Non-alcoholic fatty liver disease (NAFLD) affects approximately 25% of the global population, with prevalence reaching 80-90% in individuals with obesity. The disease progression involves hepatic steatosis, inflammation, and fibrosis, with liver biopsies revealing lipid accumulation exceeding 5% of hepatocytes by weight. Standard treatments have shown limited efficacy, with fewer than 30% of patients achieving significant histological improvement.

The challenge lies in modulating the gut-liver axis to reduce hepatic inflammation and lipid accumulation without disrupting metabolic homeostasis.

This page brings together solutions from recent research—including anti-inflammatory Lactobacillus plantarum strains for liver disease treatment, Nosocomiicoccus massiliensis probiotics that activate key metabolic receptors, and engineered bacteria that synthesize therapeutic polyphenolic compounds with anti-inflammatory properties. These and other approaches offer practical interventions that target the underlying pathophysiology of NAFLD while supporting long-term gut microbiota balance.

1. Aromatic Ring-Substituted Compounds as Farnesoid X Receptor Agonists or Modulators

GILEAD SCIENCES INC, 2025

Compounds that bind to the farnesoid X receptor (FXR) as agonists or modulators for treating diseases like cholestatic conditions, liver fibrosis, obesity, diabetes, metabolic disorders, inflammatory bowel disease, lipid disorders, stroke, thrombosis, infections, cancer, and liver steatosis. The compounds have structures with specific substituents on the aromatic ring and side chain. They can be used to develop drugs for treating these conditions by activating FXR signaling.

2. Fermented Cereal Composition with Probiotic Lactobacillus Plantarum Strains for Liver Disease Treatment

NORDIC REBALANCE AS, 2025

A treatment for fatty liver disease and fibrotic liver disease, including alcoholic liver disease and non-alcoholic fatty liver disease, comprising a combination of fermented cereal composition and probiotic microorganisms, preferably anti-inflammatory Lactobacillus plantarum strains 299 and 299v. The treatment involves daily administration of a ready-to-use fermented cereal composition, which can be formulated with or without postbiotics such as short-chain fatty acids, to prevent disease progression, initiate regression, or postpone progression of liver disease.

3. Compound HK4 with GABA Potentiation and Apoptosis Inhibition Properties

DEUTSCHE DIABETES-FORSCHUNGSGESELLSCHAFT E.V, 2024

A compound, HK4, is disclosed for the treatment and prevention of non-alcoholic fatty liver disease (NAFLD) and related conditions. HK4 prevents palmitate-induced apoptosis in hepatocytes and potentiates GABA effects, reducing inflammation and cell death associated with NAFLD progression. The compound is administered in a therapeutically effective amount to alleviate NAFLD symptoms and prevent disease progression.

4. Administration Protocol of Thyroid Hormone Receptor-β Agonist for Modulating Liver Enzyme and Fibrosis Marker Levels

MADRIGAL PHARMACEUTICALS INC, 2024

A method for treating or preventing non-alcoholic steatohepatitis (NASH) using a thyroid hormone receptor-β (THR-β) agonist, such as resmetirom, which reduces liver inflammation and fibrosis. The method involves administering the THR-β agonist to a subject with NASH, either as a standalone treatment or in combination with other therapies, to achieve a significant reduction in liver enzymes and fibrosis markers.

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5. Probiotic Composition Containing Nosocomiicoccus Massiliensis with Receptor Activation Properties

IBIOME BIOTECHNOLOGY CO LTD, 2024

A novel probiotic drug for preventing and treating metabolic diseases, comprising Nosocomiicoccus massiliensis, a Gram-positive bacterium isolated from hospital environments. The probiotic activates GPR120, MC4R, and APJ receptors, targets for obesity and diabetes treatment, and reduces body weight, blood sugar, and lipid metabolism indicators in obese mice.

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6. Combination Therapy Comprising PPAR Full Agonist and THR-β Agonist for Metabolic Regulation

CHENGDU CHIPSCREEN PHARMACEUTICAL LTD, 2024

Combination therapy for treating metabolic diseases, comprising a PPAR full agonist and a THR-β agonist, which synergistically regulates lipid metabolism, insulin sensitivity, and liver function to improve conditions such as obesity, diabetes, hyperlipidemia, NASH, and chronic kidney disease.

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7. Pharmaceutical Composition Comprising ATPase Inhibitory Factor 1 as Active Ingredient

MEDI & GENE, 2024

Pharmaceutical composition for preventing or treating alcoholic and non-alcoholic fatty liver disease, comprising ATPase inhibitory factor 1 (IF1) as an active ingredient. IF1, a human-derived protein, protects hepatocytes from alcohol toxicity, prevents lipid accumulation, suppresses liver fibrosis and inflammation, and modulates gut microbiota.

8. Double-Stranded RNA Compositions Targeting CIDEB mRNA for Gene Expression Inhibition

SHANGHAI ARGO BIOPHARMACEUTICAL CO LTD, 2024

Compositions and methods for inhibiting cell death-inducing DFFA-like effector B (CIDEB) gene expression, particularly for treating liver diseases such as nonalcoholic steatohepatitis (NASH) and nonalcoholic fatty liver disease (NAFLD). The compositions comprise double-stranded RNA (dsRNA) agents that specifically target CIDEB mRNA, and the methods involve administering these agents to inhibit CIDEB expression and treat associated diseases.

9. Double-Stranded Short Interfering Nucleic Acid Molecule Targeting HSD17B13 Gene

MERCK SHARP & DOHME LLC, 2024

A method of treating liver diseases such as nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) by administering a double-stranded short interfering nucleic acid (siNA) molecule that targets the HSD17B13 gene. The siNA molecule comprises a sense strand and an antisense strand, each with a nucleotide sequence that is at least 60% identical to a corresponding sequence in the HSD17B13 gene. Administration of the siNA molecule reduces HSD17B13 expression in hepatocytes, thereby treating liver diseases.

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10. Genetically Modified Bacteria for Synthesis of Polyphenolic Compounds via Tyrosine Aminotransferase Pathway

SHENZHEN PAM2L BIOTECHNOLOGIES CO LTD, 2024

Engineering bacteria for preventing and treating non-alcoholic steatohepatitis (NASH) through genetic modification to produce polyphenolic compounds with therapeutic activity. The engineered bacteria, such as E. coli Nissle 1917, are designed to synthesize compounds like p-coumaric acid that have anti-inflammatory, fat-reducing, and insulin-resistance-improving effects. The bacteria are engineered to convert glucose into tyrosine and then into p-coumaric acid through heterologous expression of tyrosine aminotransferase. The engineered bacteria can be administered orally to treat NASH and maintain a sustained release of the therapeutic compound.

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11. siRNA Duplexes Targeting CIDEB Gene with Defined Nucleotide Variability

BEBETTER MED INC, 2024

siRNA for inhibiting CIDEB gene expression, comprising a sense strand and an antisense strand, wherein the sense strand and the antisense strand are complementary, and the sequence thereof is selected from any group of duplexes shown in Table 1 or at least 15 consecutive nucleotide sequences that differ from the duplexes by no more than 3 nucleotides. The siRNA is used to treat diseases associated with CIDEB expression, including hepatitis, liver fibrosis, non-alcoholic steatohepatitis (NASH), non-alcoholic fatty liver disease (NAFLD), cirrhosis, alcoholic steatohepatitis (ASH), alcoholic fatty liver disease (ALD), HCV-related cirrhosis, drug-induced liver damage and hepatocellular necrosis.

12. Cell-Permeable SOCS1-Derived Peptides with JAK/STAT Pathway Inhibition

Autonomous University of Madrid, 2024

Peptides derived from the SOCS1 protein inhibit the JAK/STAT signaling pathway to prevent and treat non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH). The peptides, which are cell-permeable and can be administered orally, reduce liver inflammation, fibrosis, and metabolic dysfunction in animal models of NAFLD. They specifically target the JAK/STAT pathway, which is dysregulated in NAFLD, and have been shown to prevent the progression of NAFLD to NASH and cirrhosis.

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13. Pyridazinone Compound with Aniline and Triazine Moieties for Selective Thyroid Hormone Receptor Beta Activation

SHANDONG FIRST MEDICAL UNIVERSITY & SHANDONG ACADEMY OF MEDICAL SCIENCES, 2024

A pyridazinone compound with thyroid hormone receptor beta (TRβ) agonist activity for treating metabolic disorders such as non-alcoholic steatohepatitis (NASH), obesity, atherosclerosis, and hyperlipidemia. The compound selectively activates TRβ receptors without the cardiac stimulation and bone resorption side effects associated with thyroid hormone replacement therapy. It has a novel chemical structure that combines a pyridazinone core with a specific aniline and triazine moiety, providing improved selectivity and pharmacokinetic properties compared to existing TRβ agonists.

14. Selective Thyroid Hormone Receptor Beta Agonists with Non-Suppressive Thyroid Hormone Axis Activation

XIZANG HAISCO PHARMACEUTICAL CO LTD, 2024

Methods for treating metabolic diseases and disorders using thyroid hormone receptor agonists that selectively activate thyroid hormone receptor beta (THRβ) without suppressing the thyroid hormone axis. The compounds, which include novel chemical entities, are designed to modulate lipid metabolism, reduce liver fat content, and prevent or treat nonalcoholic steatohepatitis (NASH) and nonalcoholic fatty liver disease (NAFLD) without affecting thyroid function or circulating thyroid hormone levels.

15. Synbiotic Composition with Sugarcane-Derived Prebiotic Fibre and Gastric-Resilient Probiotic Strain

HEALTH FOOD SYMMETRY PTY LTD, 2024

A synbiotic composition for treating non-alcoholic fatty liver disease (NAFLD) comprising a prebiotic phytonutrient fibre material prepared from sugarcane and at least one probiotic bacterial strain. The prebiotic fibre material is derived from virgin sugarcane with the sugar removed, and the probiotic strain is selected for its ability to survive gastric transit and generate beneficial fermentation products. The synbiotic composition is administered in a food product or therapeutic formulation to modulate gut microbiota and reduce inflammation associated with NAFLD.

16. Microorganism Composition Including Akermansia muciniphila with Probiotic and Excipients

GUANGZHOU ZHIYI BIOTECHNOLOGY CO LTD, 2023

Microorganism that can be used in the preparation of health foods or drugs for the prevention and treatment of non-alcoholic fatty liver disease. The microorganism includes Akermansia muciniphila, a probiotic combination product, and pharmaceutical excipients.

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17. Combination Therapy Comprising Acetyl-CoA Carboxylase Inhibitor and Farnesoid X Receptor Agonist

GILEAD SCIENCES INC, 2023

Methods of treating and preventing liver diseases, including non-alcoholic steatohepatitis (NASH) and liver fibrosis, by administering a combination of an acetyl-CoA carboxylase (ACC) inhibitor and a farnesoid X receptor (FXR) agonist. The combination reduces liver damage, fibrosis, and inflammation, and can be used to treat various liver diseases, including NASH, liver fibrosis, and primary sclerosing cholangitis (PSC).

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18. Polymorphic Forms of SSAO Inhibitor Compound I with Controlled Crystallization Methods

ELI LILLY AND CO, 2023

Polymorphs of the SSAO inhibitor Compound I, including Form II, which exhibits improved stability and crystallinity compared to the known Form I. The polymorphs are prepared through controlled crystallization methods, such as evaporation of a solvent mixture or addition of an anti-solvent, and are useful in the treatment of liver disorders, including non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).

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19. Double-Stranded Oligonucleotide Linked to Ligand for RNA Interference-Mediated Reduction of HSD17B13 Expression

ARROWHEAD PHARMACEUTICALS INC, 2023

Treatment of non-alcoholic fatty liver disease (NAFLD) by administering a compound that reduces expression of HSD17B13, a protein involved in lipid metabolism, through RNA interference. The compound is a double-stranded oligonucleotide linked to a ligand, administered at a dose of 25-200 mg, and repeated every 4-12 weeks. The treatment reduces HSD17B13 mRNA and protein levels by at least 50% and 30%, respectively, as measured by qRT-PCR and Western Blot.

20. Composition Comprising Live Adlercreutzia Bacteria and Culture Extracts

INSTITUT NATIONAL DE RECH POUR LAGRICULTURE LALIMENTATION ET LENVIRONNEMENT, 2023

A composition for treating inflammatory diseases comprising live Adlercreutzia bacteria, particularly Adlercreutzia equolifaciens, and/or culture extracts thereof. The composition is used to prevent or treat inflammatory diseases such as non-alcoholic fatty liver disease (NAFLD) and inflammatory bowel diseases (IBD) by modulating the gut microbiota and reducing inflammation.

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21. Lactobacillus delbrueckii subsp. lactis Strain CKDB001 with Gut Microbiota Modulation Properties

22. Synthesis and Administration of Thyroid Hormone Receptor-Beta Agonist Compound 1 for Selective Modulation

23. Selective Semicarbazide-Sensitive Amine Oxidase Inhibitor Administration Method for Liver Disease Treatment

24. Pharmaceutical Composition Comprising GPR119 Agonist and Additional Drug with Distinct Mechanism

25. Medicament Composition with Pulsatilla Saponin B4 as Active Ingredient

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