Age, BMI, and Type 2 Diabetes Modify the Relationship Between PNPLA3 and Advanced Fibrosis in Children and Adults With NAFLD

医学 2型糖尿病 纤维化 糖尿病 内科学 内分泌学
作者
Chaowapong Jarasvaraparn,Eduardo Vilar‐Gómez,Katherine P. Yates,Laura Wilson,Brent A. Neuschwander‐Tetri,Rohit Loomba,Oscar W. Cummings,Miriam B. Vos,Stavra A. Xanthakos,Jeffrey B. Schwimmer,Jean P. Molleston,Arun J. Sanyal,James Tonascia,Naga Chalasani
出处
期刊:Clinical Gastroenterology and Hepatology [Elsevier BV]
卷期号:22 (5): 1024-1036.e2 被引量:8
标识
DOI:10.1016/j.cgh.2023.12.009
摘要

Background & AimsPNPLA3 G-allele is an important determinant of disease severity in nonalcoholic fatty liver disease (NAFLD). Here, we investigated the effect of age, body mass index (BMI), and type 2 diabetes mellitus (T2DM) on the relationship between PNPLA3 G-allele and advanced fibrosis in adults and children with histologically characterized NAFLD.MethodsA total of 1047 children and 2057 adults were included. DNA was genotyped for rs738409 in duplicate. Primary outcome of interest was advanced fibrosis (fibrosis stage ≥3). Regression analyses were performed after controlling for relevant covariates. An additive model was used to assess the effect of PNPLA3 G-allele (CC vs CG vs GG).ResultsPNPLA3 G-allele was significantly associated with advanced fibrosis in children (odds ratio [OR], 1.55; 95% confidence interval [CI], 1.16–2.09) and adults (OR, 1.55; 95% CI, 1.16–1.54). Across the cohort, older age significantly increased the risk for advanced fibrosis for PNPLA3 CC (OR, 1.019; 95% CI, 1.013–1.026), CG (OR, 1.024; 95% CI, 1.018–1.030), and GG (OR, 1.03; 95% CI, 1.023–1.037) genotypes. BMI significantly increased the relationship between PNPLA3 genotypes and advanced fibrosis in children and adults. A BMI of 30 kg/m2 was the cutoff beyond which PNPLA3 G-allele had exponential effect on the risk for advanced fibrosis in children and adults. T2DM significantly worsened the relationship between PNPLA3 G-allele and advanced fibrosis in children and adults (interaction P < .01 for both).ConclusionsAge, BMI, and T2DM modify the risk of advanced fibrosis associated with PNPLA3 G-allele. Preventing or reversing T2DM and obesity in persons carrying PNPLA3 G-allele may lower the risk for advanced fibrosis in NAFLD. PNPLA3 G-allele is an important determinant of disease severity in nonalcoholic fatty liver disease (NAFLD). Here, we investigated the effect of age, body mass index (BMI), and type 2 diabetes mellitus (T2DM) on the relationship between PNPLA3 G-allele and advanced fibrosis in adults and children with histologically characterized NAFLD. A total of 1047 children and 2057 adults were included. DNA was genotyped for rs738409 in duplicate. Primary outcome of interest was advanced fibrosis (fibrosis stage ≥3). Regression analyses were performed after controlling for relevant covariates. An additive model was used to assess the effect of PNPLA3 G-allele (CC vs CG vs GG). PNPLA3 G-allele was significantly associated with advanced fibrosis in children (odds ratio [OR], 1.55; 95% confidence interval [CI], 1.16–2.09) and adults (OR, 1.55; 95% CI, 1.16–1.54). Across the cohort, older age significantly increased the risk for advanced fibrosis for PNPLA3 CC (OR, 1.019; 95% CI, 1.013–1.026), CG (OR, 1.024; 95% CI, 1.018–1.030), and GG (OR, 1.03; 95% CI, 1.023–1.037) genotypes. BMI significantly increased the relationship between PNPLA3 genotypes and advanced fibrosis in children and adults. A BMI of 30 kg/m2 was the cutoff beyond which PNPLA3 G-allele had exponential effect on the risk for advanced fibrosis in children and adults. T2DM significantly worsened the relationship between PNPLA3 G-allele and advanced fibrosis in children and adults (interaction P < .01 for both). Age, BMI, and T2DM modify the risk of advanced fibrosis associated with PNPLA3 G-allele. Preventing or reversing T2DM and obesity in persons carrying PNPLA3 G-allele may lower the risk for advanced fibrosis in NAFLD.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
王叮叮发布了新的文献求助20
1秒前
kunkun完成签到,获得积分10
2秒前
3秒前
crrr完成签到,获得积分10
3秒前
xiaoguan完成签到,获得积分10
5秒前
Owen应助欣喜的尔曼采纳,获得10
7秒前
独特的翠芙完成签到,获得积分10
7秒前
8秒前
9秒前
10秒前
姜惠完成签到 ,获得积分10
10秒前
小脸红扑扑完成签到 ,获得积分10
11秒前
奋斗的凡完成签到 ,获得积分10
11秒前
12秒前
zhutier完成签到,获得积分10
13秒前
wrr完成签到,获得积分10
13秒前
WxChen完成签到,获得积分10
13秒前
开朗艳一完成签到,获得积分10
15秒前
Wonder完成签到,获得积分10
16秒前
yang完成签到,获得积分10
18秒前
123123完成签到 ,获得积分10
19秒前
温暖宛筠完成签到,获得积分10
19秒前
小欣6116完成签到,获得积分10
20秒前
请叫我风吹麦浪应助冬月采纳,获得10
20秒前
LIUYONG发布了新的文献求助10
21秒前
21秒前
肖雪依完成签到,获得积分10
21秒前
影子完成签到,获得积分10
22秒前
23秒前
晨珂完成签到,获得积分10
23秒前
Florencia发布了新的文献求助10
25秒前
xiezhuochun发布了新的文献求助10
26秒前
26秒前
同瓜不同命完成签到,获得积分10
28秒前
牛马哥发布了新的文献求助10
29秒前
温婉的松鼠完成签到,获得积分10
29秒前
30秒前
辛勤的寄瑶完成签到,获得积分10
30秒前
Lauren完成签到 ,获得积分10
31秒前
32秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038303
求助须知:如何正确求助?哪些是违规求助? 3576013
关于积分的说明 11374210
捐赠科研通 3305780
什么是DOI,文献DOI怎么找? 1819322
邀请新用户注册赠送积分活动 892672
科研通“疑难数据库(出版商)”最低求助积分说明 815029