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. 2021 Dec 27;13(12):1991–2004. doi: 10.4254/wjh.v13.i12.1991

Table 2.

Summary of clinical significances and outcomes of de novo and recurrent metabolic dysfunction-associated fatty liver disease in post liver transplant patients


De novo MAFLD
Recurrent MAFLD
Risk factors/Predictors for post LT MAFLD Post LT weight gain Post LT weight gain
HCV Post-transplant hypertriglyceridemia
Sirolimus-based immunosuppressant therapy Steroid
Insulin resistance/diabetes mellitus Post LT Metabolic syndrome
Insulin use
Insulin resistance/ diabetes mellitus
Progression to steatohepatitis and advanced fibrosis Less common More common
Cardiovascular events Common Common
Patient and graft survival No significant impact No significant impact

LT: Liver transplant; HCV: Hepatitis C virus; MAFLD: Metabolic dysfunction-associated fatty liver disease.