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Pregnancy and Metabolic-associated Fatty Liver Disease: A Clinical Update

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Specialty Gastroenterology
Date 2022 Oct 28
PMID 36304500
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Abstract

The intricate relationship between metabolic-associated fatty liver disease (MAFLD) and maternal complications has rapidly become a significant health threat in pregnant women. The presence of MAFLD in pregnancy increases the maternal risk of metabolic complications and comorbidities for both mother and baby. The preexistence or development of MAFLD in pregnancy is a complex multifactorial disorder that can lead to further complications for mother and baby. Therefore, as pregnant women are severely underrepresented in clinical research, there is a great need for a fair inclusion of this group in clinical trials. This review aims to explore the effects of MAFLD during pregnancy in the context of maternal complications and outcomes and explore the effects of pregnancy on the development and progression of MAFLD within the context of maternal obesity, altered metabolic profiles, gestational diabetes and altered hormonal profiles. We also addressed potential implications for the presence of MAFLD during pregnancy and its management in the clinical setting.

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References
1.
Armstrong M, Adams L, Canbay A, Syn W . Extrahepatic complications of nonalcoholic fatty liver disease. Hepatology. 2013; 59(3):1174-97. DOI: 10.1002/hep.26717. View

2.
Kim T, Hong D, Yang Y . Hepatokines and Non-Alcoholic Fatty Liver Disease: Linking Liver Pathophysiology to Metabolism. Biomedicines. 2021; 9(12). PMC: 8698516. DOI: 10.3390/biomedicines9121903. View

3.
Valenti L, Bugianesi E, Pajvani U, Targher G . Nonalcoholic fatty liver disease: cause or consequence of type 2 diabetes?. Liver Int. 2016; 36(11):1563-1579. DOI: 10.1111/liv.13185. View

4.
Sivan E, Homko C, Chen X, Reece E, Boden G . Effect of insulin on fat metabolism during and after normal pregnancy. Diabetes. 1999; 48(4):834-8. DOI: 10.2337/diabetes.48.4.834. View

5.
Romeo S, Kozlitina J, Xing C, Pertsemlidis A, Cox D, Pennacchio L . Genetic variation in PNPLA3 confers susceptibility to nonalcoholic fatty liver disease. Nat Genet. 2008; 40(12):1461-5. PMC: 2597056. DOI: 10.1038/ng.257. View