Genome‐Wide Association Study of Lean Nonalcoholic Fatty Liver Disease Suggests Human Leukocyte Antigen as a Novel Candidate Locus

Nonalcoholic fatty liver disease (NAFLD) is supposed to manifest its metabolic phenotype in the liver, but it is common to have lean individuals diagnosed with NAFLD, known as lean NAFLD. We conducted a two‐stage analysis to identify NAFLD‐associated loci in Japanese patients. In stage I, 275 metabo...

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Main Authors: Ken Yoshida, Kazuha Yokota, Yukinobu Kutsuwada, Kazuhiro Nakayama, Kazuhisa Watanabe, Ayumi Matsumoto, Hiroshi Miyashita, Seik‐soon Khor, Katsushi Tokunaga, Yosuke Kawai, Masao Nagasaki, Sadahiko Iwamoto
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2020-08-01
Series:Hepatology Communications
Online Access:https://doi.org/10.1002/hep4.1529
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author Ken Yoshida
Kazuha Yokota
Yukinobu Kutsuwada
Kazuhiro Nakayama
Kazuhisa Watanabe
Ayumi Matsumoto
Hiroshi Miyashita
Seik‐soon Khor
Katsushi Tokunaga
Yosuke Kawai
Masao Nagasaki
Sadahiko Iwamoto
author_facet Ken Yoshida
Kazuha Yokota
Yukinobu Kutsuwada
Kazuhiro Nakayama
Kazuhisa Watanabe
Ayumi Matsumoto
Hiroshi Miyashita
Seik‐soon Khor
Katsushi Tokunaga
Yosuke Kawai
Masao Nagasaki
Sadahiko Iwamoto
author_sort Ken Yoshida
collection DOAJ
description Nonalcoholic fatty liver disease (NAFLD) is supposed to manifest its metabolic phenotype in the liver, but it is common to have lean individuals diagnosed with NAFLD, known as lean NAFLD. We conducted a two‐stage analysis to identify NAFLD‐associated loci in Japanese patients. In stage I, 275 metabolically healthy normal‐weight patients with NAFLD were compared with 1,411 non‐NAFLD controls adjusted for age, sex, and alcohol consumption by a genome‐wide association study (GWAS). In stage II, human leukocyte antigen (HLA) in chromosome 6 (chr6) (P = 6.73E‐08), microRNA (MIR) MIR548F3 in chr7 (P = 4.25E‐07), myosin light chain 2 (MYL2) in chr12 (P = 4.39E‐07), and glycoprotein precursor (GPC)6 in chr13 (P = 5.43E‐07), as suggested by the GWAS, were assessed by single nucleotide polymorphism (SNP) association analysis of whole NAFLD against non‐NAFLD in 9,726 members of the general population. A minor allele of the secondary lead SNP in chr6, rs2076529, was significantly associated (odds ratio [OR], 1.19; 95% confidence interval [CI], 1.11‐1.28; P = 2.10E‐06) and the lead SNP in chr7 was weakly associated (OR 1.15; 95% CI, 1.04‐1.27; P = 6.19E‐03) with increased NAFLD risk. Imputation‐based typing of HLA showed a significant difference in the distribution of HLA‐B, HLA‐DR‐beta chain 1 (DRB1), and HLA‐DQ‐beta chain 1 (DQB1) alleles in lean NAFLD GWAS. Next‐generation sequence‐based typing of HLA in 5,649 members of the general population replicated the significant difference of HLA‐B allele distribution and the significant increase of the HLA‐B*54:01 allele in whole NAFLD. Fecal metagenomic analysis of 3,420 members of the general population showed significant dissimilarity in beta‐diversity analysis of rs2076529 and HLA‐B*54:01 allele carriers from noncarriers. Veillonellaceae was increased but Verrucomicrobia was decreased in rs2076529 minor allele and HLA‐B*54:01 allele carriers as in NAFLD. Conclusion: HLA was identified as a novel locus associated with NAFLD susceptibility, which might be affected by the alteration of gut microbiota.
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spelling doaj.art-989e2ed2ad6d4f4c886279dabe08baca2023-02-02T07:09:17ZengWolters Kluwer Health/LWWHepatology Communications2471-254X2020-08-01481124113510.1002/hep4.1529Genome‐Wide Association Study of Lean Nonalcoholic Fatty Liver Disease Suggests Human Leukocyte Antigen as a Novel Candidate LocusKen Yoshida0Kazuha Yokota1Yukinobu Kutsuwada2Kazuhiro Nakayama3Kazuhisa Watanabe4Ayumi Matsumoto5Hiroshi Miyashita6Seik‐soon Khor7Katsushi Tokunaga8Yosuke Kawai9Masao Nagasaki10Sadahiko Iwamoto11Division of Human Genetics Center for Molecular Medicine Jichi Medical University Shimotsuke JapanDivision of Human Genetics Center for Molecular Medicine Jichi Medical University Shimotsuke JapanDivision of Human Genetics Center for Molecular Medicine Jichi Medical University Shimotsuke JapanDivision of Human Genetics Center for Molecular Medicine Jichi Medical University Shimotsuke JapanDivision of Human Genetics Center for Molecular Medicine Jichi Medical University Shimotsuke JapanDivision of Human Genetics Center for Molecular Medicine Jichi Medical University Shimotsuke JapanJichi Medical University Health Care Center Shimotsuke JapanGenome Medical Science Project National Center for Global Health and Medicine Tokyo JapanGenome Medical Science Project National Center for Global Health and Medicine Tokyo JapanGenome Medical Science Project National Center for Global Health and Medicine Tokyo JapanTohoku Medical Megabank Organization Tohoku University Sendai JapanDivision of Human Genetics Center for Molecular Medicine Jichi Medical University Shimotsuke JapanNonalcoholic fatty liver disease (NAFLD) is supposed to manifest its metabolic phenotype in the liver, but it is common to have lean individuals diagnosed with NAFLD, known as lean NAFLD. We conducted a two‐stage analysis to identify NAFLD‐associated loci in Japanese patients. In stage I, 275 metabolically healthy normal‐weight patients with NAFLD were compared with 1,411 non‐NAFLD controls adjusted for age, sex, and alcohol consumption by a genome‐wide association study (GWAS). In stage II, human leukocyte antigen (HLA) in chromosome 6 (chr6) (P = 6.73E‐08), microRNA (MIR) MIR548F3 in chr7 (P = 4.25E‐07), myosin light chain 2 (MYL2) in chr12 (P = 4.39E‐07), and glycoprotein precursor (GPC)6 in chr13 (P = 5.43E‐07), as suggested by the GWAS, were assessed by single nucleotide polymorphism (SNP) association analysis of whole NAFLD against non‐NAFLD in 9,726 members of the general population. A minor allele of the secondary lead SNP in chr6, rs2076529, was significantly associated (odds ratio [OR], 1.19; 95% confidence interval [CI], 1.11‐1.28; P = 2.10E‐06) and the lead SNP in chr7 was weakly associated (OR 1.15; 95% CI, 1.04‐1.27; P = 6.19E‐03) with increased NAFLD risk. Imputation‐based typing of HLA showed a significant difference in the distribution of HLA‐B, HLA‐DR‐beta chain 1 (DRB1), and HLA‐DQ‐beta chain 1 (DQB1) alleles in lean NAFLD GWAS. Next‐generation sequence‐based typing of HLA in 5,649 members of the general population replicated the significant difference of HLA‐B allele distribution and the significant increase of the HLA‐B*54:01 allele in whole NAFLD. Fecal metagenomic analysis of 3,420 members of the general population showed significant dissimilarity in beta‐diversity analysis of rs2076529 and HLA‐B*54:01 allele carriers from noncarriers. Veillonellaceae was increased but Verrucomicrobia was decreased in rs2076529 minor allele and HLA‐B*54:01 allele carriers as in NAFLD. Conclusion: HLA was identified as a novel locus associated with NAFLD susceptibility, which might be affected by the alteration of gut microbiota.https://doi.org/10.1002/hep4.1529
spellingShingle Ken Yoshida
Kazuha Yokota
Yukinobu Kutsuwada
Kazuhiro Nakayama
Kazuhisa Watanabe
Ayumi Matsumoto
Hiroshi Miyashita
Seik‐soon Khor
Katsushi Tokunaga
Yosuke Kawai
Masao Nagasaki
Sadahiko Iwamoto
Genome‐Wide Association Study of Lean Nonalcoholic Fatty Liver Disease Suggests Human Leukocyte Antigen as a Novel Candidate Locus
Hepatology Communications
title Genome‐Wide Association Study of Lean Nonalcoholic Fatty Liver Disease Suggests Human Leukocyte Antigen as a Novel Candidate Locus
title_full Genome‐Wide Association Study of Lean Nonalcoholic Fatty Liver Disease Suggests Human Leukocyte Antigen as a Novel Candidate Locus
title_fullStr Genome‐Wide Association Study of Lean Nonalcoholic Fatty Liver Disease Suggests Human Leukocyte Antigen as a Novel Candidate Locus
title_full_unstemmed Genome‐Wide Association Study of Lean Nonalcoholic Fatty Liver Disease Suggests Human Leukocyte Antigen as a Novel Candidate Locus
title_short Genome‐Wide Association Study of Lean Nonalcoholic Fatty Liver Disease Suggests Human Leukocyte Antigen as a Novel Candidate Locus
title_sort genome wide association study of lean nonalcoholic fatty liver disease suggests human leukocyte antigen as a novel candidate locus
url https://doi.org/10.1002/hep4.1529
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