PMID- 35286799 OWN - NLM STAT- MEDLINE DCOM- 20221021 LR - 20230103 IS - 2287-285X (Electronic) IS - 2287-2728 (Print) IS - 2287-2728 (Linking) VI - 28 IP - 4 DP - 2022 Oct TI - Old and new classes of glucose-lowering agents as treatments for non-alcoholic fatty liver disease: A narrative review. PG - 725-738 LID - 10.3350/cmh.2022.0015 [doi] AB - Non-alcoholic fatty liver disease (NAFLD) has become the most common chronic liver disease with a global prevalence of about 55% in people with type 2 diabetes mellitus (T2DM). T2DM, obesity and NAFLD are three closely inter-related pathological conditions. In addition, T2DM is one of the strongest clinical risk factors for the faster progression of NAFLD to non-alcoholic steatohepatitis (NASH), cirrhosis and hepatocellular carcinoma. Increasing evidence suggests that newer classes of glucose-lowering drugs, such as peroxisome proliferator-activated receptor agonists, glucagon-like peptide-1 receptor agonists, dipeptidyl peptidase-4 inhibitors or sodium-glucose cotransporter-2 inhibitors, could reduce the rates of NAFLD progression. This narrative review aims to briefly summarize the recent results from randomized controlled trials testing the efficacy and safety of old and new glucose-lowering drugs for the treatment of NAFLD or NASH in adults both with and without coexisting T2DM. FAU - Miao, Lei AU - Miao L AD - Department of Gastroenterology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Xu, Jing AU - Xu J AD - Department of Endocrinology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Targher, Giovanni AU - Targher G AD - Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy. FAU - Byrne, Christopher D AU - Byrne CD AD - Southampton National Institute for Health Research Biomedical Research Centre, University Hospital Southampton, Southampton General Hospital, Southampton, UK. FAU - Zheng, Ming-Hua AU - Zheng MH AD - NAFLD Research Center, Department of Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. AD - Key Laboratory of Diagnosis and Treatment for The Development of Chronic Liver Disease in Zhejiang Province, Wenzhou, China. LA - eng GR - 82070588/National Natural Science Foundation of China/ GR - S2032102600032/High Level Creative Talents from the Department of Public Health in Zhejiang Province/ GR - Project of New Century 551 Talent Nurturing in Wenzhou/ GR - University School of Medicine of Verona/ GR - IS-BRC-20004/Southampton NIHR Biomedical Research Centre/ PT - Journal Article PT - Review DEP - 20220314 PL - Korea (South) TA - Clin Mol Hepatol JT - Clinical and molecular hepatology JID - 101586730 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - IY9XDZ35W2 (Glucose) RN - 0 (Peroxisome Proliferator-Activated Receptors) RN - EC 3.4.14.- (Dipeptidyl-Peptidases and Tripeptidyl-Peptidases) RN - 9NEZ333N27 (Sodium) SB - IM MH - Humans MH - *Non-alcoholic Fatty Liver Disease/complications/drug therapy/epidemiology MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Glucagon-Like Peptide-1 Receptor/therapeutic use MH - *Sodium-Glucose Transporter 2 Inhibitors/therapeutic use MH - Glucose/therapeutic use MH - Peroxisome Proliferator-Activated Receptors/therapeutic use MH - Dipeptidyl-Peptidases and Tripeptidyl-Peptidases/therapeutic use MH - Sodium PMC - PMC9597221 OTO - NOTNLM OT - Glucose-lowering drugs OT - Metabolic dysfunctionassociated fatty liver disease OT - Non-alcoholic fatty liver disease OT - Type 2 diabetes mellitus COIS- Conflicts of Interest The authors have no conflicts to disclose. EDAT- 2022/03/15 06:00 MHDA- 2022/10/22 06:00 PMCR- 2022/10/01 CRDT- 2022/03/14 19:33 PHST- 2022/01/15 00:00 [received] PHST- 2022/03/11 00:00 [accepted] PHST- 2022/03/15 06:00 [pubmed] PHST- 2022/10/22 06:00 [medline] PHST- 2022/03/14 19:33 [entrez] PHST- 2022/10/01 00:00 [pmc-release] AID - cmh.2022.0015 [pii] AID - cmh-2022-0015 [pii] AID - 10.3350/cmh.2022.0015 [doi] PST - ppublish SO - Clin Mol Hepatol. 2022 Oct;28(4):725-738. doi: 10.3350/cmh.2022.0015. Epub 2022 Mar 14.