PMID- 36120448 OWN - NLM STAT- MEDLINE DCOM- 20220920 LR - 20220924 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 13 DP - 2022 TI - Which is the optimal antiobesity agent for patients with nonalcoholic fatty liver disease? PG - 984041 LID - 10.3389/fendo.2022.984041 [doi] LID - 984041 AB - Nonalcoholic fatty liver disease (NAFLD) is the commonest chronic liver disease and affects a considerable proportion of the general population worldwide. Obesity is a major risk factor for development and progression of NAFLD and weight loss is an effective intervention for the management of NAFLD. However, few patients achieve substantial and sustained weight loss with lifestyle measures. Therefore, antiobesity agents are frequently considered in patients with NAFLD but there are limited data on their safety and efficacy. In the present review, we discuss the role of antiobesity agents in the management of NAFLD. All approved antiobesity agents appear to reduce transaminase levels and to improve steatosis in patients with NAFLD. However, their effects on fibrosis are less well studied and whether they affect liver-related outcomes, including progression to cirrhosis and hepatocellular cancer, is unknown. The glucagon-like peptide-1 receptor agonists, liraglutide and semaglutide, appear to represent a first-line option in obese patients with NAFLD and type 2 diabetes mellitus (T2DM) since they induce considerable weight loss and have been extensively studied in patients with T2DM. However, more studies are needed to evaluated their effects on liver-related and cardiovascular outcomes in patients with NAFLD, particularly in those without T2DM. CI - Copyright (c) 2022 Tsankof, Neokosmidis, Koureta, Veneti, Cholongitas and Tziomalos. FAU - Tsankof, Alexandra AU - Tsankof A AD - First Propedeutic Department of Internal Medicine, First Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece. FAU - Neokosmidis, Georgios AU - Neokosmidis G AD - First Propedeutic Department of Internal Medicine, First Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece. FAU - Koureta, Evgenia AU - Koureta E AD - Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Veneti, Stavroula AU - Veneti S AD - First Propedeutic Department of Internal Medicine, First Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece. FAU - Cholongitas, Evangelos AU - Cholongitas E AD - Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Tziomalos, Konstantinos AU - Tziomalos K AD - First Propedeutic Department of Internal Medicine, First Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece. LA - eng PT - Journal Article PT - Review DEP - 20220902 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 RN - 0 (Anti-Obesity Agents) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Platelet Aggregation Inhibitors) RN - 839I73S42A (Liraglutide) RN - EC 2.6.1.- (Transaminases) SB - IM MH - *Anti-Obesity Agents/therapeutic use MH - *Diabetes Mellitus, Type 2/epidemiology MH - Glucagon-Like Peptide-1 Receptor MH - Humans MH - Liraglutide MH - *Non-alcoholic Fatty Liver Disease/complications/drug therapy/epidemiology MH - Obesity/complications/drug therapy MH - Platelet Aggregation Inhibitors MH - Transaminases MH - Weight Loss PMC - PMC9478023 OTO - NOTNLM OT - liraglutide OT - lorcaserin OT - naltrexone/bupropion OT - nonalcoholic fatty liver disease OT - obesity OT - orlistat OT - phentermine/topiramate OT - semaglutide COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/09/20 06:00 MHDA- 2022/09/21 06:00 PMCR- 2022/01/01 CRDT- 2022/09/19 04:41 PHST- 2022/07/01 00:00 [received] PHST- 2022/08/12 00:00 [accepted] PHST- 2022/09/19 04:41 [entrez] PHST- 2022/09/20 06:00 [pubmed] PHST- 2022/09/21 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2022.984041 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2022 Sep 2;13:984041. doi: 10.3389/fendo.2022.984041. eCollection 2022.