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Title:
Perspectives on Precision Medicine Approaches to NAFLD Diagnosis and Management | Advances in Therapy
Description:
Precision medicine defines the attempt to identify the most effective approaches for specific subsets of patients based on their genetic background, clinical features, and environmental factors. Nonalcoholic fatty liver disease (NAFLD) encompasses the alcohol-like spectrum of liver disorders (steatosis, steatohepatitis with/without fibrosis, and cirrhosis and hepatocellular carcinoma) in the nonalcoholic patient. Recently, disease renaming to MAFLD [metabolic (dysfunction)-associated fatty liver disease] and positive criteria for diagnosis have been proposed. This review article is specifically devoted to envisaging some clues that may be useful to implementing a precision medicine-oriented approach in research and clinical practice. To this end, we focus on how sex and reproductive status, genetics, intestinal microbiota diversity, endocrine and metabolic status, as well as physical activity may interact in determining NAFLD/MAFLD heterogeneity. All these factors should be considered in the individual patient with the aim of implementing an individualized therapeutic plan. The impact of considering NAFLD heterogeneity on the development of targeted therapies for NAFLD subgroups is also extensively discussed.
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Keywords {馃攳}
pubmed, liver, nafld, article, disease, google, scholar, nonalcoholic, fatty, patients, cas, risk, fibrosis, medicine, central, hepatol, precision, clinical, exercise, diabetes, gastroenterol, management, data, metabolic, sex, nash, studies, cardiovascular, review, lonardo, patient, treatment, microbiota, based, diagnosis, genetic, approach, hepatic, study, clin, therapy, steatohepatitis, therapeutic, diet, status, gut, weight, approaches, factors, physical,
Topics {鉁掞笍}
long-term safety profile final report summary鈥攎eta-predict metabolomic profiles antiatherogenic lipid profile author information authors atherogenic lipoprotein profile low-carbohydrate high-fat diets author correspondence original author higuera-de-la-tijera microbiota-centered view article download pdf eu/project/id/277936/reporting alcoholic fatty-liver disease amedeo lonardo view digital features improves cardio-respiratory fitness frankly altered gluco-tolerance environmental profile hepatitis c-related fibrosis vibration-controlled transient elastography moderate-intensity aerobic exercise clear-cut data suggesting data supporting cost-effectiveness metabolic syndrome-related nafld genome-wide association studies alcohol-related liver disease pontificia universidad cat贸lica alvares-da-silva mr growth hormone axis evolving view nash-related cirrhosis treated germ-free mice exhibit multi-centre intervention study multi-national cohort study dose鈥搑esponse relationship exists blood-based biomarker panel arab jp high-intensity interval training vilar-gomez middle-aged swedish men alcoholic fatty liver gut microbiome-targeted therapies thyroid鈥搇iver axis tecnolog铆a de chile low-carbohydrate diets fatty liver disease] fatty liver disease fatty liver disease nonalcoholic steatohepatitis-related
Questions {鉂搣
- A round trip from nonalcoholic fatty liver disease to diabetes: molecular targets to the rescue?
- Abnormalities in the growth hormone axis and risk of nonalcoholic steatohepatitis: active player or innocent bystander?
- Do metabolic syndrome-related NAFLD and PNPLA3-related NAFLD exert a variable impact on the risk of early carotid atherosclerosis?
- Does clinical methodology yet exist?
- Does nonalcoholic fatty liver disease cause cardiovascular disease?
- Evidence that non-alcoholic fatty liver disease and polycystic ovary syndrome are associated by necessity rather than chance: a novel hepato-ovarian axis?
- Hypothyroidism and nonalcoholic fatty liver disease - a chance association?
- Non-alcoholic fatty liver disease and hypertension: coprevalent or correlated?
- Nonalcoholic fatty liver disease: does sex matter?
- Pathogenesis of hypothyroidism-induced NAFLD: Evidence for a distinct disease entity?
- Renaming NAFLD to MAFLD: could the LDE system assist in this transition?
- Thyroid hormones and thyromimetics: a new approach to nonalcoholic steatohepatitis?
- What鈥檚 in a name?
- Why do so many NASH trials fail?
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headline:Perspectives on Precision Medicine Approaches to NAFLD Diagnosis and Management
description:Precision medicine defines the attempt to identify the most effective approaches for specific subsets of patients based on their genetic background, clinical features, and environmental factors. Nonalcoholic fatty liver disease (NAFLD) encompasses the alcohol-like spectrum of liver disorders (steatosis, steatohepatitis with/without fibrosis, and cirrhosis and hepatocellular carcinoma) in the nonalcoholic patient. Recently, disease renaming to MAFLD [metabolic (dysfunction)-associated fatty liver disease] and positive criteria for diagnosis have been proposed. This review article is specifically devoted to envisaging some clues that may be useful to implementing a precision medicine-oriented approach in research and clinical practice. To this end, we focus on how sex and reproductive status, genetics, intestinal microbiota diversity, endocrine and metabolic status, as well as physical activity may interact in determining NAFLD/MAFLD heterogeneity. All these factors should be considered in the individual patient with the aim of implementing an individualized therapeutic plan. The impact of considering NAFLD heterogeneity on the development of targeted therapies for聽NAFLD聽subgroups is also extensively discussed.
datePublished:2021-04-07T00:00:00Z
dateModified:2021-04-07T00:00:00Z
pageStart:2130
pageEnd:2158
license:http://creativecommons.org/licenses/by-nc/4.0/
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keywords:
Cirrhosis
Fibrosis
Metabolic syndrome
NAFLD
NASH
Nonalcoholic fatty liver disease
Nonalcoholic steatohepatitis
Steatosis
Internal Medicine
Oncology
Cardiology
Rheumatology
Endocrinology
Pharmacology/Toxicology
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headline:Perspectives on Precision Medicine Approaches to NAFLD Diagnosis and Management
description:Precision medicine defines the attempt to identify the most effective approaches for specific subsets of patients based on their genetic background, clinical features, and environmental factors. Nonalcoholic fatty liver disease (NAFLD) encompasses the alcohol-like spectrum of liver disorders (steatosis, steatohepatitis with/without fibrosis, and cirrhosis and hepatocellular carcinoma) in the nonalcoholic patient. Recently, disease renaming to MAFLD [metabolic (dysfunction)-associated fatty liver disease] and positive criteria for diagnosis have been proposed. This review article is specifically devoted to envisaging some clues that may be useful to implementing a precision medicine-oriented approach in research and clinical practice. To this end, we focus on how sex and reproductive status, genetics, intestinal microbiota diversity, endocrine and metabolic status, as well as physical activity may interact in determining NAFLD/MAFLD heterogeneity. All these factors should be considered in the individual patient with the aim of implementing an individualized therapeutic plan. The impact of considering NAFLD heterogeneity on the development of targeted therapies for聽NAFLD聽subgroups is also extensively discussed.
datePublished:2021-04-07T00:00:00Z
dateModified:2021-04-07T00:00:00Z
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license:http://creativecommons.org/licenses/by-nc/4.0/
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keywords:
Cirrhosis
Fibrosis
Metabolic syndrome
NAFLD
NASH
Nonalcoholic fatty liver disease
Nonalcoholic steatohepatitis
Steatosis
Internal Medicine
Oncology
Cardiology
Rheumatology
Endocrinology
Pharmacology/Toxicology
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