30-04-2024 | Colorectal Cancer | IM - COMMENTARY
Bridging current knowledge gap: better primary colorectal cancer prevention in people living with metabolic dysfunction-associated steatotic liver
Authors:
Agostino Di Ciaula, Piero Portincasa
Published in:
Internal and Emergency Medicine
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Excerpt
Trends of excessive and ectopic fat accumulation are continuously rising worldwide [
1]. This metabolic disruption goes along with the epidemics of several noncommunicable diseases including obesity, insulin resistance, type 2 diabetes, and metabolic syndrome [
2‐
5]. In parallel, the prevalence of metabolic dysfunction-associated fatty liver disease (MASLD) is also increasing, and MASLD has become the most frequent chronic liver disease with heavy economic and clinical impacts globally [
6,
7]. In addition, epidemiologic and pathophysiologic evidence links obesity, metabolic syndrome, and steatotic liver disease to several malignancies [
8]. In this scenario, liver steatosis is no longer a simple “fellow traveler” with obesity and metabolic syndrome, but gains an active and independent role in increasing the risk of cancer onset both in the liver and in extra-hepatic organs [
9,
10]. …