Elafibranor: A promising treatment for alcoholic liver disease, metabolic-associated fatty liver disease, and cholestatic liver disease

World J Gastroenterol. 2024 Oct 28;30(40):4393-4398. doi: 10.3748/wjg.v30.i40.4393.

Abstract

Liver diseases pose a significant threat to human health. Although effective therapeutic agents exist for some liver diseases, there remains a critical need for advancements in research to address the gaps in treatment options and improve patient outcomes. This article reviews the assessment of Elafibranor's effects on liver fibrosis and intestinal barrier function in a mouse model of alcoholic liver disease (ALD), as reported by Koizumi et al in the World Journal of Gastroenterology. We summarize the impact and mechanisms of Elafibranor on ALD, metabolic-associated fatty liver disease, and cholestatic liver disease based on current research. We also explore its potential as a dual agonist of PPARα/δ, which is undergoing Phase III clinical trials for metabolic-associated steatohepatitis. Our goal is to stimulate further investigation into Elafibranor's use for preventing and treating these liver diseases and to provide insights for its clinical application.

Keywords: Alcoholic liver disease; Cholestatic liver disease; Elafibranor; Liver diseases; Liver fibrosis; Metabolic-associated fatty liver disease; Metabolic-associated steatohepatitis; Peroxisome proliferator activated receptor; Primary biliary cholangitis.

Publication types

  • Review

MeSH terms

  • Animals
  • Butyrates* / metabolism
  • Butyrates* / therapeutic use
  • Chalcones
  • Cholestasis / drug therapy
  • Cholestasis / metabolism
  • Disease Models, Animal*
  • Fatty Liver / drug therapy
  • Fatty Liver / etiology
  • Fatty Liver / metabolism
  • Humans
  • Liver / drug effects
  • Liver / metabolism
  • Liver / pathology
  • Liver Diseases, Alcoholic* / drug therapy
  • Liver Diseases, Alcoholic* / metabolism
  • Mice
  • PPAR alpha / agonists
  • PPAR alpha / metabolism
  • PPAR delta / agonists
  • PPAR delta / metabolism
  • Propionates
  • Treatment Outcome

Substances

  • 2-(2,6-dimethyl-4-(3-(4-(methylthio)phenyl)-3-oxo-1-propenyl)phenoxyl)-2-methylpropanoic acid
  • Butyrates
  • PPAR alpha
  • PPAR delta
  • Propionates
  • Chalcones