Liver disease trends in the Asia-Pacific region for the next 50 years.

Rino Gani, Shuichiro Shiina, Giovanni Galati, Yoon Jun Kim, Qing Deng, Tawesak Tanwandee, Yi-Hsiang Huang, Hitoshi Maruyama, Javkhlan Maikhuu, Terguunbileg Batsaikhan, Lariza Marie Canseco, Maki Tobari, Hiroaki Nagamatsu, Diana Alcantara-Payawal

Journal: Clinical and molecular hepatology 2025;31(3):671-684

PMID: 40037692

Abstract

Liver disease has emerged as a critical and escalating public health concern worldwide, with the Asia-Pacific region at the forefront of this challenge due to its vast population and diverse socioeconomic landscape. Over the coming five decades, this region will experience profound changes in liver disease patterns, shaped by rapid urbanization, lifestyle modifications, advancements in medical technologies, and evolving public health strategies. This article offers an in-depth analysis of six transformative areas defining the trajectory of liver disease in the region. First, it highlights the alarming rise of metabolic dysfunction-associated fatty liver disease and metabolic dysfunction-associated steatohepatitis, diseases driven by modern lifestyle factors and inherent metabolic susceptibilities. Concurrently, it celebrates the declining burden of viral hepatitis, underscoring the success of sustained public health interventions. However, new challenges are emerging, such as the growing impact of environmental and occupational exposures on liver health. Breakthroughs in genomic and epigenetic research promise to advance precision medicine, offering targeted therapeutic solutions. Additionally, the integration of artificial intelligence, big data, and telemedicine is poised to revolutionize liver disease management, improving accessibility and personalized care. Finally, the article emphasizes the critical role of robust health policies, preventive strategies, and cross-border collaboration in shaping a healthier future. By synthesizing these insights, the study aims to guide innovative and effective responses to the evolving liver disease landscape in the Asia-Pacific region.

Address: Department of Gastroenterology, Juntendo University, Tokyo, Japan.; Department of Gastroenterology, Juntendo University, Tokyo, Japan.; Department of Radiology, The Second State Central Hospital, Ulaanbaatar, Mongolia.; Department of Gastroenterology, Juntendo University, Tokyo, Japan.; Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, Wuhan, China.; Department of Gastroenterology, Juntendo University, Tokyo, Japan.; Department of Interventional Radiology, National Cancer Center of Mongolia, Ulaanbaatar, Mongolia.; Department of Gastroenterology, Juntendo University, Tokyo, Japan.; Section of Gastroenterology, Department of Internal Medicine, De Los Santos Medical Center, Quezon City, Philippines.; Department of Internal Medicine, Fatima University Medical Center, Valenzuela, Philippines.; Hepatobiliary Division, Department of Internal Medicine, Faculty of Medicine, University of Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.; Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan.; Division of Gastroenterology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.; Unit of Clinical Medicine and Hepatology, University Campus Bio-Medico, Rome, Italy.; Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
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