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September 3, 2026Frontiers in PharmacologyOpen Access

A new era in the treatment of metabolic dysfunction-associated steatotic liver disease (MASLD): clinical breakthroughs and challenges

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Authors

ZYZhifu YouFirst Affiliated Hospital of Heilongjiang University of Chinese MedicineLYLinglong YangFirst Affiliated Hospital of Heilongjiang University of Chinese MedicineYLYuanhao LongGuangzhou Maritime College

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Implication

Clinical review demonstrates histologic resolution and fibrosis improvement in patients with steatohepatitis, highlighting the expanding role of targeted pharmacotherapies.

Key Points

  • To synthesize emerging clinical breakthroughs, trial data, and therapeutic advances in the pharmacologic management of metabolic dysfunction-associated steatotic liver disease and steatohepatitis.
  • Reviewed phase 3 clinical trial outcomes evaluating targeted pharmacotherapies, including resmetirom and semaglutide, for histologic endpoints in steatohepatitis.
  • Evaluated contemporary clinical management guidelines and emerging developmental pipelines across incretin and non-incretin therapeutic classes.
  • Sustained lifestyle-induced weight loss (≥10%) achieves fibrosis regression but is attained in fewer than 15% of patients in routine clinical practice.
  • Resmetirom and semaglutide demonstrated significant steatohepatitis resolution and fibrosis improvement, securing accelerated approvals in 2024 and 2025, respectively.
  • Clinical guidelines now prioritize comorbidity-guided pharmacotherapy alongside lifestyle changes for individuals with stage F2–F3 steatohepatitis.

Cite This Study

You et al. (2026) studied this question.

synapsesocial.com/papers/6a9934cf636c6408cfa7c82ahttps://doi.org/10.3389/fphar.2026.1815576
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Practice Recommendations for the Management of MASLD in Primary Care: Consensus Results2024 · 17 citations
  2. 2Cardiovascular and Kidney Outcomes and Mortality With Long-Acting Injectable and Oral Glucagon-Like Peptide 1 Receptor Agonists in Individuals With Type 2 Diabetes: A Systematic Review and Meta-analysis of Randomized Trials2025 · 59 citations
  3. 3Association of NAFLD and Cardiovascular Events2025 · 5 citations
  4. 4Resmetirom for nonalcoholic fatty liver disease: a randomized, double-blind, placebo-controlled phase 3 trial2023 · 430 citations
  5. 5Combination therapies for metabolic dysfunction-associated steatohepatitis: challenges and opportunities2025 · 24 citations