PMID- 31418344 OWN - NLM STAT- MEDLINE DCOM- 20200525 LR - 20200525 IS - 1875-6212 (Electronic) IS - 1570-1611 (Linking) VI - 17 IP - 5 DP - 2019 TI - What Does the Future Hold for Non-Alcoholic Fatty Liver Disease and Non-Alcoholic Steatohepatitis? PG - 425-428 LID - 10.2174/157016111705190703102816 [doi] AB - Non-Alcoholic Fatty Liver Disease (NAFLD), the most common liver disease, is characterized by accumulation of fat (>5% of the liver tissue), in the absence of alcohol abuse or other chronic liver diseases. Its prevalence is increasing because of obesity, metabolic syndrome or Type 2 Diabetes Mellitus (T2DM). NAFLD can cause liver inflammation and progress to Non-Alcoholic Steatohepatitis (NASH), fibrosis, cirrhosis or Hepatocellular Cancer (HCC). Nevertheless, Cardiovascular Disease (CVD) is the most common cause of morbidity and mortality in NAFLD/NASH patients. Current guidelines suggest the use of pioglitazone both in patients with T2DM and in those without. The newer antidiabetic drugs such as Glucagon Like Peptide-1 Receptor Agonists (GLP-1 RA), Sodium-Glucose co- Transporter-2 inhibitors (SGLT2i), and statins plus ezetimibe, are considered safe by the guidelines, and may have a beneficial effect on NAFLD/NASH as well as Cardiovascular Disease (CVD) morbidity and mortality. Future drugs seem to have a potential for holding down the evolution of NAFLD and reduce liver- and CVD-related morbidity and mortality, but they will take some years to be approved for routine use. Until then pioglitazone, GLP-1 RA, SGLT2i, and statins plus ezetimibe, especially in combination might be useful for treating the huge number of patients with NAFLD/NASH. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Doumas, Michael AU - Doumas M AD - VAMC and George Washington University, Washington, DC, United States. FAU - Imprialos, Konstantinos AU - Imprialos K AD - VAMC and George Washington University, Washington, DC, United States. AD - 2nd Prop. Department of Internal Medicine, Hippocration Hospital, Medical School of Aristotle University Thessaloniki, Thessaloniki, Greece. FAU - Stavropoulos, Konstantinos AU - Stavropoulos K AD - VAMC and George Washington University, Washington, DC, United States. AD - 2nd Prop. Department of Internal Medicine, Hippocration Hospital, Medical School of Aristotle University Thessaloniki, Thessaloniki, Greece. FAU - Athyros, Vasilios G AU - Athyros VG AD - VAMC and George Washington University, Washington, DC, United States. AD - 2nd Prop. Department of Internal Medicine, Hippocration Hospital, Medical School of Aristotle University Thessaloniki, Thessaloniki, Greece. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Vasc Pharmacol JT - Current vascular pharmacology JID - 101157208 RN - 0 (Anticholesteremic Agents) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Hypoglycemic Agents) RN - EOR26LQQ24 (Ezetimibe) SB - IM MH - Anticholesteremic Agents/adverse effects/*therapeutic use MH - Diffusion of Innovation MH - Drug Therapy, Combination MH - Ezetimibe/adverse effects/*therapeutic use MH - Forecasting MH - Gastroenterology/*trends MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects/*therapeutic use MH - Hypoglycemic Agents/adverse effects/*therapeutic use MH - Liver/*drug effects/metabolism/pathology MH - Non-alcoholic Fatty Liver Disease/*drug therapy/metabolism/mortality/pathology MH - Prevalence MH - Risk Factors MH - Risk Reduction Behavior MH - Treatment Outcome OTO - NOTNLM OT - GLP1 RA OT - Non-alcoholic fatty liver disease (NAFLD) OT - SGLT2i OT - ezetimibe OT - non-alcoholic steatohepatitis (NASH) OT - perspective OT - pioglitazone OT - statins. EDAT- 2019/08/17 06:00 MHDA- 2020/05/26 06:00 CRDT- 2019/08/17 06:00 PHST- 2019/08/17 06:00 [entrez] PHST- 2019/08/17 06:00 [pubmed] PHST- 2020/05/26 06:00 [medline] AID - CVP-EPUB-99360 [pii] AID - 10.2174/157016111705190703102816 [doi] PST - ppublish SO - Curr Vasc Pharmacol. 2019;17(5):425-428. doi: 10.2174/157016111705190703102816.