Three Different Genetic Risk Scores Based on Fatty Liver Index, Magnetic Resonance Imaging and Lipidomic for a Nutrigenetic Personalized Management of NAFLD: The Fatty Liver in Obesity Study

Non-alcoholic fatty liver disease (NAFLD) affects 25% of the global population. The pathogenesis of NAFLD is complex; available data reveal that genetics and ascribed interactions with environmental factors may play an important role in the development of this morbid condition. The purpose of this i...

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Main Authors: Nuria Perez-Diaz-del-Campo, Jose I. Riezu-Boj, Bertha Araceli Marin-Alejandre, J. Ignacio Monreal, Mariana Elorz, José Ignacio Herrero, Alberto Benito-Boillos, Fermín I. Milagro, Josep A. Tur, Itziar Abete, M. Angeles Zulet, J. Alfredo Martinez
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/6/1083
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author Nuria Perez-Diaz-del-Campo
Jose I. Riezu-Boj
Bertha Araceli Marin-Alejandre
J. Ignacio Monreal
Mariana Elorz
José Ignacio Herrero
Alberto Benito-Boillos
Fermín I. Milagro
Josep A. Tur
Itziar Abete
M. Angeles Zulet
J. Alfredo Martinez
author_facet Nuria Perez-Diaz-del-Campo
Jose I. Riezu-Boj
Bertha Araceli Marin-Alejandre
J. Ignacio Monreal
Mariana Elorz
José Ignacio Herrero
Alberto Benito-Boillos
Fermín I. Milagro
Josep A. Tur
Itziar Abete
M. Angeles Zulet
J. Alfredo Martinez
author_sort Nuria Perez-Diaz-del-Campo
collection DOAJ
description Non-alcoholic fatty liver disease (NAFLD) affects 25% of the global population. The pathogenesis of NAFLD is complex; available data reveal that genetics and ascribed interactions with environmental factors may play an important role in the development of this morbid condition. The purpose of this investigation was to assess genetic and non-genetic determinants putatively involved in the onset and progression of NAFLD after a 6-month weight loss nutritional treatment. A group of 86 overweight/obese subjects with NAFLD from the Fatty Liver in Obesity (FLiO) study were enrolled and metabolically evaluated at baseline and after 6 months. A pre-designed panel of 95 genetic variants related to obesity and weight loss was applied and analyzed. Three genetic risk scores (GRS) concerning the improvement on hepatic health evaluated by minimally invasive methods such as the fatty liver index (FLI) (GRS<sub>FLI</sub>), lipidomic-OWLiver<sup>®</sup>-test (GRS<sub>OWL</sub>) and magnetic resonance imaging (MRI) (GRS<sub>MRI</sub>), were derived by adding the risk alleles genotypes. Body composition, liver injury-related markers and dietary intake were also monitored. Overall, 23 SNPs were independently associated with the change in FLI, 16 SNPs with OWLiver<sup>®</sup>-test and 8 SNPs with MRI, which were specific for every diagnosis tool. After adjusting for gender, age and other related predictors (insulin resistance, inflammatory biomarkers and dietary intake at baseline) the calculated GRS<sub>FLI</sub>, GRS<sub>OWL</sub> and GRS<sub>MRI</sub> were major contributors of the improvement in hepatic status<sub>.</sub> Thus, fitted linear regression models showed a variance of 53% (adj. R<sup>2</sup> = 0.53) in hepatic functionality (FLI), 16% (adj. R<sup>2</sup> = 0.16) in lipidomic metabolism (OWLiver<sup>®</sup>-test) and 34% (adj. R<sup>2</sup> = 0.34) in liver fat content (MRI). These results demonstrate that three different genetic scores can be useful for the personalized management of NAFLD, whose treatment must rely on specific dietary recommendations guided by the measurement of specific genetic biomarkers.
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spelling doaj.art-f9df1468fffb4af780ca92a756c10f2f2023-11-21T23:57:46ZengMDPI AGDiagnostics2075-44182021-06-01116108310.3390/diagnostics11061083Three Different Genetic Risk Scores Based on Fatty Liver Index, Magnetic Resonance Imaging and Lipidomic for a Nutrigenetic Personalized Management of NAFLD: The Fatty Liver in Obesity StudyNuria Perez-Diaz-del-Campo0Jose I. Riezu-Boj1Bertha Araceli Marin-Alejandre2J. Ignacio Monreal3Mariana Elorz4José Ignacio Herrero5Alberto Benito-Boillos6Fermín I. Milagro7Josep A. Tur8Itziar Abete9M. Angeles Zulet10J. Alfredo Martinez11Department of Nutrition, Food Science and Physiology, Faculty of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, SpainCentre for Nutrition Research, Faculty of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, SpainDepartment of Nutrition, Food Science and Physiology, Faculty of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, SpainNavarra Institute for Health Research (IdiSNA), 31008 Pamplona, SpainNavarra Institute for Health Research (IdiSNA), 31008 Pamplona, SpainNavarra Institute for Health Research (IdiSNA), 31008 Pamplona, SpainNavarra Institute for Health Research (IdiSNA), 31008 Pamplona, SpainDepartment of Nutrition, Food Science and Physiology, Faculty of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, SpainBiomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn), Instituto de Salud Carlos III, 28029 Madrid, SpainDepartment of Nutrition, Food Science and Physiology, Faculty of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, SpainDepartment of Nutrition, Food Science and Physiology, Faculty of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, SpainDepartment of Nutrition, Food Science and Physiology, Faculty of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, SpainNon-alcoholic fatty liver disease (NAFLD) affects 25% of the global population. The pathogenesis of NAFLD is complex; available data reveal that genetics and ascribed interactions with environmental factors may play an important role in the development of this morbid condition. The purpose of this investigation was to assess genetic and non-genetic determinants putatively involved in the onset and progression of NAFLD after a 6-month weight loss nutritional treatment. A group of 86 overweight/obese subjects with NAFLD from the Fatty Liver in Obesity (FLiO) study were enrolled and metabolically evaluated at baseline and after 6 months. A pre-designed panel of 95 genetic variants related to obesity and weight loss was applied and analyzed. Three genetic risk scores (GRS) concerning the improvement on hepatic health evaluated by minimally invasive methods such as the fatty liver index (FLI) (GRS<sub>FLI</sub>), lipidomic-OWLiver<sup>®</sup>-test (GRS<sub>OWL</sub>) and magnetic resonance imaging (MRI) (GRS<sub>MRI</sub>), were derived by adding the risk alleles genotypes. Body composition, liver injury-related markers and dietary intake were also monitored. Overall, 23 SNPs were independently associated with the change in FLI, 16 SNPs with OWLiver<sup>®</sup>-test and 8 SNPs with MRI, which were specific for every diagnosis tool. After adjusting for gender, age and other related predictors (insulin resistance, inflammatory biomarkers and dietary intake at baseline) the calculated GRS<sub>FLI</sub>, GRS<sub>OWL</sub> and GRS<sub>MRI</sub> were major contributors of the improvement in hepatic status<sub>.</sub> Thus, fitted linear regression models showed a variance of 53% (adj. R<sup>2</sup> = 0.53) in hepatic functionality (FLI), 16% (adj. R<sup>2</sup> = 0.16) in lipidomic metabolism (OWLiver<sup>®</sup>-test) and 34% (adj. R<sup>2</sup> = 0.34) in liver fat content (MRI). These results demonstrate that three different genetic scores can be useful for the personalized management of NAFLD, whose treatment must rely on specific dietary recommendations guided by the measurement of specific genetic biomarkers.https://www.mdpi.com/2075-4418/11/6/1083NAFLDgenetic risk scorefatty liver indexlipidomicmagnetic resonance imaging
spellingShingle Nuria Perez-Diaz-del-Campo
Jose I. Riezu-Boj
Bertha Araceli Marin-Alejandre
J. Ignacio Monreal
Mariana Elorz
José Ignacio Herrero
Alberto Benito-Boillos
Fermín I. Milagro
Josep A. Tur
Itziar Abete
M. Angeles Zulet
J. Alfredo Martinez
Three Different Genetic Risk Scores Based on Fatty Liver Index, Magnetic Resonance Imaging and Lipidomic for a Nutrigenetic Personalized Management of NAFLD: The Fatty Liver in Obesity Study
Diagnostics
NAFLD
genetic risk score
fatty liver index
lipidomic
magnetic resonance imaging
title Three Different Genetic Risk Scores Based on Fatty Liver Index, Magnetic Resonance Imaging and Lipidomic for a Nutrigenetic Personalized Management of NAFLD: The Fatty Liver in Obesity Study
title_full Three Different Genetic Risk Scores Based on Fatty Liver Index, Magnetic Resonance Imaging and Lipidomic for a Nutrigenetic Personalized Management of NAFLD: The Fatty Liver in Obesity Study
title_fullStr Three Different Genetic Risk Scores Based on Fatty Liver Index, Magnetic Resonance Imaging and Lipidomic for a Nutrigenetic Personalized Management of NAFLD: The Fatty Liver in Obesity Study
title_full_unstemmed Three Different Genetic Risk Scores Based on Fatty Liver Index, Magnetic Resonance Imaging and Lipidomic for a Nutrigenetic Personalized Management of NAFLD: The Fatty Liver in Obesity Study
title_short Three Different Genetic Risk Scores Based on Fatty Liver Index, Magnetic Resonance Imaging and Lipidomic for a Nutrigenetic Personalized Management of NAFLD: The Fatty Liver in Obesity Study
title_sort three different genetic risk scores based on fatty liver index magnetic resonance imaging and lipidomic for a nutrigenetic personalized management of nafld the fatty liver in obesity study
topic NAFLD
genetic risk score
fatty liver index
lipidomic
magnetic resonance imaging
url https://www.mdpi.com/2075-4418/11/6/1083
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