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Metabolic Syndrome but Not Fatty Liver-Associated Genetic Variants Correlates with Glomerular Renal Function Decline in Patients with Non-Alcoholic Fatty Liver Disease
oleh: Francesco Baratta, Laura D’Erasmo, Alessia Di Costanzo, Ilaria Umbro, Daniele Pastori, Francesco Angelico, Maria Del Ben
| Format: | Article |
|---|---|
| Diterbitkan: | MDPI AG 2022-03-01 |
Deskripsi
The association between non-alcoholic fatty liver disease (NAFLD) and chronic kidney disease (CKD) has been extensively demonstrated. Recent studies have focused attention on the role of patatin-like phospholipase domain-containing 3 (<i>PNPLA3</i>) rs738409 polymorphism in the association between NAFLD and CKD in non-metabolic adults and children, but the genetic impact on NAFLD-CKD association is still a matter of debate. The aim of the study was to investigate the impact of <i>PNPLA3</i>, transmembrane 6 superfamily member 2 (<i>TM6SF2</i>), membrane-bound O-acyltransferase domain containing 7 (<i>MBOAT7</i>) and glucokinase regulatory protein (<i>GCKR</i>) gene variants rather than metabolic syndrome features on renal function in a large population of NAFLD patients. The present study is a post hoc analysis of the Plinio Study (ClinicalTrials.gov: NCT04036357). <i>PNPLA3</i>, <i>TM6SF2</i>, <i>MBOAT7</i> and <i>GCKR</i> genes were analyzed by using real-time PCR with TaqMan probes. Glomerular filtration rate (GFR) was estimated with CKD-EPI. We analyzed 538 NAFLD; 47.2% had GFR < 90 mL/min/1.73 m<sup>2</sup> while 5.9% had GFR < 60 mL/min/1.73 m<sup>2</sup>. The distribution of genotypes was superimposable according to GFR cut-offs. Results from the multivariable regression model did not show any correlation between genotypes and renal function. Conversely, metabolic syndrome was highly associated with GFR < 90 mL/min/1.73 m<sup>2</sup> (odds ratio (OR): 1.58 [1.10–2.28]) and arterial hypertension with GFR < 60 mL/min/1.73 m<sup>2</sup> (OR: 1.50 [1.05–2.14]). In conclusion, the association between NAFLD and CKD might be related to the shared metabolic risk factors rather than the genetic NAFLD background.