OP-7 Further exploration of differences between lean and non-lean metabolic dysfunction-associated steatotic liver disease (MASLD) in Latino subjects: PNPLA3 frequency and lipidomic profiles

Conflict of interest: Yes, Fondecyt # 1241450 Introduction and Objectives: Background: There is limited information on features of lean MASLD patients in Latino subjects. We aimed to analyze the features of MASLD in Chilean patients with normal body mass index (BMI), the frequency of the rs738409 ri...

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Main Authors: MARIA AYALA VALVERDE, Jorge Arnold Alvarez, Gustavo Ayares, Francisco Barrera, Daniel Cabrera, Luis Antonio Diaz, Juan Pablo Arab, Ibon Martinez-Arranz, Cristina Alonso, Jesús M. Bañales, Marco Arrese
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Annals of Hepatology
Online Access:http://www.sciencedirect.com/science/article/pii/S1665268124003880
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author MARIA AYALA VALVERDE
Jorge Arnold Alvarez
Gustavo Ayares
Francisco Barrera
Daniel Cabrera
Luis Antonio Diaz
Juan Pablo Arab
Ibon Martinez-Arranz
Cristina Alonso
Jesús M. Bañales
Marco Arrese
author_facet MARIA AYALA VALVERDE
Jorge Arnold Alvarez
Gustavo Ayares
Francisco Barrera
Daniel Cabrera
Luis Antonio Diaz
Juan Pablo Arab
Ibon Martinez-Arranz
Cristina Alonso
Jesús M. Bañales
Marco Arrese
author_sort MARIA AYALA VALVERDE
collection DOAJ
description Conflict of interest: Yes, Fondecyt # 1241450 Introduction and Objectives: Background: There is limited information on features of lean MASLD patients in Latino subjects. We aimed to analyze the features of MASLD in Chilean patients with normal body mass index (BMI), the frequency of the rs738409 risk polymorphism (PNPLA3 I148M variant) and metabolomic profiles in Chilean individuals with MASLD. Patients / Materials and Methods: A cross-sectional study involving 181 randomly-selected participants diagnosed with MASLD from the prospective Maule Cohort (BMC Public Health. 2016;16:122). Participants were categorized into lean, overweight, and obese groups based on their BMI. The presence of the rs738409 polymorphism was examined using Sanger sequencing. Metabolomics was assessed using UHPLC-MS in a separate group of biopsy-proven MASLD patients. Statistical analyses of clinical data and genotypes encompassed Fisher's exact test, Chi-square test, Kruskal-Wallis test. Results and Discussion: 31.49% (57) were classified as thin, 36.3% (61) as overweight and 39.8% (67) as obese. Higher ALT levels (p=0.004) and body fat percentage in obese subjects were the only significant differences found among the groups. The allelic frequency of rs738409 was similar among groups 77.1%, 83.6% and 82.5% in lean, overweight, and obese subjects, respectively (n.s.). Circulating metabolome showed increased levels of ceramides in overweight and obese patients compared to lean subjects (p<0.001 for five different species). The increment is higher if all the MASLD patients were considered (Figure). Serum bile acids, particularly chenodeoxycholic acid (p<0.001) and glycochenodeoxycholic acid (p=0.024), were also increased. Lipidomic analysis also showed an increase of polyunsaturated diglyceride and triglyceride species in overweight and obese compared to lean subjects. Among them, most of the species included linoleic acid or alpha-linoleic acid in their esterified chains. Conclusions: PNPLA3 risk allele was equally frequent in lean and non-lean Chilean MASLD patients. Metabolomic differences were found with non-lean subjects exhibiting higher levels of ceramides and bile acid species compared with lean patients. (Supported by Fondecyt # 1241450)
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spelling doaj-art-eaf891990b604b6aaa23afcde128c1f82024-12-07T08:25:21ZengElsevierAnnals of Hepatology1665-26812024-12-0129101605OP-7 Further exploration of differences between lean and non-lean metabolic dysfunction-associated steatotic liver disease (MASLD) in Latino subjects: PNPLA3 frequency and lipidomic profilesMARIA AYALA VALVERDE0Jorge Arnold Alvarez1Gustavo Ayares2Francisco Barrera3Daniel Cabrera4Luis Antonio Diaz5Juan Pablo Arab6Ibon Martinez-Arranz7Cristina Alonso8Jesús M. Bañales9Marco Arrese10Departamento de Gastroenterología Facultad de Medicina Pontificia Universidad Católica de Chile, ChileDepartamento de Gastroenterología Facultad de Medicina Pontificia Universidad Católica de Chile, ChilePontificia Universidad Católica de Chile, Santiago, ChileDepartamento de Gastroenterología Facultad de Medicina Pontificia Universidad Católica de Chile, ChileDepartamento de Gastroenterología Facultad de Medicina Pontificia Universidad Católica de Chile, ChileDepartamento de Gastroenterología Facultad de Medicina Pontificia Universidad Católica de Chile, ChileVirginia Commonwealth University School of Medicine, Richmond, VA (USA), ChileOWL Metabolomics, Derio (Spain), ChileOWL Metabolomics, Derio (Spain), ChileBioguipuzcoa Research Institute, San Sebastian (Spain), ChileDepartamento de Gastroenterología Facultad de Medicina Pontificia Universidad Católica de Chile, ChileConflict of interest: Yes, Fondecyt # 1241450 Introduction and Objectives: Background: There is limited information on features of lean MASLD patients in Latino subjects. We aimed to analyze the features of MASLD in Chilean patients with normal body mass index (BMI), the frequency of the rs738409 risk polymorphism (PNPLA3 I148M variant) and metabolomic profiles in Chilean individuals with MASLD. Patients / Materials and Methods: A cross-sectional study involving 181 randomly-selected participants diagnosed with MASLD from the prospective Maule Cohort (BMC Public Health. 2016;16:122). Participants were categorized into lean, overweight, and obese groups based on their BMI. The presence of the rs738409 polymorphism was examined using Sanger sequencing. Metabolomics was assessed using UHPLC-MS in a separate group of biopsy-proven MASLD patients. Statistical analyses of clinical data and genotypes encompassed Fisher's exact test, Chi-square test, Kruskal-Wallis test. Results and Discussion: 31.49% (57) were classified as thin, 36.3% (61) as overweight and 39.8% (67) as obese. Higher ALT levels (p=0.004) and body fat percentage in obese subjects were the only significant differences found among the groups. The allelic frequency of rs738409 was similar among groups 77.1%, 83.6% and 82.5% in lean, overweight, and obese subjects, respectively (n.s.). Circulating metabolome showed increased levels of ceramides in overweight and obese patients compared to lean subjects (p<0.001 for five different species). The increment is higher if all the MASLD patients were considered (Figure). Serum bile acids, particularly chenodeoxycholic acid (p<0.001) and glycochenodeoxycholic acid (p=0.024), were also increased. Lipidomic analysis also showed an increase of polyunsaturated diglyceride and triglyceride species in overweight and obese compared to lean subjects. Among them, most of the species included linoleic acid or alpha-linoleic acid in their esterified chains. Conclusions: PNPLA3 risk allele was equally frequent in lean and non-lean Chilean MASLD patients. Metabolomic differences were found with non-lean subjects exhibiting higher levels of ceramides and bile acid species compared with lean patients. (Supported by Fondecyt # 1241450)http://www.sciencedirect.com/science/article/pii/S1665268124003880
spellingShingle MARIA AYALA VALVERDE
Jorge Arnold Alvarez
Gustavo Ayares
Francisco Barrera
Daniel Cabrera
Luis Antonio Diaz
Juan Pablo Arab
Ibon Martinez-Arranz
Cristina Alonso
Jesús M. Bañales
Marco Arrese
OP-7 Further exploration of differences between lean and non-lean metabolic dysfunction-associated steatotic liver disease (MASLD) in Latino subjects: PNPLA3 frequency and lipidomic profiles
Annals of Hepatology
title OP-7 Further exploration of differences between lean and non-lean metabolic dysfunction-associated steatotic liver disease (MASLD) in Latino subjects: PNPLA3 frequency and lipidomic profiles
title_full OP-7 Further exploration of differences between lean and non-lean metabolic dysfunction-associated steatotic liver disease (MASLD) in Latino subjects: PNPLA3 frequency and lipidomic profiles
title_fullStr OP-7 Further exploration of differences between lean and non-lean metabolic dysfunction-associated steatotic liver disease (MASLD) in Latino subjects: PNPLA3 frequency and lipidomic profiles
title_full_unstemmed OP-7 Further exploration of differences between lean and non-lean metabolic dysfunction-associated steatotic liver disease (MASLD) in Latino subjects: PNPLA3 frequency and lipidomic profiles
title_short OP-7 Further exploration of differences between lean and non-lean metabolic dysfunction-associated steatotic liver disease (MASLD) in Latino subjects: PNPLA3 frequency and lipidomic profiles
title_sort op 7 further exploration of differences between lean and non lean metabolic dysfunction associated steatotic liver disease masld in latino subjects pnpla3 frequency and lipidomic profiles
url http://www.sciencedirect.com/science/article/pii/S1665268124003880
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