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  1. 30 医学部・医学研究科・附属病院
  2. 30d 学術雑誌論文
  3. 30d-01 学術雑誌論文(医学研究科)

An epidemiological study on the factors including genetic polymorphism influencing ALT >30 U/L and liver fibrosis progression in metabolic dysfunction-associated steatotic liver disease among the general population

http://hdl.handle.net/10129/0002001819
http://hdl.handle.net/10129/0002001819
b45163e1-c20e-439d-9927-692061594c77
名前 / ファイル ライセンス アクション
JGH_8 JGH_8 (2024) e70043.pdf (422 KB)
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Item type リポジトリ登録用アイテムタイプ(シンプル)(1)
公開日 2025-10-14
タイトル
タイトル An epidemiological study on the factors including genetic polymorphism influencing ALT >30 U/L and liver fibrosis progression in metabolic dysfunction-associated steatotic liver disease among the general population
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 cardiovascular metabolic risk factors
キーワード
言語 en
主題Scheme Other
主題 lifestyle
キーワード
言語 en
主題Scheme Other
主題 liver fibrosis
キーワード
言語 en
主題Scheme Other
主題 metabolic dysfunction-associated steatotic liver disease
キーワード
言語 en
主題Scheme Other
主題 single-nucleotide polymorphisms
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 Sato, Satoshi

× Sato, Satoshi

en Sato, Satoshi

ja 弘前大学大学院医学研究科 消化器血液免疫内科学講座

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Iino, Chikara

× Iino, Chikara

en Iino, Chikara

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Sasada, Takafumi

× Sasada, Takafumi

en Sasada, Takafumi

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Soma, Go

× Soma, Go

en Soma, Go

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Furusawa, Keisuke

× Furusawa, Keisuke

en Furusawa, Keisuke

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Yoshida, Kenta

× Yoshida, Kenta

en Yoshida, Kenta

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Sawada, Kaori

× Sawada, Kaori

en Sawada, Kaori

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Mikami, Tatsuya

× Mikami, Tatsuya

en Mikami, Tatsuya

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Fukuda, Shinsaku

× Fukuda, Shinsaku

en Fukuda, Shinsaku

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Nakaji, Shigeyuki

× Nakaji, Shigeyuki

en Nakaji, Shigeyuki

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Sakuraba, Hirotake

× Sakuraba, Hirotake

en Sakuraba, Hirotake

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抄録
内容記述タイプ Abstract
内容記述 Background and Aim
Identifying the factors contributing to the progression of metabolic dysfunction-associated steatotic liver disease (MASLD), a lifestyle-related disease, is crucial for preventing future liver-related deaths. This study aimed to epidemiologically investigate factors, including single-nucleotide polymorphisms (SNPs) associated with alanine aminotransferase (ALT) levels >30 U/L and potential risk factors for liver fibrosis, in a general population cohort of patients with MASLD.

Methods
Among 1059 participants in the health checkup project, 228 who were diagnosed with MASLD were analyzed. Liver fat content and stiffness were measured using FibroScan, and 13 SNPs associated with non-alcoholic fatty liver disease (NAFLD) were measured in addition to other clinical parameters.

Results
In the multivariate analysis, male sex, younger age, and high triglyceride levels were significant risk factors for ALT levels >30 U/L (P-value < 0.05). Furthermore, among the 13 SNPs measured, only the GG genotypes of patatin-like phospholipase domain-containing 3 gene (PNPLA3) rs738409 and rs2896019 were significant risk factors for ALT levels >30 U/L (P-value 0.004 and 0.007). The GG genotypes of PNPLA3 rs738409 and rs2896019 had higher FibroScan-aspartate aminotransferase (FAST) and APRI scores than the CC + CG and TT + TG genotypes (P-value < 0.05). In addition, multivariate analysis revealed that the GG genotypes of rs738409 and rs2896019 were significant risk factors independent of cardiovascular metabolic risk for patients with MASLD (P-value 0.038 and 0.021).

Conclusion
An individualized treatment approach is warranted for patients with MASLD due to the influence of various factors on its progression, including genetic factors and lifestyle diseases.
言語 en
書誌情報 en : JGH Open

巻 8, 号 12, p. e70043, 発行日 2024-12
ISSN
収録物識別子タイプ EISSN
収録物識別子 2397-9070
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1002/jgh3.70043
権利情報
言語 en
権利情報 © 2024 The Author(s). JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
出版者
出版者 Wiley
言語 en
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