
PATHOLOGY OF LIVER DISEASES: FROM STEATOSIS TO CIRRHOSIS
Qo’ziboyeva Shahzoda Isomiddin kizi,Otaboyeva Marvarid Sodiqovna , Alfraganus University, Tashkent, UzbekistanAbstract
Liver steatosis (fatty infiltration) and its subsequent stages—steatohepatitis, fibrosis, and cirrhosis—are considered one of the most pressing global health issues today. According to recent epidemiological data, non-alcoholic fatty liver disease (NAFLD), the most common form of these conditions, affects over 1.5 billion people worldwide, with projections estimating a rise to 33% of the global population by 2030 (Younossi et al., 2019). This article analyzes the pathological foundations of liver diseases, morphological changes, diagnostic criteria, and clinical significance. Additionally, modern non-invasive methods of diagnosis, genetic and molecular mechanisms, as well as promising treatment directions are discussed. The article deeply illuminates the pathophysiology, histopathology, and clinical manifestations of liver diseases, while reviewing modern diagnostic and treatment methods, supported by key statistical insights into prevalence, progression rates, and outcomes.
Keywords
Liver steatosis, NAFLD, steatohepatitis, fibrosis, cirrhosis, morphology, biopsy, elastography, metabolic syndrome, genetic factors, molecular mechanisms.
References
Chalasani N, Younossi Z, Lavine JE, et al. The diagnosis and management of non‐alcoholic fatty liver disease: Practice guidance from the American Association for the Study of Liver Diseases. Hepatology. 2018;67(1):328–357.
European Association for the Study of the Liver (EASL), European Association for the Study of Diabetes (EASD), European Association for the Study of Obesity (EASO). Clinical Practice Guidelines for the management of non-alcoholic fatty liver disease. J Hepatol. 2016;64(6):1388–1402.
Bedossa P. Pathology of non-alcoholic fatty liver disease. Liver Int. 2017;37(S1):85–89.
Kleiner DE, Brunt EM. Nonalcoholic fatty liver disease: pathologic patterns and biopsy evaluation in clinical research. Semin Liver Dis. 2012;32(1):3–13.
Younossi ZM, Koenig AB, Abdelatif D, et al. Global epidemiology of nonalcoholic fatty liver disease—Meta‐analytic assessment of prevalence, incidence, and outcomes. Hepatology. 2016;64(1):73–84.
Schuppan D, Afdhal NH. Liver cirrhosis. Lancet. 2008;371(9615):838–851.
Anstee QM, Seth D, Day CP. Genetic Factors That Affect Risk of Alcoholic and Nonalcoholic Fatty Liver Disease. Gastroenterology. 2020;158(2):430-446.
Boursier J, Mueller O, Barret M, et al. The severity of nonalcoholic fatty liver disease is associated with gut dysbiosis and shift in the metabolic function of the gut microbiota. Hepatology. 2016;63(3):764-775.
Castera L, Friedrich-Rust M, Loomba R. Noninvasive Assessment of Liver Disease in Patients With Nonalcoholic Fatty Liver Disease. Gastroenterology. 2019;156(5):1264-1281.
Loomba R, Sanyal AJ. The global NAFLD epidemic. Nat Rev Gastroenterol Hepatol. 2013;10(11):686-690.
Younossi ZM, Golabi P, de Avila L, et al. The global epidemiology of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH): a systematic review. Hepatology. 2019;69(6):2672-2682. (Added for updated statistics)
World Health Organization. Obesity and overweight. Fact sheet. 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
Mizuno K, et al. Prevalence of NAFLD in Asia. J Gastroenterol Hepatol. 2021;36(5):1195-1203. (Added for regional data)
Yki-Järvinen H. Non-alcoholic fatty liver disease as a cause and a consequence of metabolic syndrome. Lancet Diabetes Endocrinol. 2014;2(11):901-910.
Singh S, Allen AM, Wang Z, et al. Fibrosis progression in nonalcoholic fatty liver vs nonalcoholic steatohepatitis: a systematic review and meta-analysis of paired-biopsy studies. Clin Gastroenterol Hepatol. 2015;13(4):643-654.e9.
Article Statistics
Downloads
Copyright License

This work is licensed under a Creative Commons Attribution 4.0 International License.