Potential Blood DNA Methylation Biomarker Genes for Diagnosis of Liver Fibrosis in Patients With Biopsy-Proven Non-alcoholic Fatty Liver Disease

Background and objectiveThis pilot study aimed to identify potential blood DNA methylation (BDM) biomarker genes for the diagnosis of liver fibrosis in non-alcoholic fatty liver disease (NAFLD).MethodsWe included a total of 16 NAFLD patients with significant (SLF, liver fibrosis stage ≥ 2) and 16 pa...

Full description

Bibliographic Details
Main Authors: Qing-Feng Sun, Liang-Jie Tang, Ming-Jie Wang, Pei-Wu Zhu, Yang-Yang Li, Hong-Lei Ma, Ou-Yang Huang, Liang Hong, Gang Li, Christopher D. Byrne, Giovanni Targher, Wen-Yue Liu, Yan Lu, Ji-Guang Ding, Ming-Hua Zheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.864570/full
_version_ 1818286732172328960
author Qing-Feng Sun
Liang-Jie Tang
Ming-Jie Wang
Pei-Wu Zhu
Yang-Yang Li
Hong-Lei Ma
Hong-Lei Ma
Ou-Yang Huang
Liang Hong
Gang Li
Christopher D. Byrne
Giovanni Targher
Wen-Yue Liu
Yan Lu
Ji-Guang Ding
Ming-Hua Zheng
Ming-Hua Zheng
Ming-Hua Zheng
author_facet Qing-Feng Sun
Liang-Jie Tang
Ming-Jie Wang
Pei-Wu Zhu
Yang-Yang Li
Hong-Lei Ma
Hong-Lei Ma
Ou-Yang Huang
Liang Hong
Gang Li
Christopher D. Byrne
Giovanni Targher
Wen-Yue Liu
Yan Lu
Ji-Guang Ding
Ming-Hua Zheng
Ming-Hua Zheng
Ming-Hua Zheng
author_sort Qing-Feng Sun
collection DOAJ
description Background and objectiveThis pilot study aimed to identify potential blood DNA methylation (BDM) biomarker genes for the diagnosis of liver fibrosis in non-alcoholic fatty liver disease (NAFLD).MethodsWe included a total of 16 NAFLD patients with significant (SLF, liver fibrosis stage ≥ 2) and 16 patients with non-significant liver fibrosis (NSLF, fibrosis stages 0–1). The association between BDM and liver fibrosis was analyzed. Genes were selected based on a stepwise-filtering with CpG islands containing significant differentially methylated probes.ResultsThe two groups of patients were distinguishable through both t-distributed stochastic neighbor embedding (t-SNE) analysis and unsupervised hierarchical clustering analysis based on their BDM status. BDM levels were significantly higher in the NSLF group than in the SLF group. The methylation levels in the island and shelf regions were also significantly higher in the NSLF group, as well as the methylation levels in the first exon, 3′-untranslated region, body, ExonBnd, non-intergenic region, transcription start site (TSS)1500, and TSS200 regions (all p < 0.05). BDM status was associated with greater histological liver fibrosis, but not with age, sex, or other histological features of NAFLD (p < 0.05). The methylation levels of the hypomethylated CpG island region of CISTR, IFT140, and RGS14 genes were increased in the NSLF group compared to the SLF group (all p < 0.05).ConclusionBDM may stratify NAFLD patients with significant and non-significant liver fibrosis. The CISTR, IFT140, and RGS14 genes are potential novel candidate BDM biomarkers for liver fibrosis and these pilot data suggest further work on BDM biomarkers is warranted.
first_indexed 2024-12-13T01:29:16Z
format Article
id doaj.art-4257ed3e22b44356847d75b6ecb45bce
institution Directory Open Access Journal
issn 2296-858X
language English
last_indexed 2024-12-13T01:29:16Z
publishDate 2022-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj.art-4257ed3e22b44356847d75b6ecb45bce2022-12-22T00:04:02ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-03-01910.3389/fmed.2022.864570864570Potential Blood DNA Methylation Biomarker Genes for Diagnosis of Liver Fibrosis in Patients With Biopsy-Proven Non-alcoholic Fatty Liver DiseaseQing-Feng Sun0Liang-Jie Tang1Ming-Jie Wang2Pei-Wu Zhu3Yang-Yang Li4Hong-Lei Ma5Hong-Lei Ma6Ou-Yang Huang7Liang Hong8Gang Li9Christopher D. Byrne10Giovanni Targher11Wen-Yue Liu12Yan Lu13Ji-Guang Ding14Ming-Hua Zheng15Ming-Hua Zheng16Ming-Hua Zheng17Department of Infectious Diseases, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaNAFLD Research Center, Department of Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Gastroenterology, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Laboratory Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Pathology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaNAFLD Research Center, Department of Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of General Practice, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical College, Hangzhou, ChinaNAFLD Research Center, Department of Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaDepartment of Infectious Diseases, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaNAFLD Research Center, Department of Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaNational Institute for Health Research Southampton Biomedical Research Centre, University Hospital Southampton, Southampton General Hospital, Southampton, United KingdomSection of Endocrinology, Diabetes and Metabolism, Department of Medicine, Azienda Ospedaliera Universitaria Integrata Verona, University of Verona, Verona, ItalyDepartment of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China0Department of Endocrinology and Metabolism, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Infectious Diseases, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaNAFLD Research Center, Department of Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China1Institute of Hepatology, Wenzhou Medical University, Wenzhou, China2Key Laboratory of Diagnosis and Treatment for the Development of Chronic Liver Disease in Zhejiang Province, Wenzhou, ChinaBackground and objectiveThis pilot study aimed to identify potential blood DNA methylation (BDM) biomarker genes for the diagnosis of liver fibrosis in non-alcoholic fatty liver disease (NAFLD).MethodsWe included a total of 16 NAFLD patients with significant (SLF, liver fibrosis stage ≥ 2) and 16 patients with non-significant liver fibrosis (NSLF, fibrosis stages 0–1). The association between BDM and liver fibrosis was analyzed. Genes were selected based on a stepwise-filtering with CpG islands containing significant differentially methylated probes.ResultsThe two groups of patients were distinguishable through both t-distributed stochastic neighbor embedding (t-SNE) analysis and unsupervised hierarchical clustering analysis based on their BDM status. BDM levels were significantly higher in the NSLF group than in the SLF group. The methylation levels in the island and shelf regions were also significantly higher in the NSLF group, as well as the methylation levels in the first exon, 3′-untranslated region, body, ExonBnd, non-intergenic region, transcription start site (TSS)1500, and TSS200 regions (all p < 0.05). BDM status was associated with greater histological liver fibrosis, but not with age, sex, or other histological features of NAFLD (p < 0.05). The methylation levels of the hypomethylated CpG island region of CISTR, IFT140, and RGS14 genes were increased in the NSLF group compared to the SLF group (all p < 0.05).ConclusionBDM may stratify NAFLD patients with significant and non-significant liver fibrosis. The CISTR, IFT140, and RGS14 genes are potential novel candidate BDM biomarkers for liver fibrosis and these pilot data suggest further work on BDM biomarkers is warranted.https://www.frontiersin.org/articles/10.3389/fmed.2022.864570/fullNAFLDliver fibrosisblood DNA methylationbiomarkerMAFLD
spellingShingle Qing-Feng Sun
Liang-Jie Tang
Ming-Jie Wang
Pei-Wu Zhu
Yang-Yang Li
Hong-Lei Ma
Hong-Lei Ma
Ou-Yang Huang
Liang Hong
Gang Li
Christopher D. Byrne
Giovanni Targher
Wen-Yue Liu
Yan Lu
Ji-Guang Ding
Ming-Hua Zheng
Ming-Hua Zheng
Ming-Hua Zheng
Potential Blood DNA Methylation Biomarker Genes for Diagnosis of Liver Fibrosis in Patients With Biopsy-Proven Non-alcoholic Fatty Liver Disease
Frontiers in Medicine
NAFLD
liver fibrosis
blood DNA methylation
biomarker
MAFLD
title Potential Blood DNA Methylation Biomarker Genes for Diagnosis of Liver Fibrosis in Patients With Biopsy-Proven Non-alcoholic Fatty Liver Disease
title_full Potential Blood DNA Methylation Biomarker Genes for Diagnosis of Liver Fibrosis in Patients With Biopsy-Proven Non-alcoholic Fatty Liver Disease
title_fullStr Potential Blood DNA Methylation Biomarker Genes for Diagnosis of Liver Fibrosis in Patients With Biopsy-Proven Non-alcoholic Fatty Liver Disease
title_full_unstemmed Potential Blood DNA Methylation Biomarker Genes for Diagnosis of Liver Fibrosis in Patients With Biopsy-Proven Non-alcoholic Fatty Liver Disease
title_short Potential Blood DNA Methylation Biomarker Genes for Diagnosis of Liver Fibrosis in Patients With Biopsy-Proven Non-alcoholic Fatty Liver Disease
title_sort potential blood dna methylation biomarker genes for diagnosis of liver fibrosis in patients with biopsy proven non alcoholic fatty liver disease
topic NAFLD
liver fibrosis
blood DNA methylation
biomarker
MAFLD
url https://www.frontiersin.org/articles/10.3389/fmed.2022.864570/full
work_keys_str_mv AT qingfengsun potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT liangjietang potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT mingjiewang potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT peiwuzhu potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT yangyangli potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT hongleima potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT hongleima potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT ouyanghuang potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT lianghong potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT gangli potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT christopherdbyrne potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT giovannitargher potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT wenyueliu potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT yanlu potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT jiguangding potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT minghuazheng potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT minghuazheng potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease
AT minghuazheng potentialblooddnamethylationbiomarkergenesfordiagnosisofliverfibrosisinpatientswithbiopsyprovennonalcoholicfattyliverdisease