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ISSN (Print): 1381-6128
ISSN (Online): 1873-4286

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Review Article

Modifiers of Liver-Related Manifestation in the Course of NAFLD

Author(s): Patrik Nasr, Julia Blomdahl, Stergios Kechagias* and Mattias Ekstedt*

Volume 26, Issue 10, 2020

Page: [1062 - 1078] Pages: 17

DOI: 10.2174/1381612826666200310142803

Price: $65

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Abstract

Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease affecting approximately 25% of the global population. There is a strong association between the severity of NAFLD and the components of the metabolic syndrome. NAFLD is also independently associated with cardiovascular disease and type 2 diabetes mellitus (T2DM). The progressive potential of non-alcoholic fatty liver disease (NAFLD) is indisputable today, and the histological spectrum of NAFLD ranges from isolated steatosis to nonalcoholic steatohepatitis (NASH), with risk of developing fibrosis and subsequent cirrhosis and hepatocellular carcinoma. There is a substantial inter-patient variation in disease progression, therefore, this review will focus on potential modifiers of fibrosis progression, development of liver cirrhosis, decompensation and liver-related mortality. The potential drivers of disease progression that is discussed are; T2DM and Insulin Resistance, body weight, alcohol consumption, genetics (including HFE and alfa-1-antitrypsin) as well as histological features predictive of disease progression.

Keywords: End-stage liver disease, HCC, fibrosis, alcohol, fibrosis progression, NAFLD.

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