PMID- 28918389 OWN - NLM STAT- MEDLINE DCOM- 20180910 LR - 20180910 IS - 1708-8267 (Electronic) IS - 1081-5589 (Linking) VI - 66 IP - 1 DP - 2018 Jan TI - Glucagon like peptide-1 receptor agonists for the management of obesity and non-alcoholic fatty liver disease: a novel therapeutic option. PG - 7-10 LID - 10.1136/jim-2017-000554 [doi] AB - Obesity is a major risk factor for the development of type 2 diabetes mellitus (T2DM), and is associated with a cluster of metabolic factors that lead to poor cardiovascular outcomes. In non-alcoholic fatty liver disease (NAFLD), liver fat (triglyceride) accumulation closely mirrors adipose tissue dysfunction and insulin resistance in obesity and T2DM. It is now recognized as the most common chronic liver disease in Westernized societies, often progressing to more severe forms of the disease such as nonalcoholic steatohepatitis (NASH), or cirrhosis and hepatocellular carcinoma. However, NAFLD remains largely overlooked by healthcare providers although it affects about two-thirds of patients with obesity and it promotes the development of T2DM. NAFLD mirrors adipose tissue and systemic insulin resistance, the liver being a 'barometer' of metabolic health. Although pioglitazone is emerging as the treatment of choice for NASH in patients with insulin-resistance, or those with T2DM, many other options are being tested. Due to their overall safety and efficacy, glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are becoming one of the cornerstones for the management of both obesity and T2DM, and a novel alternative for the treatment of NAFLD. In this review, we will briefly summarize the status of GLP-1RA for the treatment of obesity and NAFLD. CI - (c) American Federation for Medical Research (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. FAU - Dhir, Gauri AU - Dhir G AD - Division of Endocrinology, Diabetes and Metabolism, University of Florida, Gainesville, Florida, USA. AD - Division of Endocrinology, Diabetes and Metabolism, Malcom Randall VA Medical Center, Gainesville, Florida, USA. FAU - Cusi, Kenneth AU - Cusi K AD - Division of Endocrinology, Diabetes and Metabolism, University of Florida, Gainesville, Florida, USA. AD - Division of Endocrinology, Diabetes and Metabolism, Malcom Randall VA Medical Center, Gainesville, Florida, USA. LA - eng PT - Journal Article PT - Review DEP - 20170915 PL - England TA - J Investig Med JT - Journal of investigative medicine : the official publication of the American Federation for Clinical Research JID - 9501229 RN - 0 (Glucagon-Like Peptide-1 Receptor) SB - IM MH - Animals MH - Glucagon-Like Peptide-1 Receptor/*agonists MH - Humans MH - Models, Biological MH - Non-alcoholic Fatty Liver Disease/*drug therapy MH - Obesity/*drug therapy OTO - NOTNLM OT - GLP-1 OT - NASH OT - fatty liver OT - obesity OT - steatosis OT - type 2 diabetes mellitus COIS- Competing interests: None declared. EDAT- 2017/09/18 06:00 MHDA- 2018/09/11 06:00 CRDT- 2017/09/18 06:00 PHST- 2017/08/12 00:00 [accepted] PHST- 2017/09/18 06:00 [pubmed] PHST- 2018/09/11 06:00 [medline] PHST- 2017/09/18 06:00 [entrez] AID - jim-2017-000554 [pii] AID - 10.1136/jim-2017-000554 [doi] PST - ppublish SO - J Investig Med. 2018 Jan;66(1):7-10. doi: 10.1136/jim-2017-000554. Epub 2017 Sep 15.