Genetic Risk Factors for Metabolic Dysfunction-Associated Steatotic Liver Disease

Metabolic dysfunction-associated steatotic liver disease (MASLD), is the most common cause of liver disease, and its burden on health systems worldwide continues to rise at an alarming rate. MASLD is a complex disease in which the interactions between susceptible genes and the environment influence...

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Main Authors: Yiying Pei, George Boon-Bee Goh
Format: Article
Language:English
Published: Gastroenterology Council for Gut and Liver 2025-01-01
Series:Gut and Liver
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Online Access:http://gutnliver.org/journal/view.html?doi=10.5009/gnl240407
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author Yiying Pei
George Boon-Bee Goh
author_facet Yiying Pei
George Boon-Bee Goh
author_sort Yiying Pei
collection DOAJ
description Metabolic dysfunction-associated steatotic liver disease (MASLD), is the most common cause of liver disease, and its burden on health systems worldwide continues to rise at an alarming rate. MASLD is a complex disease in which the interactions between susceptible genes and the environment influence the disease phenotype and severity. Advances in human genetics over the past few decades have provided new opportunities to improve our understanding of the multiple pathways involved in the pathogenesis of MASLD. Notably, the PNPLA3, TM6SF2, GCKR, MBOAT7 and HSD17B13 single nucleotide polymorphisms have been demonstrated to be robustly associated with MASLD development and disease progression. These genetic variants play crucial roles in lipid droplet remodeling, secretion of hepatic very low-density lipoprotein and lipogenesis, and understanding the biology has brought new insights to this field. This review discusses the current body of knowledge regarding these genetic drivers and how they can lead to development of MASLD, the complex interplay with metabolic factors such as obesity, and how this information has translated clinically into the development of risk prediction models and possible treatment targets.
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spelling doaj-art-86826c03ba984fea88390dd8cced622b2025-01-15T00:51:13ZengGastroenterology Council for Gut and LiverGut and Liver1976-22832025-01-0119181810.5009/gnl240407gnl240407Genetic Risk Factors for Metabolic Dysfunction-Associated Steatotic Liver DiseaseYiying Pei0George Boon-Bee Goh1Department of Gastroenterology and Hepatology, Singapore General Hospital, SingaporeDepartment of Gastroenterology and Hepatology, Singapore General Hospital, SingaporeMetabolic dysfunction-associated steatotic liver disease (MASLD), is the most common cause of liver disease, and its burden on health systems worldwide continues to rise at an alarming rate. MASLD is a complex disease in which the interactions between susceptible genes and the environment influence the disease phenotype and severity. Advances in human genetics over the past few decades have provided new opportunities to improve our understanding of the multiple pathways involved in the pathogenesis of MASLD. Notably, the PNPLA3, TM6SF2, GCKR, MBOAT7 and HSD17B13 single nucleotide polymorphisms have been demonstrated to be robustly associated with MASLD development and disease progression. These genetic variants play crucial roles in lipid droplet remodeling, secretion of hepatic very low-density lipoprotein and lipogenesis, and understanding the biology has brought new insights to this field. This review discusses the current body of knowledge regarding these genetic drivers and how they can lead to development of MASLD, the complex interplay with metabolic factors such as obesity, and how this information has translated clinically into the development of risk prediction models and possible treatment targets.http://gutnliver.org/journal/view.html?doi=10.5009/gnl240407metabolic dysfunction-associated steatotic liver disease; genetic; pnpla3; risk stratification; treatment
spellingShingle Yiying Pei
George Boon-Bee Goh
Genetic Risk Factors for Metabolic Dysfunction-Associated Steatotic Liver Disease
Gut and Liver
metabolic dysfunction-associated steatotic liver disease; genetic; pnpla3; risk stratification; treatment
title Genetic Risk Factors for Metabolic Dysfunction-Associated Steatotic Liver Disease
title_full Genetic Risk Factors for Metabolic Dysfunction-Associated Steatotic Liver Disease
title_fullStr Genetic Risk Factors for Metabolic Dysfunction-Associated Steatotic Liver Disease
title_full_unstemmed Genetic Risk Factors for Metabolic Dysfunction-Associated Steatotic Liver Disease
title_short Genetic Risk Factors for Metabolic Dysfunction-Associated Steatotic Liver Disease
title_sort genetic risk factors for metabolic dysfunction associated steatotic liver disease
topic metabolic dysfunction-associated steatotic liver disease; genetic; pnpla3; risk stratification; treatment
url http://gutnliver.org/journal/view.html?doi=10.5009/gnl240407
work_keys_str_mv AT yiyingpei geneticriskfactorsformetabolicdysfunctionassociatedsteatoticliverdisease
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