Evidence mapPaperPMID 41545323Full record

ReviewJournal of cellular and molecular medicine2026

Convergent Metabolic Pathways in MASH Therapeutics: An AMPK-Centric Analysis.

Seungchan Choi, Jin-Seok Jung, Yie-Sung Seo, Sungmin Song, Jeehye Ham, Hannah Chung, Yousef Ramadan, Kangchan Choi

Abstract readReview
In one paragraph

Review in Journal of cellular and molecular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Seungchan ChoiRegeneration Medicine Research Center, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.
Jin-Seok JungDepartment of Biomedical Laboratory Science, Yonsei University, Wonju, Republic of Korea.
Yie-Sung SeoSchool of Medicine, Trinity Medical Sciences University, Kingstown, Saint Vincent and the Grenadines.
Sungmin SongSchool of Medicine, Trinity Medical Sciences University, Kingstown, Saint Vincent and the Grenadines.
Jeehye HamSchool of Medicine, Trinity Medical Sciences University, Kingstown, Saint Vincent and the Grenadines.
Hannah ChungSchool of Medicine, Trinity Medical Sciences University, Kingstown, Saint Vincent and the Grenadines.
Yousef RamadanSchool of Medicine, Trinity Medical Sciences University, Kingstown, Saint Vincent and the Grenadines.
Kangchan ChoiSchool of Medicine, Trinity Medical Sciences University, Kingstown, Saint Vincent and the Grenadines.ORCID https://orcid.org/0009-0007-3937-2222

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metabolic dysfunction-associated steatohepatitis (MASH) is a leading cause of liver-related morbidity driven by systemic metabolic dysregulation. The recent approval of resmetirom and the clinical success of GLP-1 receptor agonists have heralded a new era in MASH therapy, yet a convergent understanding of the complex mechanisms of these diverse agents is lacking. This review proposes a mechanistic framework centred on the convergent signalling of AMP-activated protein kinase (AMPK), a master regulator of hepatic energy homeostasis. We examine key metabolism-based therapeutics-pioglitazone, GLP-1 receptor agonists, SGLT2 inhibitors, resmetirom and statins-to delineate how distinct upstream triggers converge on AMPK. Synthesising the latest evidence, we clearly delineate how each drug class activates AMPK either indirectly-through systemic effects like weight loss and glycemic control-or via direct actions on hepatocytes. We specifically contrast the liver-targeted action of resmetirom with the predominantly systemic effects of semaglutide and discuss the 'epigenetic lock-in' hypothesis, wherein chronic metabolic stress perpetuates the disease state. Based on this framework, we propose rational strategies for combination therapy. In conclusion, this AMPK-centric framework provides a novel lens for understanding the complex pharmacology of MASH drugs and offers a valuable clinical roadmap for personalising treatment strategies to individual patient phenotypes.

Indexed as

AMP-Activated Protein KinasesFatty LiverMetabolic Networks and PathwaysAnimalsHumansLiverSemaglutideSignal TransductionAMP-Activated Protein KinasesSemaglutideAMP‐activated protein kinaseGLP‐1 receptor agonistMASHMASLDresmetiromSGLT2 inhibitorstatins

Identifiers

PMID41545323
PMCPMC12811076

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.