Effect of Tirzepatide Treatment on Hepatic Biomarkers in Patients With Metabolic Dysfunction‐Associated Steatotic Liver Disease and Type 2 Diabetes Mellitus Article Swipe
YOU?
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· 2025
· Open Access
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· DOI: https://doi.org/10.1111/hepr.14241
Aim This study aimed to clarify the impact of tirzepatide as a treatment for Type 2 diabetes mellitus (T2DM) in patients with metabolic dysfunction‐associated steatotic liver disease (MASLD). Methods This single‐arm, prospective, observational pilot study included 16 patients with MASLD and T2DM who were treated with tirzepatide. Of these, 13 patients completed 48 weeks of treatment. Tirzepatide was initiated at a dose of 2.5 mg once weekly for 4 weeks, and dose adjustments were left to the discretion of the attending physician based on efficacy and adverse events. Results Significant improvements in body weight, liver enzymes, and hemoglobin A1c were found at Week 12 and were sustained throughout the 48‐week treatment period compared with baseline values (all p < 0.05). Controlled attenuation parameter significantly decreased from baseline to 48 weeks ( p < 0.05). Changes in body weight were correlated with changes in alanine aminotransferase levels ( r = 0.57, p < 0.05) but not with changes in controlled attenuation parameter ( r = 0.45, p = 0.12). The results of noninvasive tests for fibrosis, including Type IV collagen 7s, Wisteria floribunda agglutinin‐positive Mac‐2‐binding protein, the fibrosis‐4 index, and the liver stiffness measurement, significantly decreased from baseline to 48 weeks (all p < 0.05). Most adverse events were transient Grades 1–2 gastrointestinal symptoms, including nausea (5 patients, 31.3%), diarrhea (3 patients, 18.8%), and constipation (2 patients, 12.5%). Conclusions Tirzepatide treatment for T2DM in patients with MASLD significantly improved liver steatosis and injury, surrogate markers of liver fibrosis, and diabetes status, and reduced body weight.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/hepr.14241
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hepr.14241
- OA Status
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- Cited By
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4412044923Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/hepr.14241Digital Object Identifier
- Title
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Effect of Tirzepatide Treatment on Hepatic Biomarkers in Patients With Metabolic Dysfunction‐Associated Steatotic Liver Disease and Type 2 Diabetes MellitusWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-07-05Full publication date if available
- Authors
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Taeang Arai, Masanori Atsukawa, Chikako Nagao, Zento Yamada, Takahiro Rokugo, Kenta Suzuki, Michika Kitamura, Tetsuyuki Higashi, Kaori Koyano, Yuta Hasegawa, Tadamichi Kawano, Hiroki Ono, Yūji Yoshida, Tomomi Okubo, Korenobu Hayama, Ai Nakagawa‐Iwashita, Norio Itokawa, Chisa Kondo, Mototsugu Nagao, Masato Iwabu, Katsuhiko IwakiriList of authors in order
- Landing page
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https://doi.org/10.1111/hepr.14241Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hepr.14241Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hepr.14241Direct OA link when available
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Medicine, Internal medicine, Gastroenterology, Adverse effect, Liver disease, Type 2 Diabetes Mellitus, Constipation, Steatosis, Fatty liver, Nausea, Diabetes mellitus, Diarrhea, Endocrinology, DiseaseTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.reduced | 252 |
| abstract_inverted_index.results | 170 |
| abstract_inverted_index.status, | 250 |
| abstract_inverted_index.treated | 45 |
| abstract_inverted_index.weight, | 94 |
| abstract_inverted_index.weight. | 254 |
| abstract_inverted_index.(MASLD). | 28 |
| abstract_inverted_index.ABSTRACT | 0 |
| abstract_inverted_index.Wisteria | 181 |
| abstract_inverted_index.baseline | 115, 127, 197 |
| abstract_inverted_index.collagen | 179 |
| abstract_inverted_index.compared | 113 |
| abstract_inverted_index.diabetes | 17, 249 |
| abstract_inverted_index.diarrhea | 219 |
| abstract_inverted_index.efficacy | 85 |
| abstract_inverted_index.enzymes, | 96 |
| abstract_inverted_index.improved | 238 |
| abstract_inverted_index.included | 36 |
| abstract_inverted_index.mellitus | 18 |
| abstract_inverted_index.patients | 21, 38, 51, 234 |
| abstract_inverted_index.protein, | 185 |
| abstract_inverted_index.48‐week | 110 |
| abstract_inverted_index.attending | 81 |
| abstract_inverted_index.completed | 52 |
| abstract_inverted_index.decreased | 125, 195 |
| abstract_inverted_index.fibrosis, | 175, 247 |
| abstract_inverted_index.including | 176, 214 |
| abstract_inverted_index.initiated | 59 |
| abstract_inverted_index.metabolic | 23 |
| abstract_inverted_index.parameter | 123, 161 |
| abstract_inverted_index.patients, | 217, 221, 226 |
| abstract_inverted_index.physician | 82 |
| abstract_inverted_index.steatosis | 240 |
| abstract_inverted_index.steatotic | 25 |
| abstract_inverted_index.stiffness | 192 |
| abstract_inverted_index.surrogate | 243 |
| abstract_inverted_index.sustained | 107 |
| abstract_inverted_index.symptoms, | 213 |
| abstract_inverted_index.transient | 209 |
| abstract_inverted_index.treatment | 13, 111, 230 |
| abstract_inverted_index.Controlled | 121 |
| abstract_inverted_index.controlled | 159 |
| abstract_inverted_index.correlated | 140 |
| abstract_inverted_index.discretion | 78 |
| abstract_inverted_index.floribunda | 182 |
| abstract_inverted_index.hemoglobin | 98 |
| abstract_inverted_index.throughout | 108 |
| abstract_inverted_index.treatment. | 56 |
| abstract_inverted_index.Conclusions | 228 |
| abstract_inverted_index.Significant | 90 |
| abstract_inverted_index.Tirzepatide | 57, 229 |
| abstract_inverted_index.adjustments | 73 |
| abstract_inverted_index.attenuation | 122, 160 |
| abstract_inverted_index.noninvasive | 172 |
| abstract_inverted_index.tirzepatide | 10 |
| abstract_inverted_index.constipation | 224 |
| abstract_inverted_index.fibrosis‐4 | 187 |
| abstract_inverted_index.improvements | 91 |
| abstract_inverted_index.measurement, | 193 |
| abstract_inverted_index.prospective, | 32 |
| abstract_inverted_index.tirzepatide. | 47 |
| abstract_inverted_index.observational | 33 |
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| abstract_inverted_index.single‐arm, | 31 |
| abstract_inverted_index.aminotransferase | 145 |
| abstract_inverted_index.gastrointestinal | 212 |
| abstract_inverted_index.Mac‐2‐binding | 184 |
| abstract_inverted_index.agglutinin‐positive | 183 |
| abstract_inverted_index.dysfunction‐associated | 24 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 21 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8600000143051147 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.88966587 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |