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September 3, 2026Cleveland Clinic Journal of MedicineOpen Access

MASLD and MASH: Steatotic liver disease joins the deadly quartet

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Authors

RXRisheng XuNAN. AbateRSRise Stribling

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Overview

Review demonstrates the rising burden and therapeutic landscape of steatotic liver disease in patients with cardiometabolic disorders, highlighting integration of metabolic therapies.

Key Points

  • To synthesize current evidence regarding the epidemiology, pathophysiology, and clinical management of metabolic dysfunction–associated steatotic liver disease (MASLD) and its progressive form, metabolic dysfunction–associated steatohepatitis (MASH).
  • Narrative synthesis of recent literature on the biological mechanisms, risk factors, and systemic consequences of MASLD and MASH.
  • Evaluation of treatment strategies combining established cardiometabolic interventions with emerging pharmacotherapies.
  • MASLD and MASH are intimately linked to insulin resistance and cardiometabolic disorders, forming a critical component of systemic metabolic syndrome.
  • Optimal management requires integrating standard cardiometabolic care with newly developed disease-specific treatments to mitigate progressive liver injury and associated complications.

Cite This Study

Xu et al. (2026) studied this question.

synapsesocial.com/papers/6a9935e5636c6408cfa7e775https://doi.org/10.3949/ccjm.93a.25117
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