GLP-1 and MASH: When weight loss isn't the whole story.

Long, Michelle T; Krarup, Niels; Knop, Filip K · Cell Metab · 2026

review · Level V

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Abstract

Metabolic dysfunction-associated steatohepatitis (MASH) remains a major unmet clinical challenge. A new study by Gonzalez-Rellan et al.<sup>1</sup> shows that glucagon-like peptide 1 (GLP-1) receptors on intrahepatic sinusoidal endothelial cells are key mediators of semaglutide's weight loss-independent hepatoprotective effects, reframing our understanding of how GLP-1-based therapies act within the diseased liver.

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