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World J Hepatol. Sep 27, 2022; 14(9): 1718-1729
Published online Sep 27, 2022. doi: 10.4254/wjh.v14.i9.1718
Therapies for non-alcoholic fatty liver disease: A 2022 update
Katie Shen, Achintya D Singh, Jamak Modaresi Esfeh, Jamile Wakim-Fleming
Katie Shen, Achintya D Singh, Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, United States
Jamak Modaresi Esfeh, Jamile Wakim-Fleming, Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, OH 44195, United States
Author contributions: Shen K and Singh AD contributed to paper design, primary analysis, manuscript writing; Shen K contributed to literature review; Modaresi Esfeh J and Wakim-Fleming F contributed to critical revisions; all authors have made a significant contribution to this study and have approved the final manuscript.
Conflict-of-interest statement: There are no conflicts of interest or supportive foundations to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Katie Shen, MD, Doctor, Department of Internal Medicine, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, United States. shenk2@ccf.org
Received: May 19, 2022
Peer-review started: May 19, 2022
First decision: June 9, 2022
Revised: June 22, 2022
Accepted: August 16, 2022
Article in press: August 16, 2022
Published online: September 27, 2022
Abstract

The incidence of non-alcoholic fatty liver disease (NAFLD) is rapidly increasing and lifestyle interventions to treat this disease by addressing the underlying metabolic syndrome are often limited. Many pharmacological interventions are being studied to slow or even reverse NAFLD progression. This review for hepatologists aims to provide an updated understanding of the pathogenesis of NAFLD, current recommended therapies, and the most promising treatment options that are currently under development.

Keywords: Non-alcoholic fatty liver disease, Non-alcoholic steatohepatitis, Treatment

Core Tip: Non-alcoholic fatty liver disease (NAFLD) is a rapidly growing epidemic with high morbidity and mortality. Although lifestyle modifications will remain a cornerstone of disease management, a multitude of therapies are under development that target different aspects of NAFLD pathogenesis.