MASLD and the Development of HCC: Pathogenesis and Therapeutic Challenges.

Cancers (Basel)

Faculty of Medicine, University of Southampton, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.

Published: January 2024

AI Article Synopsis

  • MASLD (formerly NAFLD) is a growing cause of chronic liver disease and liver cancer, linked to rising obesity and metabolic syndrome rates in the West.
  • It can develop earlier in the fibrosis stage than other liver diseases, making patient risk assessment and screening challenging.
  • Treatment decisions for MASLD-HCC are complicated by other health issues and disease progression, with future success depending on better patient stratification for targeted therapies.

Article Abstract

Metabolic-dysfunction-associated steatotic liver disease (MASLD, previously known as non-alcoholic fatty liver disease (NAFLD)) represents a rapidly increasing cause of chronic liver disease and hepatocellular carcinoma (HCC), mirroring increasing rates of obesity and metabolic syndrome in the Western world. MASLD-HCC can develop at an earlier stage of fibrosis compared to other causes of chronic liver disease, presenting challenges in how to risk-stratify patients to set up effective screening programmes. Therapeutic decision making for MASLD-HCC is also complicated by medical comorbidities and disease presentation at a later stage. The response to treatment, particularly immune checkpoint inhibitors, may vary by the aetiology of the disease, and, in the future, patient stratification will be key to optimizing the therapeutic pathways.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10814413PMC
http://dx.doi.org/10.3390/cancers16020259DOI Listing

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