Expression of the Long Noncoding RNA GAS5 Correlates with Liver Fibrosis in Patients with Nonalcoholic Fatty Liver Disease

Genes (Basel). 2020 May 13;11(5):545. doi: 10.3390/genes11050545.

Abstract

Background: Advanced liver fibrosis is the most important prognostic factor in nonalcoholic fatty liver disease (NAFLD). The long noncoding RNA (lncRNA), growth arrest-specific transcript 5 (GAS5), is associated with the inhibition of liver fibrogenesis, and its levels are decreased in cirrhotic liver.

Methods: We analyzed 51 patients with NAFLD, the diagnosis of which was confirmed by liver biopsy. Expression of GAS5 in both the liver and plasma of the patients was analyzed using a quantitative real-time polymerase chain reaction according to the fibrosis stage.

Results: Plasma GAS5 expression was significantly higher in patients with advanced fibrosis than in those without. As the fibrosis progressed, GAS5 expression in plasma increased, with the exception of that in cirrhotic livers. Plasma levels of GAS5 were lower in patients with cirrhosis than in those with advanced fibrosis.

Conclusion: Elevated circulating levels of the lncRNA GAS5 are associated with the progression of liver fibrosis prior to the development of cirrhosis.

Keywords: biomarker; liver fibrosis; lncRNA GAS5; nonalcoholic fatty liver disease; noncoding RNA.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Disease Progression
  • Female
  • Gene Expression Regulation*
  • Humans
  • Liver / metabolism*
  • Liver Cirrhosis / etiology*
  • Liver Cirrhosis / genetics
  • Liver Cirrhosis / metabolism
  • Male
  • Middle Aged
  • Non-alcoholic Fatty Liver Disease / complications*
  • Non-alcoholic Fatty Liver Disease / genetics
  • Non-alcoholic Fatty Liver Disease / metabolism
  • Non-alcoholic Fatty Liver Disease / pathology
  • RNA, Long Noncoding / biosynthesis*
  • RNA, Long Noncoding / blood
  • RNA, Long Noncoding / genetics
  • Real-Time Polymerase Chain Reaction

Substances

  • GAS5 long non-coding RNA, human
  • RNA, Long Noncoding