Faculty, Staff and Student Publications

Language

English

Publication Date

7-1-2024

Journal

Nutrition, Metabolism and Cardiovascular Diseases

DOI

10.1016/j.numecd.2024.03.002

PMID

38555241

PMCID

PMC12086968

PubMedCentral® Posted Date

5-29-2025

Abstract

Background and aims: Hepatic steatosis is known to be heritable, but its genetic basis is mostly uncharacterized. Steatosis is associated with metabolic and adiposity features; recent studies hypothesize that shared genetic effects between these traits could account for some of the unexplained heritability. This study aimed to quantify these genetic associations in a family-based sample of non-Hispanic white adults.

Methods and results: 704 participants (18-95 years, 55.8% female) from the Fels Longitudinal Study with an MRI assessment of liver fat were included. Quantitative genetic analyses estimated the age- and sex-adjusted heritability of individual traits and the genetic correlations within trait pairs. Mean liver fat was 5.95% (SE = 0.23) and steatosis (liver fat >5.56%) was present in 29.8% of participants. Heritability (h2± SE) of steatosis was 0.72 ± 0.17 (p = 6.80e-6). All other traits including liver enzymes, fasting glucose, HOMA-IR, visceral and subcutaneous adipose tissue (VAT, SAT), body mass index, body fat percent, waist circumference, lipids and blood pressure were also heritable. Significant genetic correlations were found between liver fat and all traits except aspartate aminotransferase (AST), and among most trait pairs. Highest genetic correlations were between liver fat and HOMA-IR (0.85 ± 0.08, p = 1.73e-8), fasting glucose and ALT (0.89 ± 0.26, p = 6.68e-5), and HOMA-IR with: waist circumference (0.81 ± 0.12, p = 3.76e-6), body fat percent (0.78 ± 0.12 p = 2.42e-5) and VAT (0.73 ± 0.07, p = 6.37e-8).

Conclusions: Common genes may exist between liver fat accumulation, metabolic features and adiposity phenotypes.

Keywords

Humans, Female, Male, Middle Aged, Adult, Adiposity, Aged, Longitudinal Studies, Adolescent, Young Adult, Phenotype, Aged, 80 and over, Genetic Predisposition to Disease, Liver, Heredity, United States, Non-alcoholic Fatty Liver Disease, Fatty Liver, Magnetic Resonance Imaging, Risk Assessment, Genetic Association Studies, Non-Alcoholic Fatty Liver Disease, Pleiotropy, Adiposity, Ectopic Fat, Metabolic Health, Steatotic Liver Disease, Metabolic Dysfunction Associated Steatotic Liver Disease

Published Open-Access

yes

Included in

Public Health Commons

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