Unraveling the pathogenesis of non-alcoholic fatty liver diseases through genome-wide association studies

J Gastroenterol Hepatol. 2023 Nov;38(11):1877-1885. doi: 10.1111/jgh.16330. Epub 2023 Aug 17.

Abstract

Non-alcoholic fatty liver disease (NAFLD) is a significant health burden around the world, affecting approximately 25% of the population. Recent advances in human genetic databases have allowed for the identification of various single nucleotide polymorphisms associated with NAFLD-related traits. Investigating the functions of these genetic factors provides insight into the pathogenesis of NAFLD and potentially identifies novel therapeutic targets for NAFLD. In this review, we summarized current research on genes with NAFLD-associated mutations, highlighting phospholipid remodeling and spatially clustered loci as common pathological and genetic features of these mutations. These features suggest a complex yet intriguing mechanism of dissociated steatosis and insulin resistance, which is observed in a subset of patients and may lead to more precise therapy against NAFLD in the future.

Keywords: GWAS; NAFLD; NASH; phospholipid remodeling.

Publication types

  • Review

MeSH terms

  • Genome-Wide Association Study
  • Humans
  • Insulin Resistance* / genetics
  • Non-alcoholic Fatty Liver Disease* / epidemiology
  • Non-alcoholic Fatty Liver Disease* / genetics