Non-alcoholic fatty liver disease and COVID-19: Harmless companions or disease intensifier?

World J Gastroenterol

Department of Gastroenterology and Hepatology, University Hospital Heidelberg, Heidelberg 69120, Germany.

Published: January 2023

The pandemics of coronavirus disease 2019 (COVID-19) and non-alcoholic fatty liver disease (NAFLD) coexist. Elevated liver function tests are frequent in COVID-19 and may influence liver damage in NAFLD, while preexisting liver damage from NAFLD may influence the course of COVID-19. However, the prognostic relevance of this interaction, though, is unclear. Obesity is a risk factor for the presence of NAFLD as well as a severe course of COVID-19. Cohort studies reveal conflicting results regarding the influence of NAFLD presence on COVID-19 illness severity. Striking molecular similarities of cytokine pathways in both diseases, including postacute sequelae of COVID-19, suggest common pathways for chronic low-activity inflammation. This review will summarize existing data regarding the interaction of both diseases and discuss possible mechanisms of the influence of one disease on the other.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9846932PMC
http://dx.doi.org/10.3748/wjg.v29.i2.367DOI Listing

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