Applicability of Statins in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)

Metabolic dysfunction-associated steatotic liver disease (MASLD) is the novel terminology encompassing liver disease associated with metabolic dysfunction, replacing the previous terminology of non-alcoholic fatty liver disease (NAFLD). This disease is strongly associated with metabolic disorders su...

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Main Author: Thaninee Prasoppokakorn
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Livers
Subjects:
Online Access:https://www.mdpi.com/2673-4389/5/1/4
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author Thaninee Prasoppokakorn
author_facet Thaninee Prasoppokakorn
author_sort Thaninee Prasoppokakorn
collection DOAJ
description Metabolic dysfunction-associated steatotic liver disease (MASLD) is the novel terminology encompassing liver disease associated with metabolic dysfunction, replacing the previous terminology of non-alcoholic fatty liver disease (NAFLD). This disease is strongly associated with metabolic disorders such as obesity, type 2 diabetes, and dyslipidemia. MASLD and dyslipidemia are deeply interconnected, driven by shared pathophysiological mechanisms. Emerging evidence suggests that statins, a class of lipid-lowering medications, may have beneficial effects on MASLD beyond their primary role in reducing cholesterol levels through several mechanisms, including anti-inflammatory, antioxidant, anti-fibrosis, and immunomodulatory effects. This review aims to summarize the efficacy of statins in the management of MASLD and provide insights into their potential mechanisms of action. It discusses the pathophysiology of MASLD and the role of statins in targeting key aspects of the disease. Additionally, the review examines the clinical evidence supporting the use of different statins in MASLD treatment and highlights their specific effects on liver enzymes, inflammation, and fibrosis. Furthermore, an algorithm for statin therapy in MASLD is proposed based on the current knowledge and available evidence.
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spelling doaj-art-f48b326464fa4462be217d7cd9c054e82025-08-20T02:42:25ZengMDPI AGLivers2673-43892025-01-0151410.3390/livers5010004Applicability of Statins in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)Thaninee Prasoppokakorn0Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, ThailandMetabolic dysfunction-associated steatotic liver disease (MASLD) is the novel terminology encompassing liver disease associated with metabolic dysfunction, replacing the previous terminology of non-alcoholic fatty liver disease (NAFLD). This disease is strongly associated with metabolic disorders such as obesity, type 2 diabetes, and dyslipidemia. MASLD and dyslipidemia are deeply interconnected, driven by shared pathophysiological mechanisms. Emerging evidence suggests that statins, a class of lipid-lowering medications, may have beneficial effects on MASLD beyond their primary role in reducing cholesterol levels through several mechanisms, including anti-inflammatory, antioxidant, anti-fibrosis, and immunomodulatory effects. This review aims to summarize the efficacy of statins in the management of MASLD and provide insights into their potential mechanisms of action. It discusses the pathophysiology of MASLD and the role of statins in targeting key aspects of the disease. Additionally, the review examines the clinical evidence supporting the use of different statins in MASLD treatment and highlights their specific effects on liver enzymes, inflammation, and fibrosis. Furthermore, an algorithm for statin therapy in MASLD is proposed based on the current knowledge and available evidence.https://www.mdpi.com/2673-4389/5/1/4statinsteatotic liver diseasemetabolic dysfunctionMASLD
spellingShingle Thaninee Prasoppokakorn
Applicability of Statins in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
Livers
statin
steatotic liver disease
metabolic dysfunction
MASLD
title Applicability of Statins in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
title_full Applicability of Statins in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
title_fullStr Applicability of Statins in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
title_full_unstemmed Applicability of Statins in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
title_short Applicability of Statins in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
title_sort applicability of statins in metabolic dysfunction associated steatotic liver disease masld
topic statin
steatotic liver disease
metabolic dysfunction
MASLD
url https://www.mdpi.com/2673-4389/5/1/4
work_keys_str_mv AT thanineeprasoppokakorn applicabilityofstatinsinmetabolicdysfunctionassociatedsteatoticliverdiseasemasld