Evidence map›Paper›PMID 41964153›Full record

ReviewJournal of diabetes research2026

Tirzepatide in Metabolically Dysfunctional-Associated Steatohepatitis (MASH): A Bibliometric and Evidence-Based Review.

Ileana Pantea, Angela Repanovici

Abstract readReview
In one paragraph

Review in Journal of diabetes research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

2 authors.

Ileana PanteaTransilvania University of Brasov, Brasov, Romania, unitbv.ro.ORCID https://orcid.org/0009-0006-2540-7781
Angela RepanoviciTransilvania University of Brasov, Brasov, Romania, unitbv.ro.ORCID https://orcid.org/0000-0002-8748-5332

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMetabolically-dysfunction-associated steatohepatitis (MASH) is the progressive form of metabolic dysfunction-associated steatotic liver disease (MASLD) and is strongly linked to obesity and type 2 diabetes mellitus (T2D). Tirzepatide, a dual glucose-dependent insulinotropic polypeptide (GIP)/glucagon-like peptide-1 (GLP-1) receptor agonist, has emerged as a promising therapeutic option due to its profound metabolic effects and potential hepatic benefits. This study integrates bibliometric mapping with current clinical evidence to evaluate tirzepatide's role in MASLD/MASH.

methodsA bibliometric search was conducted in the Web of Science Core Collection (2018-2025) using predefined keywords related to tirzepatide and metabolic liver disease. Twenty-five full-text publications-including randomized controlled trials, post hoc analyses, meta-analyses, mechanistic reviews, and international guidelines-were systematically reviewed. Co-occurrence networks were generated using VOSviewer.

resultsScientific output on tirzepatide and MASLD/MASH has increased rapidly since 2020, with thematic clusters centered on metabolic regulation, hepatic inflammation, and fibrosis. Clinical evidence shows that tirzepatide induces substantial weight loss, improves glycaemic control, and reduces hepatic biomarkers such as ALT, AST, K 18, and Pro C3. The SYNERGY-nonalcoholic steatohepatitis (NASH) trial demonstrated high rates of MASH resolution without fibrosis worsening and meaningful fibrosis regression at 52 weeks. Network meta-analyses position tirzepatide among the most effective therapies currently available. Recent EASL-EASD-EASO guidelines recommend tirzepatide for MASLD patients with obesity, T2D, or cardiometabolic risk.

conclusionsTirzepatide combines potent metabolic effects with significant hepatic improvements, positioning it as a promising therapy for MASLD/MASH. Although long-term and phase III data are still needed, current evidence supports tirzepatide as a key component of modern metabolic liver disease management.

Indexed as

Glucagon-Like Peptide-1 Receptor AgonistsTirzepatideDiabetes Mellitus, Type 2Evidence-Based MedicineHumansObesityGlucagon-Like Peptide-1 Receptor AgonistsTirzepatidefibrosisGIP/GLP-1 agonistsMASHMASLDtirzepatidetype 2 diabetes

Identifiers

PMID41964153
PMCPMC13068985

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.