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Clin Mol Hepatol.  2026 Jan;32(1):170-183. 10.3350/cmh.2025.0857.

Incretin-based therapies for cardio-kidney-liver-metabolic disease: the role of the liver in the modern era of chronic disease management

Affiliations
  • 1Storr Liver Centre, Westmead Institute for Medical Research, Westmead Hospital and The University of Sydney, Westmead, NSW, Australia
  • 2MASLD Research Center, University of California San Diego, San Diego, CA, USA
  • 3Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore
  • 4Saarland University Medical Center, University of the Saarland, Homburg, Germany and PharmaScienceHub (PSH), Saarbrücken, Germany
  • 5MAFLD Research Center, Department of Hepatology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
  • 6Division of Gastroenterology and Hepatology, Houston Methodist Hospital, Houston, TX, USA
  • 7Department of Medicine, Division of Endocrinology, Beth Israel Hospital, Harvard Medical School, Boston, MA, USA

Abstract

Steatotic liver disease (SLD) is a leading cause of disease globally and demands new therapeutic approaches to mitigate underlying metabolic dysregulation. Incretin-based therapies are emerging as a viable prospect to fulfil this unmet niche. A literature review to inform the evidence base for incretin focussed pharmacology in the metabolic liver diseases space and an informed commentary on unmet areas of need. Incretin-based therapeutics demonstrate multifarious benefits across the chronic metabolic disease spectrum with promising data across the continuum of pathology.

Keyword

MASH; MAFLD; Incretins; CKLM; GLP-1; GIP; Glucagon
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