Emerging Trends in Liver Diseases and Cirrhosis Research

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: 31 March 2026 | Viewed by 542

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Guest Editor
2nd Academic Department of Internal Medicine, General Hospital of Athens “Hippokratio”, Medical School of National and Kapodistrian University of Athens, Athens, Greece
Interests: viral hepatitis; liver diseases and immunology; cirrhosis
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Special Issue Information

Dear Colleagues,

I am pleased to invite you to contribute to this Special Issue, entitled “Emerging Trends in Liver Diseases and Cirrhosis Research”. Liver diseases remain a growing global health challenge, with cirrhosis being one of the leading causes of morbidity and mortality worldwide. The clinical landscape is rapidly changing, driven by the rising prevalence of metabolic-associated steatotic liver disease (MASLD), autoimmune conditions like primary biliary cholangitis (PBC), and persistent viral hepatitis. At the same time, advances in diagnostic tools, molecular understanding, and therapeutic strategies are providing new hope for earlier intervention and better outcomes. This Special Issue provides an opportunity to highlight recent advancements and emerging frontiers in hepatology research.

We aim to gather cutting-edge research and comprehensive reviews focusing on new developments in the diagnosis, pathophysiology, and management of cirrhosis. Special attention will be given to innovations in the diagnosis and treatment of MASLD, PBC, and other chronic liver conditions. The collection aligns with the journal's commitment to publishing high-quality research that advances clinical and scientific understanding of complex disease processes.

We look forward to receiving your contributions.

Dr. Hariklia Kranidioti
Guest Editor

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Keywords

  • pathogenesis of liver fibrosis and cirrhosis
  • MASLD
  • hepatitis B, C and D
  • primary biliary cholangitis (PBC): immunopathology and treatment advances
  • alcohol-associated liver disease
  • liver regeneration and stem-cell-based therapies
  • biomarkers for early diagnosis and prognosis
  • emerging antifibrotic treatments
  • liver complications and systemic comorbidities
  • personalized medicine in liver disease

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Published Papers (1 paper)

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29 pages, 4504 KB  
Systematic Review
When the Liver Echoes to the Heart: Assessing Subclinical Cardiac Dysfunction in NAFLD Using Speckle Tracking Echocardiography—A Systematic Review and Meta-Analysis
by Micha Gruber, Malaz Almasri, Rania Abdulredha, Iulia Tecar, Daniel-Corneliu Leucuta, Stefan-Lucian Popa, Dan L. Dumitrascu and Abdulrahman Ismaiel
Biomedicines 2025, 13(12), 2908; https://doi.org/10.3390/biomedicines13122908 - 27 Nov 2025
Viewed by 351
Abstract
Introduction: Worldwide, non-alcoholic fatty liver disease (NAFLD) is the most prevalent chronic liver disorder, strongly associated with increased cardiovascular morbidity and mortality. Although patients have a preserved left ventricular ejection fraction (LVEF), individuals having NAFLD may demonstrate subclinical cardiac dysfunction. Speckle tracking echocardiography [...] Read more.
Introduction: Worldwide, non-alcoholic fatty liver disease (NAFLD) is the most prevalent chronic liver disorder, strongly associated with increased cardiovascular morbidity and mortality. Although patients have a preserved left ventricular ejection fraction (LVEF), individuals having NAFLD may demonstrate subclinical cardiac dysfunction. Speckle tracking echocardiography (STE) enables a more sensitive evaluation, identifying even subtle alterations of myocardial strain, compared to conventional LVEF measurements. This systematic review and meta-analysis sought to examine the relationship between NAFLD and subclinical left ventricular systolic impairment, utilizing STE-derived strain parameters. Methods: A comprehensive search of the literature was undertaken using PubMed, EMBASE, and Scopus. Observational studies evaluating patients with NAFLD through STE-derived myocardial strain parameters were included. Study quality was appraised using the Newcastle-Ottawa Scale. The primary outcomes were the mean differences (MD) in global longitudinal strain (GLS), global circumferential strain (GCS), global radial strain (GRS), global area strain (GAS), and related strain rate indices between NAFLD spectrum patients and controls. Results: A total of sixteen studies, comprising 8359 participants, were included in the analysis. Compared to controls, patients with NAFLD demonstrated significant reductions in GLS (MD: −2.043; 95% CI: −2.868, −1.218), GAS (MD: −3.706; 95% CI: −4.999, −2.413), and GCS (MD: −1.415; 95% CI: −2.893, 0.064). These reductions were more substantial among individuals with moderate to severe NAFLD and those with concomitant type 2 diabetes mellitus (GLS MD: −4.385; 95% CI: −5.400, −3.369 in diabetic NAFLD vs. diabetic controls). Subgroup analysis further revealed a progressive deterioration in strain parameters from simple steatosis to more severe NAFLD. Notably, LVEF remained preserved in all groups, highlighting the subclinical nature of this dysfunction. Conclusions: This meta-analysis verifies the presence of subclinical left ventricular systolic dysfunction in individuals with NAFLD, which is identifiable by STE despite preserved LVEF. Myocardial strain metrics, particularly GLS, serve as sensitive early markers of myocardial impairment. Routine application of STE in the clinical assessment of NAFLD may support earlier cardiovascular risk detection and timely intervention. Full article
(This article belongs to the Special Issue Emerging Trends in Liver Diseases and Cirrhosis Research)
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