Cytokeratin-18 |
It alone is not enough as a valuable biomarker, but it may have clinical significance when combined with other non-invasive methods of invasion, such as with serum adiponectin, serum resistin, uric acid (NCT01068444) |
[18, 164, 165] |
Fas/TNF-α |
Inhibitor of death receptor-associated protein, including pentoxifylline, YLGA(Try-Leu-Gly-Ala) peptides |
[35, 166] |
Caspase enzymes |
Inhibitor of apoptosis-related caspase enzymes, including VX-166, GS-9450 (NCT00740610), PF-03491390 (NCT02077374), and emricasan (NCT02686762, NCT02077374) |
[34, 156, 157, 167] |
R-3032 |
A ctsb inhibitor |
[168] |
Aramchol |
Aramchol inhibits the liver enzyme stearoyl coenzyme A desaturase (SCD) |
[25] |
Selonsertib |
ASK1 inhibitor |
[169] |
The farnesoid X-activated receptor (FXR) |
Its agonist (NCT01265498) can improve serum transaminase levels in patients with MAFLD |
[170] |
Thioredoxin (TRX) |
Oxidative stress can lead to a variety of PCD. TRX is induced by oxidative stress. Compared with healthy controls, the level of TRX rises significantly, but whether it can be used as a biomarker still needs further research |
[171] |
XIAP |
XIAP antisense oligonucleotide (AEG35156) increases progression-free survival and overall survival |
[172] |
RIPK1/3 |
Although RIPK1/3 currently has inhibitors (GSKʹ840, GSKʹ843, GSKʹ872), according to different preclinical studies, it seems that directly targeting RIPK1/3 is not a better treatment for MAFLD, and further studies are needed |
[173] |
MLKL |
Theoretically, the MLKL inhibitor (necrosulfonamide) may improve MAFLD, but evidence from well-designed clinical studies is still needed |
[173] |
NLRP3 inflammasome |
Inhibiting the activation of the MAFLD inflammasome is an innovative treatment method, including an inhibitor of the NALP3 inflammasome (glyburide), a caspase 1 inhibitor (Pralnacasan), and an IL-1β antibody (canakinumab) or endogenous IL-1β inhibitor (anakinra) |
[174] |