1. Genetic Variants Associated With Obesity and Insulin Resistance in Hispanic Boys With Nonalcoholic Fatty Liver Disease
- Author
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Rausch, John C, Lavine, Joel E, Chalasani, Naga, Guo, Xiuqing, Kwon, Soonil, Schwimmer, Jeffrey B, Molleston, Jean P, Loomba, Rohit, Brunt, Elizabeth M, Chen, Yii‐Der Ida, Goodarzi, Mark O, Taylor, Kent D, Yates, Katherine P, Rotter, Jerome I, and Network, NASH Clinical Research
- Subjects
Paediatrics ,Biomedical and Clinical Sciences ,Clinical Sciences ,Nutrition and Dietetics ,Prevention ,Liver Disease ,Human Genome ,Clinical Research ,Genetics ,Nutrition ,Obesity ,Digestive Diseases ,Chronic Liver Disease and Cirrhosis ,Diabetes ,Hepatitis ,Aetiology ,2.1 Biological and endogenous factors ,Oral and gastrointestinal ,Metabolic and endocrine ,Adiposity ,Adolescent ,Blood Glucose ,Body Mass Index ,Child ,Cohort Studies ,Genetic Predisposition to Disease ,Genetic Variation ,Genome-Wide Association Study ,Genotyping Techniques ,Glycated Hemoglobin ,Hispanic or Latino ,Humans ,Insulin ,Insulin Resistance ,Lipids ,Liver ,Longitudinal Studies ,Male ,Non-alcoholic Fatty Liver Disease ,Pediatric Obesity ,Polymorphism ,Single Nucleotide ,Prevalence ,Prospective Studies ,Risk Factors ,insulin resistance ,nonalcoholic fatty liver disease ,obesity ,steatohepatitis ,NASH Clinical Research Network ,Medical and Health Sciences ,Gastroenterology & Hepatology ,Clinical sciences ,Nutrition and dietetics - Abstract
Background and objectivesNonalcoholic fatty liver disease (NAFLD) disproportionately affects Hispanic boys. Further, obesity and insulin resistance are major risk factors for NAFLD. No gene localization studies had been performed on children with biopsy-proven NAFLD. This study aims to identify genomic variants associated with increased adiposity and insulin resistance in a population of children with varying histologic severity of NAFLD.MethodsWe conducted a genome-wide association scan (GWAS) including 624,297 single-nucleotide polymorphisms (SNPs) distributed among all 22 autosomal chromosomes in 234 Hispanic boys (up to 18 years of age) who were consecutively recruited in a prospective cohort study in the Nonalcoholic Steatohepatitis Clinical Research Network Studies. Traits were examined quantitatively using linear regression. SNPs with P value 5% were considered potentially significant.ResultsEvaluated subjects had a median age of 12.0 years, body mass index (BMI) of 31.4, and hemoglobin A1C (Hgb A1C) of 5.3. The prevalence of NAFL, borderline NASH, and definite NASH were 23%, 53%, and 22%, respectively. The GWAS identified 10 SNPs that were associated with BMI z score, 6 within chromosome 2, and 1 within CAMK1D, which has a potential role in liver gluconeogenesis. In addition, the GWAS identified 9 novel variants associated with insulin resistance: HOMA-IR (6) and HbA1c (3).ConclusionsThis study of Hispanic boys with biopsy-proven NAFLD with increased risk for the metabolic syndrome revealed novel genetic variants that are associated with obesity and insulin resistance.
- Published
- 2018