The Emerging Role of Glucagon-like Peptide-1 Receptor Agonists for the Management of NAFLD

Aug 18, 2021The Journal of clinical endocrinology and metabolism

New Potential of Glucagon-like Peptide-1 Receptor Agonists to Treat Fatty Liver Disease

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Abstract

The FDA approved semaglutide for obesity management in 2021.

  • Cirrhosis from nonalcoholic fatty liver disease (NAFLD) is becoming increasingly common in the United States.
  • Endocrinologists may miss diagnosing NAFLD in adults with obesity or type 2 diabetes mellitus, who are at the highest risk.
  • Recent studies indicate that glucagon-like peptide-1 receptor agonists (GLP-1RAs) may be beneficial for treating nonalcoholic steatohepatitis () in these patients.
  • Multidisciplinary teams led by endocrinologists are essential for implementing screening and treatment guidelines for NAFLD.
  • Current pharmacological treatment options for NAFLD are limited to vitamin E for non-diabetic patients and diabetes medications, including GLP-1RAs, that reverse steatohepatitis.

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Key numbers

39%
resolution rate
Resolution of in patients treated with liraglutide vs. placebo.
19% to 32%
Liver fat reduction range
Percentage reduction in liver fat content observed with treatment.
70%
Prevalence of NAFLD in T2D
Percentage of T2D patients found to have NAFLD.

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