Journal of Clinical Investigation,
Journal Year:
2025,
Volume and Issue:
135(7)
Published: March 31, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
characterized
by
increased
hepatic
steatosis
with
cardiometabolic
and
a
leading
cause
of
advanced
disease.
We
review
here
the
genetic
basis
MASLD.
The
variants
most
consistently
associated
implicate
genes
involved
in
lipoprotein
input
or
output,
glucose
metabolism,
adiposity/fat
distribution,
insulin
resistance,
mitochondrial/ER
biology.
distinct
mechanisms
which
these
promote
result
effects
on
that
may
be
best
suited
to
precision
medicine.
Recent
work
gene-environment
interactions
has
shown
risk
not
fixed
exacerbated
attenuated
modifiable
(diet,
exercise,
alcohol
intake)
nonmodifiable
environmental
factors.
Some
steatosis-associated
variants,
notably
those
patatin-like
phospholipase
domain-containing
3
(PNPLA3)
transmembrane
6
superfamily
member
2
(TM6SF2),
are
developing
adverse
liver-related
outcomes
provide
information
beyond
clinical
stratification
tools,
especially
individuals
at
intermediate
high
for
Future
better
characterize
heterogeneity
combining
genetics
factors
holistically
predict
develop
therapies
based
required.
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
the
leading
chronic
worldwide,
with
alarming
prevalence
reaching
epidemic
proportions.
Hepatology Communications,
Journal Year:
2025,
Volume and Issue:
9(1)
Published: Jan. 1, 2025
Metabolic
dysfunction–associated
steatotic
liver
disease
(MASLD)
is
the
most
common
chronic
in
world
and
a
growing
cause
of
liver-related
morbidity
mortality.
Yet,
at
same
time,
our
understanding
pathophysiology
genetic
underpinnings
this
increasingly
yet
heterogeneous
has
increased
dramatically
over
last
2
decades,
with
potential
to
lead
meaningful
clinical
interventions
for
patients.
We
have
now
seen
first
pharmacologic
therapy
approved
treatment
MASLD,
multiple
other
treatments
are
currently
under
investigation—including
gene-targeted
RNA
therapies
that
directly
extend
from
advances
MASLD
genetics.
Here
we
review
recent
genetics,
some
key
pathophysiologic
insights
human
genetics
provided,
ways
which
may
inform
practice
field
near
future.
International Journal of Molecular Sciences,
Journal Year:
2025,
Volume and Issue:
26(4), P. 1589 - 1589
Published: Feb. 13, 2025
Non-alcoholic
fatty
liver
disease
(NAFLD),
now
referred
to
as
metabolic
dysfunction-associated
steatotic
(MASLD),
is
the
most
prevalent
disorder
globally,
linked
obesity,
type
2
diabetes,
and
cardiovascular
risk.
Understanding
its
potential
progression
from
simple
steatosis
cirrhosis
hepatocellular
carcinoma
(HCC)
crucial
for
patient
management
treatment
strategies.
The
disease's
complexity
requires
innovative
approaches
early
detection
personalized
care.
Omics
technologies-such
genomics,
transcriptomics,
proteomics,
metabolomics,
exposomics-are
revolutionizing
study
of
MASLD.
These
high-throughput
techniques
allow
a
deeper
exploration
molecular
mechanisms
driving
progression.
Genomics
can
identify
genetic
predispositions,
whilst
transcriptomics
proteomics
reveal
changes
in
gene
expression
protein
profiles
during
evolution.
Metabolomics
offers
insights
into
alterations
associated
with
MASLD,
while
exposomics
links
environmental
exposures
MASLD
pathology.
By
integrating
data
various
omics
platforms,
researchers
map
out
intricate
biochemical
pathways
involved
This
review
discusses
roles
technologies
enhancing
understanding
highlights
diagnostic
therapeutic
targets
within
spectrum,
emphasizing
need
non-invasive
tools
staging
development.
Journal of Clinical Investigation,
Journal Year:
2025,
Volume and Issue:
135(7)
Published: March 31, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
characterized
by
increased
hepatic
steatosis
with
cardiometabolic
and
a
leading
cause
of
advanced
disease.
We
review
here
the
genetic
basis
MASLD.
The
variants
most
consistently
associated
implicate
genes
involved
in
lipoprotein
input
or
output,
glucose
metabolism,
adiposity/fat
distribution,
insulin
resistance,
mitochondrial/ER
biology.
distinct
mechanisms
which
these
promote
result
effects
on
that
may
be
best
suited
to
precision
medicine.
Recent
work
gene-environment
interactions
has
shown
risk
not
fixed
exacerbated
attenuated
modifiable
(diet,
exercise,
alcohol
intake)
nonmodifiable
environmental
factors.
Some
steatosis-associated
variants,
notably
those
patatin-like
phospholipase
domain-containing
3
(PNPLA3)
transmembrane
6
superfamily
member
2
(TM6SF2),
are
developing
adverse
liver-related
outcomes
provide
information
beyond
clinical
stratification
tools,
especially
individuals
at
intermediate
high
for
Future
better
characterize
heterogeneity
combining
genetics
factors
holistically
predict
develop
therapies
based
required.