease (NAFLD) has a more progressive form, non-alcoholic steatohepatitis (NASH). In both conditions, inflammation is a key driver of the pathogenesis. There are various causes of metabolic injury in the conditions, leading to the activation of different immune cells such as hepatic Kupffer cells.

Read MoreInflammation in Non-alcoholic Fatty Liver Disease: Part 1

Inflammation in Non-alcoholic Fatty Liver Disease: Part 2

Non-alcoholic fatty liver disease (NAFLD) has a more progressive form, non-alcoholic steatohepatitis (NASH). In both conditions, inflammation is a key driver of the pathogenesis. Current treatments mostly focus on promoting weight loss (through encouraging lifestyle changes, or, if necessary, bariatric surgery) and improving comorbidities through pharmacotherapy, such as type 2 diabetes.

Read MoreInflammation in Non-alcoholic Fatty Liver Disease: Part 2

MAFLD: brain-gut-liver axis and insulin resistance

There are many complex physio-pathologic connections within the brain, gut, and liver axis. This review by E. Rebelos et al. (University of Turku, Finland) is focused on the early pathophysiology of brain, gut, and liver axis in the context of insulin resistance and specifically addresses two pillars of hepatic insulin resistance....

Read MoreMAFLD: brain-gut-liver axis and insulin resistance

Genetic and epigenetic factors determining NAFLD risk

Predicting the individual risk of NAFLD and determining the probability of disease progression is the basis for further developing prevention and treatment strategies. This requires knowledge of the genetic and epigenetic modifiers of NAFLD for genotype-guided risk stratification...

Read MoreGenetic and epigenetic factors determining NAFLD risk

Increased plasma XOR activity induced by NAFLD/NASH and its possible involvement in vascular neointimal proliferation

Xanthine oxidoreductase is an enzyme that catalyses hypoxanthine to xanthine and xanthine to uric acid, respectively. However, the underlying mechanisms of increased plasma xanthine oxidoreductase and its pathological roles in systemic diseases, such as atherosclerosis, are not fully understood...

Read MoreIncreased plasma XOR activity induced by NAFLD/NASH and its possible involvement in vascular neointimal proliferation