Evidence map›Paper›PMID 29967350›Full record

ReviewNature medicine2018

Mechanisms of NAFLD development and therapeutic strategies.

Scott L Friedman, Brent A Neuschwander-Tetri, Mary Rinella, Arun J Sanyal

4 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 2,366 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2,366citing papers in PubMed, 6 pooled it
182.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05229640 nawithdrawnnot on this mapstarted 2022, after this paper: background citation

Relationship Between the Development of Impaired Glucose Tolerance, the Phenotype of CFLD, and the Risk of Liver Fibrosis

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2022 to 2023Enrolled0ConditionsCF - Cystic Fibrosis, Cystic Fibrosis-related Diabetes, Cystic Fibrosis Liver DiseaseArmsFibroscan
NCT05486429 unknown statusnot on this mapstarted 2022, after this paper: background citation

Evaluation of Lipid Profile in Different Grades of Non-alcoholic Fatty Liver Disease Diagnosed by Ultrasound

TypeobservationalSponsorSohag UniversityRan2022 to 2023Enrolled100ConditionsNon-Alcoholic Fatty Liver DiseaseArmsAbdominal ultrasound and lipid profile
NCT06097039 completednot on this mapstarted 2023, after this paper: background citation

Fetuin-A, a Promising Serum Biomarker for Diagnosis of Non-Alcoholic Fatty Liver Disease (NAFLD)

Typeobservational_patient_registrySponsorZagazig UniversityRan2023 to 2024Enrolled100ConditionsNon-Alcoholic Fatty Liver DiseaseArmsabdominal U/S, Fibroscan with Controlled Attenuated Parameter (CAP scan):
NCT06843421 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Korean Health Screening-Based Metabolic Dysfunction-Associated Steatotic Liver Disease Registry: A Retrospective Multicenter Cross-Sectional Study (K-MASLD Registry)

TypeobservationalSponsorKorea UniversityRan2025 to 2025Enrolled6,000ConditionsMetabolic Dysfunction-Associated Steatotic Liver Disease, Cardiovascular Diseases
3 · Its place in the literature

Who cites it

2,366 citing papers in PubMed, 6 syntheses or guidelines pooled it, 4,074 citations in OpenAlex.

  1. Guideline
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  10. Protective effects ofRedox report : communications in free radical research · 2026
    Article
  11. Hepatic steatosis affects the outcome of anti-tuberculosis treatment in pulmonary tuberculosis patients.Journal of clinical tuberculosis and other mycobacterial diseases · 2026
    Article
  12. Review
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2,306 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Scott L FriedmanDivision of Liver Diseases, Icahn School of Medicine at Mount Sinai, New York, NY, USA. scott.friedman@mssm.edu.ORCID http://orcid.org/0000-0003-1178-6195
Brent A Neuschwander-TetriDivision of Gastroenterology and Hepatology, St. Louis University School of Medicine, St. Louis, MO, USA.
Mary RinellaDivision of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Arun J SanyalDivision of Gastroenterology, Virginia Commonwealth University, Richmond, VA, USA.
Icahn School of Medicine at Mount Sinai · USNorthwestern University · USSaint Louis University · USVirginia Commonwealth University · US

Funding

The Role of KLF6 in Hepatic FibrosisR01DK056621 · NIDDK · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI FRIEDMAN, SCOTT L. · 2000 to 2019
$6.2M
Project 2P20AA017067 · NIAAA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI FRIEDMAN, SCOTT L. · 2008 to 2012
$2.5M
Autophagy during hepatic stellate cell activation in alcoholic liver injuryR01AA020709 · NIAAA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI FRIEDMAN, SCOTT L. · 2011 to 2015
$1.8M
Hepatic autophagy, progenitor cells and fibrosisR56DK056621 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI FRIEDMAN, SCOTT L. · 2015 to 2015
$297k
NIAAA NIH HHS P20 AA017067NIAAA NIH HHS R01 AA020709NIDDK NIH HHS R01 DK056621NIDDK NIH HHS R56 DK056621
6 · The paper itself

Abstract

There has been a rise in the prevalence of nonalcoholic fatty liver disease (NAFLD), paralleling a worldwide increase in diabetes and metabolic syndrome. NAFLD, a continuum of liver abnormalities from nonalcoholic fatty liver (NAFL) to nonalcoholic steatohepatitis (NASH), has a variable course but can lead to cirrhosis and liver cancer. Here we review the pathogenic and clinical features of NAFLD, its major comorbidities, clinical progression and risk of complications and in vitro and animal models of NAFLD enabling refinement of therapeutic targets that can accelerate drug development. We also discuss evolving principles of clinical trial design to evaluate drug efficacy and the emerging targets for drug development that involve either single agents or combination therapies intended to arrest or reverse disease progression.

Indexed as

AnimalsClinical Trials as TopicDisease Models, AnimalDisease ProgressionHumansNon-alcoholic Fatty Liver DiseaseRisk Factors

Identifiers

PMID29967350
PMCPMC6553468
OpenAlexW2810423511

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.