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2015 ; 2015
(ä): 205079
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The Frequent Adiponutrin (PNPLA3) Variant p Ile148Met Is Associated with Early
Liver Injury: Analysis of a German Pediatric Cohort
#MMPMID26346943
Krawczyk M
; Liebe R
; Maier IB
; Engstler AJ
; Lammert F
; Bergheim I
Gastroenterol Res Pract
2015[]; 2015
(ä): 205079
PMID26346943
show ga
Introduction. The common adiponutrin (PNPLA3) variant p.Ile148Met is associated
with liver injury. Here, we investigate the association of this polymorphism with
hepatic and metabolic traits in a pediatric cohort. Patients and Methods. The
study cohort comprised 142 German children (age 5-9 years, 98 overweight, 19
children with NAFLD). Results. Overweight children presented with increased serum
ALT (P = 0.001) and GGT (P < 0.001) activities. ALT activities differed
significantly (P = 0.02) between carriers of different PNPLA3 genotypes in the
entire study cohort, in normal weight children (P = 0.02) and in children younger
than 7 years (P = 0.02). Carriers of the prosteatotic PNPLA3 genotype
p.148Met/Met displayed higher ALT activities as compared to children with the
frequent genotype p.148Ile/Ile (P = 0.01). The BMI was however a stronger
predictor of ALT activities compared to the PNPLA3 genotype (P < 0.001 and P =
0.06, resp.). The variant was associated with increased serum glucose levels (P =
0.01) and HOMA index (P = 0.02) in carriers of the p.148Ile/Met genotype but did
not affect other metabolic traits or the presence of NAFLD. Discussion. The
frequent PNPLA3 variant p.Ile148Met is associated with serum ALT activities
already at a young age.