Evidence map›Paper›PMID 40177210›Full record

ArticleWorld journal of hepatology2025

Metabolic dysfunction-associated steatotic liver disease and omega-6 polyunsaturated fatty acids: Friends or foes.

Mona A Hegazy, Safaa M Ahmed, Shaimaa M Sultan, Osama F Afifi, Manal A Mohamed, Alshimaa E Azab, Mohamed A Hassanen, Rakan K Zaben

Abstract read
In one paragraph

Article in World journal of hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mona A HegazyDepartment of Internal Medicine, Kasr Aliny Hospital, Faculty of Medicine, Cairo University, Cairo 12556, Egypt. monahegazy@cu.edu.eg.
Safaa M AhmedDepartment of Neonatology, Mounira General Hospital, Cairo 4262130, Egypt.
Shaimaa M SultanDepartment of Maternal and Pediatric Health, Shubra Elkhema Medical Administration, Qalyubia 13768, Egypt.
Osama F AfifiDepartment of Neonatology, Ashmoun Hospital, Menofia 32811, Egypt.
Manal A MohamedDepartment of Internal Medicine, Elnasr Hospital, Helwan 11731, Egypt.
Alshimaa E AzabDepartment of Anesthesia, Al Helal Insurance Hospital, Qism Shebin 32514, Egypt.
Mohamed A HassanenDepartment of Clinical Nutrition, Egyptian Fellowship, Cairo 11559, Egypt.
Rakan K ZabenDepartment of Clinical Nutrition, Egyptian Fellowship, Cairo 11559, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic dysfunction-associated steatotic liver disease (MASLD) is the most common chronic liver disease worldwide. Its prevalence is closely linked to the dramatic rise in obesity and non-communicable diseases. MASLD exhibits a progressive trajectory that may culminate in development of hepatic cirrhosis, thereby predisposing affected individuals to an elevated likelihood of hepatocarcinogenesis. Diet, especially dietary fatty acids, serves as a key link between nutrient intake and MASLD pathogenesis.

aimTo explore the impact of various omega-6 fatty acid subtypes on the pathogenesis and therapeutic strategies of MASLD.

methodsA systematic literature search was conducted across Web of Science, PubMed, Cochrane Central, Scopus, and Embase databases from inception through June 2024 to identify all original studies linking different subtypes of omega-6 polyunsaturated fatty acids to the pathogenesis and management of MASLD. The search strategy explored the linkage between omega-6 polyunsaturated fatty acids and their subtypes, including linoleic acid (LA), gamma-linolenic acid (GLA), arachidonic acid, conjugated LA, and docosapentaenoic acid, in relation to MASLD and cardiometabolic risk.

resultsBy employing the specified search strategy, a total of 83 articles were identified as potentially eligible. During the title, abstract, and full-text screening phases, 27 duplicate records were removed, leaving 56 records for relevance screening. Of these, 43 records were excluded for reasons such as irrelevance and language restrictions (limited to English), resulting in 13 full-text articles being included for detailed assessment (10 human studies,1 animal study, and 2 review articles). Although certain subtypes, as GLA, dihomo-GLA, omega-6-derived oxylipins, and most arachidonic acid-derived eicosanoids, exhibit pro-inflammatory effects, our findings suggest that other subtypes such as LA, cis-9, trans-11 conjugated LA, and docosapentaenoic acid have beneficial effects on fatty liver, cardiometabolic risk factors, and inflammation, even at high intake levels.

conclusionThe varying health effects of omega-6 fatty acids, ranging from anti-inflammatory to pro-inflammatory impacts on the liver, leave the question of their recommendation for MASLD patients unresolved. This underscores the importance of careful selection when considering omega-6 supplementation.

Indexed as

Arachidonic acidConjugated linoleic acidEicosanoidsLipid metabolismMetabolic dysfunction-associated steatotic liver diseaseOmega-6 polyunsaturated fatty acidsOxidative stressSteatohepatitis

Identifiers

PMID40177210
PMCPMC11959670

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Registered trials

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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.