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Review
. 2023 Oct;79(4):1056-1064.
doi: 10.1016/j.jhep.2023.05.007. Epub 2023 May 17.

Therapeutic opportunities for the treatment of NASH with genetically validated targets

Affiliations
Review

Therapeutic opportunities for the treatment of NASH with genetically validated targets

Daniel Lindén et al. J Hepatol. 2023 Oct.

Abstract

The identification of genetic variants associated with fatty liver disease (FLD) from genome-wide association studies started in 2008 when single nucleotide polymorphisms in PNPLA3, the gene encoding patatin-like phospholipase domain-containing 3, were found to be associated with altered hepatic fat content. Since then, several genetic variants associated with protection from, or an increased risk of, FLD have been identified. The identification of these variants has provided insight into the metabolic pathways that cause FLD and enabled the identification of potential therapeutic targets. In this mini-review, we will examine the therapeutic opportunities derived from genetically validated targets in FLD, including oligonucleotide-based therapies targeting PNPLA3 and HSD17B13 that are currently being evaluated in clinical trials for the treatment of NASH (non-alcoholic steatohepatitis).

Keywords: CIDEB; Drug development; FLD; GPAM; GPAT1; HSD17B13; MAFLD; MARC1; MASLD; MBOAT7; MTARC1; NAFLD; NASH; PNPLA3; PSD3; SLD guidelines; adiponutrin; precision medicine; steatotic liver disease.

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