Genetic risk factors associated with NAFLD

Dong Yun Kim , Jun Yong Park

Hepatoma Research ›› 2020, Vol. 6 : 85

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Hepatoma Research ›› 2020, Vol. 6:85 DOI: 10.20517/2394-5079.2020.96
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Genetic risk factors associated with NAFLD

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Abstract

Non-alcoholic fatty liver disease (NAFLD) is estimated to affect 25% of the worldwide population, and is the leading cause of chronic liver disease in developed countries. Genetic research on NAFLD has included heritability studies, candidate gene studies, familial aggregation studies, and genome-wide association studies (GWAS). Next-generation sequencing approaches, such as whole-genome sequencing and whole-exon sequencing, are emerging as the post-GWAS era of genetic research. However, GWAS remains more practical for elucidating the genetic factors related to NAFLD, which is affected by thousands of common genetic variants and does not follow Mendelian inheritance. In the present review, we summarize the current knowledge regarding five GWAS-identified genetic loci that are associated with NAFLD. We also discuss the relationships between NAFLD-predisposing polymorphisms and cardiovascular disease, and potential applications for these identified genetic loci.

Keywords

Genome-wide association study / non-alcoholic fatty liver disease / PNPLA3 / TM6SF2 / GCKR / MBOAT7 / HSD17B13

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Dong Yun Kim, Jun Yong Park. Genetic risk factors associated with NAFLD. Hepatoma Research, 2020, 6: 85 DOI:10.20517/2394-5079.2020.96

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References

[1]

Younossi Z,Marietti M.Global burden of NAFLD and NASH: trends, predictions, risk factors and prevention..Nat Rev Gastroenterol Hepatol2018;15:11

[2]

Eslam M.Genetic and epigenetic mechanisms of NASH..Hepatol Int2016;10:394-406

[3]

Daly AK,Carulli L,Day CP.Genetic determinants of susceptibility and severity in nonalcoholic fatty liver disease..Expert Rev Gastroenterol Hepatol2011;5:253-63

[4]

Abdelmalek MF,Shuster J,Asal NR.Familial aggregation of insulin resistance in first-degree relatives of patients with nonalcoholic fatty liver disease..Clin Gastroenterol Hepatol2006;4:1162-9

[5]

Willner IR,Patil SR,Morelli J.Ninety patients with nonalcoholic steatohepatitis: insulin resistance, familial tendency, and severity of disease..Am J Gastroenterol2001;96:2957-61

[6]

Chalasani N,Loomba R.Genome-wide association study identifies variants associated with histologic features of nonalcoholic fatty liver disease..Gastroenterology2010;139:1567-76.e6 PMCID:PMC2967576

[7]

Romeo S,Xing C.Genetic variation in PNPLA3 confers susceptibility to nonalcoholic fatty liver disease..Nat Genet2008;40:1461-5 PMCID:PMC2597056

[8]

Speliotes EK,Wu J.Genome-wide association analysis identifies variants associated with nonalcoholic fatty liver disease that have distinct effects on metabolic traits..PLoS Genet2011;7:e1001324 PMCID:PMC3053321

[9]

Lohmueller KE,Pike M,Hirschhorn JN.Meta-analysis of genetic association studies supports a contribution of common variants to susceptibility to common disease..Nat Genet2003;33:177-82

[10]

Eslam M,Romeo S.Genetics and epigenetics of NAFLD and NASH: clinical impact..J Hepatol2018;68:268-79

[11]

Kawaguchi T,Umemura A.Genetic polymorphisms of the human PNPLA3 gene are strongly associated with severity of non-alcoholic fatty liver disease in Japanese..PLoS One2012;7:e38322 PMCID:PMC3375283

[12]

Xu R,Zhang S,Chen G.Association between patatin-like phospholipase domain containing 3 gene (PNPLA3) polymorphisms and nonalcoholic fatty liver disease: a HuGE review and meta-analysis..Sci Rep2015;5:9284 PMCID:PMC4366950

[13]

Dongiovanni P,Valenti L.Genetic factors in the pathogenesis of nonalcoholic fatty liver and steatohepatitis..Biomed Res Int2015;2015:460190 PMCID:PMC4530215

[14]

Dongiovanni P,Fares R.PNPLA3 I148M polymorphism and progressive liver disease..World J Gastroenterol2013;19:6969 PMCID:PMC3819533

[15]

Singal AG,Yopp AC.The effect of PNPLA3 on fibrosis progression and development of hepatocellular carcinoma: a meta-analysis..Am J Gastroenterol2014;109:325 PMCID:PMC5610907

[16]

Cohen JC,Hobbs HH.Human fatty liver disease: old questions and new insights..Science2011;332:1519-23 PMCID:PMC3229276

[17]

Huang Y,Li JZ.A feed-forward loop amplifies nutritional regulation of PNPLA3..Proc Natl Acad Sci U S A2010;107:7892-7 PMCID:PMC2867902

[18]

Huang Y,Hobbs HH.Expression and characterization of a PNPLA3 protein isoform (I148M) associated with nonalcoholic fatty liver disease..J Biol Chem2011;286:37085-93 PMCID:PMC3199456

[19]

BasuRay S,Cohen JC.The PNPLA3 variant associated with fatty liver disease (I148M) accumulates on lipid droplets by evading ubiquitylation..Hepatology2017;66:1111-24 PMCID:PMC5605398

[20]

Luukkonen PK,Hölttä-Vuori M.Human PNPLA3-I148M variant increases hepatic retention of polyunsaturated fatty acids..JCI Insight2019;4:e127902 PMCID:PMC6777808

[21]

Pingitore P,Motta BM.PNPLA3 overexpression results in reduction of proteins predisposing to fibrosis..Hum Mol Genet2016;25:5212-22 PMCID:PMC5886043

[22]

Rotman Y,Zmuda JM,Liang TJ.The association of genetic variability in patatin-like phospholipase domain-containing protein 3 (PNPLA3) with histological severity of nonalcoholic fatty liver disease..Hepatology2010;52:894-903 PMCID:PMC2932770

[23]

Liu YL,Leathart J.Carriage of the PNPLA3 rs738409 C> G polymorphism confers an increased risk of non-alcoholic fatty liver disease associated hepatocellular carcinoma..J Hepatol2014;61:75-81

[24]

Carrion AF,Carrasquillo O.Chronic liver disease in the Hispanic population of the United States..Clin Gastroenterol Hepatol2011;9:834-41 PMCID:PMC4184097

[25]

Kitamoto T,Yoneda M.Genome-wide scan revealed that polymorphisms in the PNPLA3, SAMM50, and PARVB genes are associated with development and progression of nonalcoholic fatty liver disease in Japan..Hum Genet2013;132:783-92

[26]

Chung GE,Yim JY.Genetic polymorphisms of PNPLA3 and SAMM50 are associated with nonalcoholic fatty liver disease in a Korean population..Gut Liver2018;12:316-23 PMCID:PMC5945263

[27]

Kozlitina J,Stender S.Exome-wide association study identifies a TM6SF2 variant that confers susceptibility to nonalcoholic fatty liver disease..Nat Genet2014;46:352-6 PMCID:PMC3969786

[28]

Holmen OL,Fan Y.Systematic evaluation of coding variation identifies a candidate causal variant in TM6SF2 influencing total cholesterol and myocardial infarction risk..Nat Genet2014;46:345-51 PMCID:PMC4169222

[29]

Dongiovanni P,Maglio C.Transmembrane 6 superfamily member 2 gene variant disentangles nonalcoholic steatohepatitis from cardiovascular disease..Hepatology2015;61:506-14

[30]

Liu YL,Burt AD.TM6SF2 rs58542926 influences hepatic fibrosis progression in patients with non-alcoholic fatty liver disease..Nat Commun2014;5:1-6 PMCID:PMC4279183

[31]

Koo BK,Kim D.Additive effects of PNPLA3 and TM6SF2 on the histological severity of non-alcoholic fatty liver disease..J Gastroenterol Hepatol2018;33:1277-85

[32]

Wang X,Wang K.Additive effects of the risk alleles of PNPLA3 and TM6SF2 on non-alcoholic fatty liver disease (NAFLD) in a Chinese population..Front Genet2016;7:140 PMCID:PMC4969299

[33]

Donati B,Romeo S.MBOAT7 rs641738 variant and hepatocellular carcinoma in non-cirrhotic individuals..Sci Rep2017;7:1-10 PMCID:PMC5495751

[34]

Buch S,Trépo E.A genome-wide association study confirms PNPLA3 and identifies TM6SF2 and MBOAT7 as risk loci for alcohol-related cirrhosis..Nat Genet2015;47:1443-8

[35]

Mancina RM,Petta S.The MBOAT7-TMC4 variant rs641738 increases risk of nonalcoholic fatty liver disease in individuals of European descent..Gastroenterology2016;150:1219-30.e6 PMCID:PMC4844071

[36]

Valenti L,Nobili V.Unraveling the genetics of fatty liver in obese children: additive effect of P446L GCKR and I148M PNPLA3 polymorphisms..Hepatology2012;55:661-3

[37]

Petta S,Bugianesi E.Glucokinase regulatory protein gene polymorphism affects liver fibrosis in non-alcoholic fatty liver disease..PLoS One2014;9:e87523 PMCID:PMC3911959

[38]

Zain SM,Mohamed R.A common variant in the glucokinase regulatory gene rs780094 and risk of nonalcoholic fatty liver disease: a meta-analysis..J Gastroenterol Hepatol2015;30:21-7

[39]

Rodríguez ML,Vangipurapu J.Functional variant in the GCKR gene affects lactate levels differentially in the fasting state and during hyperglycemia..Sci Rep2018;8:1-8 PMCID:PMC6207693

[40]

Beer NL,McCulloch LJ.The P446L variant in GCKR associated with fasting plasma glucose and triglyceride levels exerts its effect through increased glucokinase activity in liver..Hum Mol Genet2009;18:4081-8 PMCID:PMC2758140

[41]

Anstee QM.The genetics of NAFLD..Nat Rev Gastroenterol Hepatol2013;10:645-55

[42]

Sparsø T,Nielsen T.The GCKR rs780094 polymorphism is associated with elevated fasting serum triacylglycerol, reduced fasting and OGTT-related insulinaemia, and reduced risk of type 2 diabetes..Diabetologia2008;51:70-5

[43]

Onuma H,Kawamoto R.The GCKR rs780094 polymorphism is associated with susceptibility of type 2 diabetes, reduced fasting plasma glucose levels, increased triglycerides levels and lower HOMA-IR in Japanese population..J Hum Genet2010;55:600-4

[44]

Abul-Husn NS,Li AH.A protein-truncating HSD17B13 variant and protection from chronic liver disease..N Engl J Med2018;378:1096-106 PMCID:PMC6668033

[45]

Pirola CJ,Flichman D.Splice variant rs72613567 prevents worst histologic outcomes in patients with nonalcoholic fatty liver disease..J Lipid Res2019;60:176-85 PMCID:PMC6314267

[46]

Ma Y,Brown PM.HSD17B13 is a hepatic retinol dehydrogenase associated with histological features of non-alcoholic fatty liver disease..Hepatology2019;69:1504 PMCID:PMC6438737

[47]

Ma Y,Brown PM.17-beta hydroxysteroid dehydrogenase 13 is a hepatic retinol dehydrogenase associated with histological features of nonalcoholic fatty liver disease..Hepatology2019;69:1504-19 PMCID:PMC6438737

[48]

Haddad TM,Kanmanthareddy A.Nonalcoholic fatty liver disease and the risk of clinical cardiovascular events: a systematic review and meta-analysis..Diabetes Metab Syndr2017;11:S209-16

[49]

Younossi ZM,Rafiq N.Nonalcoholic steatofibrosis independently predicts mortality in nonalcoholic fatty liver disease..Hepatol Commun2017;1:421-8 PMCID:PMC5721410

[50]

Targher G,Lonardo A,Barbui C.Non-alcoholic fatty liver disease and risk of incident cardiovascular disease: a meta-analysis..J Hepatol2016;65:589-600

[51]

Liu H.Nonalcoholic fatty liver disease and cardiovascular disease..World J Gastroenterol2014;20:8407 PMCID:PMC4093693

[52]

Francque SM,Kwanten WJ.Non-alcoholic fatty liver disease and cardiovascular risk: Pathophysiological mechanisms and implications..J Hepatol2016;65:425-43

[53]

Simons N,Koek GH,Schaper NC.PNPLA3, TM6SF2, and MBOAT7 genotypes and coronary artery disease..Gastroenterology2017;152:912-3

[54]

Rüschenbaum S,Friedrich-Rust M.Patatin-like phospholipase domain containing 3 variants differentially impact metabolic traits in individuals at high risk for cardiovascular events..Hepatol Commun2018;2:798-806 PMCID:PMC6049070

[55]

Lauridsen BK,Kristensen TS.Liver fat content, non-alcoholic fatty liver disease, and ischaemic heart disease: Mendelian randomization and meta-analysis of 279 013 individuals..Eur Heart J2017;39:385-93

[56]

Posadas-Sánchez R,Posadas-Romero C.Association of the I148M/PNPLA3 (rs738409) polymorphism with premature coronary artery disease, fatty liver, and insulin resistance in type 2 diabetic patients and healthy controls. The GEA study..Immunobiology2017;222:960-6

[57]

Petta S,Marchesini G.PNPLA3 GG genotype and carotid atherosclerosis in patients with non-alcoholic fatty liver disease..PLoS One2013;8:e74089 PMCID:PMC3775795

[58]

Pirola CJ.The dual and opposite role of the TM6SF2-rs58542926 variant in protecting against cardiovascular disease and conferring risk for nonalcoholic fatty liver: a meta-analysis..Hepatology2015;62:1742-56

[59]

Brouwers MC,Stehouwer CD,Schaper NC.Relationship between nonalcoholic fatty liver disease susceptibility genes and coronary artery disease..Hepatol Commun2019;3:587-96 PMCID:PMC6442707

[60]

Kraft P,Cornelis MC.Beyond odds ratios - communicating disease risk based on genetic profiles..Nat Rev Genet2009;10:264-9

[61]

Chatterjee N,García-Closas M.Developing and evaluating polygenic risk prediction models for stratified disease prevention..Nat Rev Genet2016;17:392 PMCID:PMC6021129

[62]

Dongiovanni P,Pietrelli A.Causal relationship of hepatic fat with liver damage and insulin resistance in nonalcoholic fatty liver..J Intern Med2018;283:356-70 PMCID:PMC5900872

[63]

Krawczyk M,Lammert F.Toward genetic prediction of nonalcoholic fatty liver disease trajectories: PNPLA3 and beyond..Gastroenterology2020;158:1865-80.e1

[64]

Vespasiani-Gentilucci U,Dell’Unto C,Antonelli-Incalzi R.Promoting genetics in non-alcoholic fatty liver disease: combined risk score through polymorphisms and clinical variables..World J Gastroenterol2018;24:4835 PMCID:PMC6250919

[65]

Hyysalo J,Zhou Y.A population-based study on the prevalence of NASH using scores validated against liver histology..J Hepatol2014;60:839-46

[66]

Kim DY.Overview of emerging treatment of non-alcoholic fatty liver disease: more than one drug needed?.Hepatobiliary Surg Nutr2019;8:522 PMCID:PMC6791976

[67]

Zhou Y,Leivonen M.Noninvasive detection of nonalcoholic steatohepatitis using clinical markers and circulating levels of lipids and metabolites..Clin Gastroenterol Hepatol2016;14:1463-72.e6

[68]

Romeo S,Dash S.Morbid obesity exposes the association between PNPLA3 I148M (rs738409) and indices of hepatic injury in individuals of European descent..Int J Obes2010;34:190-4

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