1. The impact of sodium glucose co‐transporter 2 inhibitors on non‐alcoholic fatty liver disease
- Author
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Antonios Chatzigeorgiou, Lampros Chrysavgis, Alkistis-Maria Papatheodoridi, and Evangelos Cholongitas
- Subjects
Male ,medicine.medical_specialty ,Cirrhosis ,digestive system ,Gastroenterology ,Liver disorder ,03 medical and health sciences ,0302 clinical medicine ,Glucosides ,Sodium-Glucose Transporter 2 ,Non-alcoholic Fatty Liver Disease ,Fibrosis ,Internal medicine ,medicine ,Animals ,Humans ,Hypoglycemic Agents ,Benzhydryl Compounds ,Canagliflozin ,Rats, Wistar ,Sodium-Glucose Transporter 2 Inhibitors ,Clinical Trials as Topic ,Hepatology ,business.industry ,Fatty liver ,nutritional and metabolic diseases ,Type 2 Diabetes Mellitus ,medicine.disease ,digestive system diseases ,Diabetes Mellitus, Type 2 ,030220 oncology & carcinogenesis ,Hepatocellular carcinoma ,Female ,030211 gastroenterology & hepatology ,Steatohepatitis ,Steatosis ,business - Abstract
Affecting one fourth of the global population, non-alcoholic fatty liver disease (NAFLD) is the commonest chronic liver disorder. It encompasses the simple liver fat accumulation to more progressive steatosis, inflammation, and fibrosis characterized as non-alcoholic steatohepatitis (NASH) and in some cases cirrhosis and hepatocellular carcinoma. NAFLD regularly coexists with metabolic disorders, such as obesity and mostly type 2 diabetes mellitus (T2DM). A relatively new class of antidiabetic drugs, the sodium glucose co-transporter 2 (SGLT2) inhibitors exert their action by increasing the urinary glucose and calorie excretion leading to ameliorated plasma glucose levels and lower bodyweight. Recently, several animal studies and human clinical trial have emphasized the possible beneficial impact of SGLT2 inhibitors on NAFLD and its progression to NASH. In this present review, we summarize the current literature regarding the efficacy of the aforementioned category of drugs on anthropometric, laboratory, and histological features of patients with NAFLD. Conclusively, as SGLT2 inhibitors seem to be an appealing therapeutic opportunity for NAFLD management, we identify the open issues and questions to be addressed in order to clarify the impact in choosing antidiabetic medication to treat NAFLD patients associated with T2DM.
- Published
- 2020
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