PMID- 31672448 OWN - NLM STAT- MEDLINE DCOM- 20200219 LR - 20200219 IS - 1532-8600 (Electronic) IS - 0026-0495 (Linking) VI - 101 DP - 2019 Dec TI - Effects of newer antidiabetic drugs on nonalcoholic fatty liver and steatohepatitis: Think out of the box! PG - 154001 LID - S0026-0495(19)30216-1 [pii] LID - 10.1016/j.metabol.2019.154001 [doi] AB - Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in Western societies and a major cause of hepatic disease worldwide. Its more severe type, namely nonalcoholic steatohepatitis (NASH), may result in the development of cirrhosis and hepatocellular carcinoma. NAFLD, and especially NASH, are also associated with increased cardiovascular morbidity and mortality. Type 2 diabetes mellitus (T2DM) predisposes to NAFLD development and progression via insulin resistance and hyperglycemia. It has also been reported that the majority of T2DM patients have NAFLD/NASH, thus potentially further increasing their cardiometabolic risk. Current guidelines recommend to screen for NAFLD in all T2DM patients and vice-versa. Lifestyle remains the first-line therapeutic option for NAFLD/NASH. Among antidiabetic drugs, pioglitazone was shown to improve histological features of NASH. More recently, there is an increasing interest regarding the effects of newer anti-diabetic drugs, such as dipeptidyl peptidase 4 inhibitors (DPP-4i), sodium glucose cotransporter 2 inhibitors (SGLT2i), and glucagon-like peptide-1 receptor agonists (GLP-1 RAs) on NAFLD/NASH. The present narrative review considers the up-to-date data on the impact of DPP-4i, SGLT2i, and GLP-1 RAs on biochemical and/or histological markers of NAFLD/NASH. The potential clinical implications of these findings in daily practice are also discussed. Taking into consideration the global increasing prevalence of NAFLD/NASH, therapeutic options that can prevent or treat this disease will exert considerable benefits on human health. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Ranjbar, Golnaz AU - Ranjbar G AD - Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Mikhailidis, Dimitri P AU - Mikhailidis DP AD - Department of Clinical Biochemistry, Royal Free Hospital Campus, University College London Medical School, University College London (UCL), London, United Kingdom. FAU - Sahebkar, Amirhossein AU - Sahebkar A AD - Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran; Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: sahebkara@mums.ac.ir. LA - eng PT - Journal Article PT - Review DEP - 20191028 PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - X4OV71U42S (Pioglitazone) SB - IM MH - Diabetes Mellitus, Type 2/complications MH - Dipeptidyl-Peptidase IV Inhibitors/therapeutic use MH - Fatty Liver/*drug therapy MH - Glucagon-Like Peptide 1/therapeutic use MH - Humans MH - Hypoglycemic Agents/*pharmacology/therapeutic use MH - Non-alcoholic Fatty Liver Disease/complications/*drug therapy MH - Pioglitazone/therapeutic use MH - Sodium-Glucose Transporter 2 Inhibitors/therapeutic use OTO - NOTNLM OT - Dipeptidyl peptidase 4 inhibitors OT - Glucagon-like peptide-1 receptor agonists OT - Nonalcoholic fatty liver disease OT - Nonalcoholic steatohepatitis OT - Sodium glucose cotransporter 2 inhibitors OT - Type 2 diabetes mellitus EDAT- 2019/11/02 06:00 MHDA- 2020/02/20 06:00 CRDT- 2019/11/02 06:00 PHST- 2019/07/29 00:00 [received] PHST- 2019/10/02 00:00 [revised] PHST- 2019/10/15 00:00 [accepted] PHST- 2019/11/02 06:00 [pubmed] PHST- 2020/02/20 06:00 [medline] PHST- 2019/11/02 06:00 [entrez] AID - S0026-0495(19)30216-1 [pii] AID - 10.1016/j.metabol.2019.154001 [doi] PST - ppublish SO - Metabolism. 2019 Dec;101:154001. doi: 10.1016/j.metabol.2019.154001. Epub 2019 Oct 28.