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Researchers Uncover Niacin’s Role in Treating Fatty Liver Disease

Researchers have made a significant breakthrough in the treatment of fatty liver disease by identifying microRNA-93 as a key genetic driver and uncovering the potential of vitamin B3, also known as niacin, in suppressing it. This discovery offers hope for millions worldwide struggling with metabolic-associated fatty liver disease (MASLD), a condition that previously lacked targeted therapies.

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A collaborative effort led by Professor Jang Hyun Choi from UNIST, along with researchers from Pusan National University and Ulsan University Hospital, unveiled the role of microRNA-93 in the development and progression of MASLD. This specialized RNA molecule was found to exacerbate lipid accumulation, inflammation, and fibrosis in the liver by suppressing the expression of a crucial gene involved in lipid metabolism, known as SIRT1.

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Experiments involving gene editing techniques in mice revealed a significant reduction in hepatic fat accumulation and improved liver function upon eliminating miR-93 production. Conversely, mice with elevated levels of miR-93 exhibited worsened metabolic function, highlighting the molecule’s detrimental impact on liver health.

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Further investigations identified niacin as the most effective FDA-approved drug in suppressing miR-93. Treatment with niacin led to a notable decrease in miR-93 levels in the liver, accompanied by increased SIRT1 activity. The activated SIRT1, in turn, normalized disrupted lipid metabolism pathways, restoring liver lipid homeostasis.

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The research team emphasized the clinical significance of their findings, suggesting that repurposing niacin as a treatment for MASLD holds promise due to its established safety profile and efficacy in targeting miRNA pathways. This study, supported by various research organizations, sheds light on a potential new avenue for combating a prevalent liver disease with a common vitamin supplement.

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Published in the journal Metabolism: Clinical and Experimental, this groundbreaking research underscores the importance of understanding the molecular mechanisms underlying metabolic dysfunction-associated steatotic liver disease. With the potential for niacin to modulate this pathway, the study paves the way for innovative therapeutic approaches in the management of fatty liver disease.

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In a world where liver disorders affect a significant portion of the population, this discovery offers hope for a safe and affordable treatment option that could revolutionize the way we approach and manage fatty liver disease on a global scale.

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