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Genetic Variation at NCAN Locus Is Associated with Inflammation and Fibrosis in Non-Alcoholic Fatty Liver Disease in Morbid ObesityGorden A.a, c · Yang R.b, c · Yerges-Armstrong L.M.b, c · Ryan K.A.b, c · Speliotes E.d · Borecki I.B.e · Harris T.B.f · Chu X.g · Wood G.C.g · Still C.D.g · Shuldiner A.R.b,c,h · Gerhard G.S.g · the GOLD Consortium1
Divisions of aGastroenterology and bEndocrinology, Diabetes and Nutrition, and cProgram in Personalized and Genomic Medicine, University of Maryland School of Medicine, Baltimore, Md., dUniversity of Michigan School of Medicine, Ann Arbor, Mich., eDivision of Statistical Genomics, Washington University School of Medicine, St. Louis, Mo., fLaboratory of Epidemiology, Demography and Biometry, National Institute on Aging, National Institutes of Health, Bethesda, Md., gGeisinger Clinic Obesity Institute, Danville, Pa., and hGeriatric Research and Education Clinical Center, Veterans Administration Medical Center, Baltimore, Md., USA Corresponding Author
Glenn S. Gerhard, MD
Department of Biochemistry and Molecular Biology, Institute for Personalized Medicine
Pennsylvania State University College of Medicine
Hershey, PA 17033 (USA)
Objective: Obesity-associated non-alcoholic fatty liver disease (NAFLD) may cause liver dysfunction and failure. In a previously reported genome-wide association meta-analysis, single nucleotide polymorphisms (SNPs) near PNPLA3, NCAN, GCKR, LYPLAL1 and PPP1R3B were associated with NAFLD and with distinctive serum lipid profiles. The present study examined the relevance of these variants to NAFLD in extreme obesity. Methods: In 1,092 bariatric surgery patients, the candidate SNPs were genotyped and association analyses with liver histology and serum lipids were performed. Results: We replicated the association of hepatosteatosis with PNPLA3 rs738409[G] and with NCAN rs2228603[T]. We also replicated the association of rs2228603[T] with hepatic inflammation and fibrosis. rs2228603[T] was associated with lower serum low-density lipoprotein, total cholesterol and triglycerides. After stratification by the presence or absence of NAFLD, these associations were present predominantly in the subgroup with NAFLD. Conclusion:NCAN rs2228603[T] is a risk factor for liver inflammation and fibrosis, suggesting that this locus is responsible for progression from steatosis to steatohepatitis. In this bariatric cohort, rs2228603[T] was associated with low serum lipids only in patients with NAFLD. This supports a NAFLD model in which the liver may sequester triglycerides as a result of either increased triglyceride uptake and/or decreased lipolysis.
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