Metabolic syndrome but not genetic polymorphisms known to induce NAFLD predicts increased total mortality in subjects with NAFLD (OPERA study).

Metabolic syndrome (MetS) and genetic polymorphisms PNPLA3 rs738409, TM6SF2 rs58542926 and MBOAT7 rs641738 are known inductors of non-alcoholic fatty liver disease (NAFLD). However, knowledge about how these affect the mortality of subjects with NAFLD is scarce. Therefore, we investigated the impact...

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Publicado en:Scandinavian Journal of Clinical & Laboratory Investigation Vol. 80; no. 2; pp. 106 - 114
Autores principales: Käräjämäki, Aki Juhani, Hukkanen, Janne, Kauma, Heikki, Kesäniemi, Y. Antero, Ukkola, Olavi
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2020
      vid: 80
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/00365513.2019.1700428
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        atl: Metabolic syndrome but not genetic polymorphisms known to induce NAFLD predicts increased total mortality in subjects with NAFLD (OPERA study).
      aug:
        au:
          Käräjämäki, Aki Juhani
          Hukkanen, Janne
          Kauma, Heikki
          Kesäniemi, Y. Antero
          Ukkola, Olavi
        affil: Department of Gastroenterology, Vaasa Central Hospital, Vaasa, Finland
      sug:
        subj:
          Nonalcoholic Fatty Liver Disease
          Membrane Proteins
          Polymorphism, Genetic
          Nonalcoholic Fatty Liver Disease Mortality
          Acyltransferases
          Lipase
          Middle Age
          Adult
          Disease Susceptibility
          Cardiovascular Diseases Mortality
          Finland
          Risk Factors
          Male
          Cardiovascular Diseases
          Nonalcoholic Fatty Liver Disease Complications
          Case Control Studies
          Female
          Human
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
          Female
      ab: Metabolic syndrome (MetS) and genetic polymorphisms PNPLA3 rs738409, TM6SF2 rs58542926 and MBOAT7 rs641738 are known inductors of non-alcoholic fatty liver disease (NAFLD). However, knowledge about how these affect the mortality of subjects with NAFLD is scarce. Therefore, we investigated the impact of MetS, PNPLA3 rs738409, TM6SF2 rs58542926 and MBOAT7 rs641738 on overall and cardiovascular disease (CVD) specific mortality among subjects with or without NAFLD. NAFLD diagnosis was based on liver ultrasound at the baseline. After this and other comprehensive examinations, 958 middle-aged Finns, 249 with NAFLD, were followed for 21 years. The mortality data was gathered from the National Death Registry. After multiple adjustments, the NAFLD individuals with MetS had increased risk of overall mortality as compared to the NAFLD subjects without MetS [2.054 (1.011-4.173, p = .046)]. However, PNPLA3 rs738409 [1.049 (0.650-1.692, p = .844)], TM6SF2 rs58542926 [0.721 (0.369-1.411, p = .340)] or MBOAT7 rs641738 [0.885 (0.543-1.439, p = .621)] did not affect the overall mortality. MetS was also a marker of increased risk of CVD mortality (15% vs. 2%, p = .013) while genetic polymorphisms did not affect CVD mortality. In conclusion, MetS, but not the gene polymorphisms studied, predicts increased overall and CVD-specific mortality among NAFLD subjects.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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