BPG is committed to discovery and dissemination of knowledge
Review
Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastroenterol. Apr 14, 2026; 32(14): 117396
Published online Apr 14, 2026. doi: 10.3748/wjg.v32.i14.117396
Roles of hepatic immunity in metabolic dysfunction-associated steatotic liver disease: Cellular and molecular mechanisms and clinical trials
Ming Yang, Olamide T Olaoba, Stephanie C Chinwo, Hannah LeVasseur, Beiyan Zhou, Eric T Kimchi, Kevin F Staveley-O’Carroll, Guangfu Li
Ming Yang, Olamide T Olaoba, Stephanie C Chinwo, Eric T Kimchi, Kevin F Staveley-O’Carroll, Guangfu Li, Department of Surgery, School of Medicine, University of Connecticut, Farmington, CT 06030, United States
Olamide T Olaoba, Hannah LeVasseur, Beiyan Zhou, Guangfu Li, Department of Immunology, School of Medicine, University of Connecticut, Farmington, CT 06030, United States
Co-first authors: Ming Yang and Olamide T Olaoba.
Co-corresponding authors: Kevin F Staveley-O’Carroll and Guangfu Li.
Author contributions: Yang M, Olaoba OT and Li G devised the outline; Yang M, Olaoba OT, Chinwo SC, LeVasseur H, Zhou B conducted the literature review; Zhou B, Kimchi ET, Staveley-O’Carroll KF, and Li G critically revised the paper; all authors read and approved the submitted manuscript.
Supported by the National Institutes of Health, No. R01DK130340, No. R01CA274959 and No. R01CA250536.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Corresponding author: Guangfu Li, PhD, Professor, Department of Surgery, School of Medicine, University of Connecticut, 263 Farmington Avenue, Farmington, CT 06030, United States. gli@uchc.edu
Received: December 8, 2025
Revised: December 29, 2025
Accepted: January 27, 2026
Published online: April 14, 2026
Processing time: 118 Days and 15.3 Hours
Core Tip

Core Tip: Metabolic dysfunction-associated steatotic liver disease (MASLD) encompasses a broad spectrum of pathology ranging from hepatic steatosis to metabolic dysfunction-associated steatohepatitis (MASH). Effective treatments for MASLD remain limited. Hepatic innate immune cells play an essential role in maintaining liver physiological homeostasis and contributing to MASLD pathogenesis and progression by interacting with liver parenchymal cells and adaptive immune cells in the progression of MASLD and MASH. Treatments targeting innate immune cell manipulation and metabolic modulation, such as fibroblast growth factor 21 analogues, farnesoid X receptor agonists, and chemokine receptor antagonists, can provide therapeutic strategies for MASLD.