RT Journal Article T1 A synergic GLP-1/Acylethanolamide-based combined therapy for MAFLD: Studies in rat models A1 De Ceglia, Marialuisa A1 Tovar, Rubén A1 Rodríguez-Pozo, Miguel A1 Vargas, Antonio A1 Gavito, Ana L. A1 Suárez-Pérez, Juan A1 Baixeras-Llano, Elena A1 Rodriguez de Fonseca, Fernando A1 Decara, Juan K1 Obesidad K1 Receptores de hormonas K1 Metabolismo K1 Hígado -- Enfermedades AB Obesity remains a major epidemic in developed countries, with metabolic-associated fatty liver disease (MAFLD)as one of its main hepatic consequences. Pharmacological treatments for MAFLD are limited, but modulation ofglucagon-like peptide-1 (GLP-1) or acylethanolamide signalling offers promising therapeutic potential, whileexerting anti-obesity effects. This study evaluated the effects of a combined therapy using a dual ligand targetingperoxisome proliferator-activated receptor alpha (PPARα) and peripheral cannabinoid receptor 1 (CB1) (OLHHA,acting as a PPARα agonist and CB1 antagonist) in combination with the GLP-1 receptor agonist liraglutide. Ouraim was to assess their potential as a multitarget therapy to ameliorate liver dysfunction in an obesity animalmodel. In Wistar rats, we evaluated the effects of administering 3 mg/kg OLHHA and 25 µg/kg liraglutide, bothacutely and chronically (daily for 42 days), in the context of exposure to a high-fat/high-fructose diet. Althoughboth OLHHA and liraglutide individually ameliorated certain hepatic alterations induced by MAFLD, our findingsdemonstrate that their combined administration was significantly more effective in promoting body weight loss,improving lipid profiles and transaminase levels, and exerting robust antisteatotic effects in obese rats. Thisenhanced efficacy was evidenced by a marked reduction in hepatic fat content, downregulation of lipogenesisrelated enzymes, and upregulation of proteins involved in lipid oxidation. Moreover, OLHHA, either alone orin combination with liraglutide, efficiently restored redox balance disrupted by MAFLD in obese rats. PB Elsevier YR 2025 FD 2025 LK https://hdl.handle.net/10630/40477 UL https://hdl.handle.net/10630/40477 LA eng NO Ceglia M, Tovar R, Rodríguez-Pozo M, Vargas A, Gavito A, Suárez J, Baixeras E, Rodríguez de Fonseca F, Decara J. A synergic GLP-1/Acylethanolamide-based combined therapy for MAFLD: Studies in rat models. Biochemical Pharmacology. 2025;242(3):117364. https://doi.org/10.1016/j.bcp.2025.117364 NO Funding for open access charge: Universidad de Málaga/CBUA DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 4 mar 2026