Evidence map›Paper›PMID 23564467›Full record

SynthesisHepatology (Baltimore, Md.)2013

Characterization of European ancestry nonalcoholic fatty liver disease-associated variants in individuals of African and Hispanic descent.

Nicholette D Palmer, Solomon K Musani, Laura M Yerges-Armstrong, Mary F Feitosa, Lawrence F Bielak, Ruben Hernaez, Bratati Kahali, J Jeffrey Carr, Tamara B Harris, Min A Jhun and 11 more

Open access · bronzeAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in Hepatology (Baltimore, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 2 syntheses or guidelines pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Gene-based therapies for steatotic liver disease.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  7. Science advances · 2025
    Article
  8. Review
  9. PNPLA3 I148M Interacts With Environmental Triggers to Cause Human Disease.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  10. Global Epidemiological Impact of PNPLA3 I148M on Liver Disease.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Gut microbiota in MAFLD: therapeutic and diagnostic implications.Therapeutic advances in endocrinology and metabolism · 2024
    Review
  16. Article
  17. Article
  18. Alcohol-related hepatitis: A review article.World journal of gastroenterology · 2023
    Review
  19. Influence of Nonalcoholic Fatty Liver Disease With Increased Liver Enzyme Levels on the Risk of Cirrhosis and Hepatocellular Carcinoma.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Article
  20. Review

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 10 institutions in 2 countries.

Nicholette D PalmerDepartment of Biochemistry, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Solomon K Musani
Laura M Yerges-Armstrong
Mary F Feitosa
Lawrence F Bielak
Ruben Hernaez
Bratati Kahali
J Jeffrey Carr
Tamara B Harris
Min A Jhun
Sharon L R Kardia
Carl D Langefeld
Thomas H Mosley
Jill M Norris
Albert V Smith
Herman A Taylor
Lynne E Wagenknecht
Jiankang Liu
Ingrid B Borecki
Patricia A Peyser
Elizabeth K Speliotes
University of Michigan–Ann Arbor · USWake Forest University · USUniversity of Mississippi · USWashington University in St. Louis · USColorado School of Public Health · USIcelandic Heart Association · ISJackson Memorial Hospital · USJohns Hopkins University · USNational Institute on Aging · USUniversity of Maryland, Baltimore · US

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
Molecular genetics of glucose homeostasis and fatR01HL060894 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BOWDEN, DONALD W · 1999 to 2009
$6.0M
IRAS FAMILY STUDY--GENETICS OF INSULIN RESISTANCER01HL060944 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WAGENKNECHT, LYNNE E · 1999 to 2009
$5.5M
FHS-SCAN Genome Wide Association Scan for Atherosclerosis Pathway GenesR01HL087700 · NHLBI · WASHINGTON UNIVERSITY · PI PROVINCE, MICHAEL A. · 2006 to 2008
$5.4M
Genomic Predictors of Arteriosclerosis in HypertensivesR01HL087660 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KARDIA, SHARON L · 2007 to 2009
$5.1M
JACKSON HEART STUDY--EXAM CENTERN01HC095171 · HC · UNIVERSITY OF MISSISSIPPI MEDICAL CENTER · PI JONES, DANIEL W · 1999 to 2001
$4.6M
IRAS FAMILY STUDY: GENETICS OF INSULIN RESISTANCER01HL060919 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI LORENZO, CARLOS · 1999 to 2008
$2.7M
IRAS FAMILY STUDY--GENETICS OF INSULIN RESISTANCER01HL061019 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI NORRIS, JILL M · 1999 to 2009
$2.6M
Predictors of Coronary Artery Calcification in an African-American CohortR01HL085571 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PEYSER, PATRICIA ANN · 2007 to 2010
$2.5M
IRAS FAMILY STUDY: GENETICS OF INSULIN RESISTANCER01HL061210 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI BRYER-ASH, MICHAEL · 1999 to 2008
$2.3M
Genetic analysis of AGES-Reykjavik Study and the Health ABCZIAAG006000 · NIA · NATIONAL INSTITUTE ON AGING · PI HARRIS, TAMARA · 2009 to 2017
$1.3M
Genetics of Hypertension Risk Factors and Sequela in African AmericansRC1HL100245 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SUN, YAN · 2009 to 2010
$966k
NHLBI NIH HHS N01 HC095170NHLBI NIH HHS N01 HC095171NHLBI NIH HHS N01 HC095172NHLBI NIH HHS R01 HL060894NHLBI NIH HHS R01 HL060919NHLBI NIH HHS R01 HL060944NHLBI NIH HHS R01 HL061019NHLBI NIH HHS R01 HL061210NHLBI NIH HHS R01 HL085571NHLBI NIH HHS R01 HL087660NHLBI NIH HHS R01 HL087700NHLBI NIH HHS RC1 HL100245NIDDK NIH HHS K23 DK080145NIDDK NIH HHS P30 DK072488NIDDK NIH HHS R00 DK081350
6 · The paper itself

Abstract

unlabelledNonalcoholic fatty liver disease (NAFLD) is an obesity-related condition affecting over 50% of individuals in some populations and is expected to become the number one cause of liver disease worldwide by 2020. Common, robustly associated genetic variants in/near five genes were identified for hepatic steatosis, a quantifiable component of NAFLD, in European ancestry individuals. Here we tested whether these variants were associated with hepatic steatosis in African- and/or Hispanic-Americans and fine-mapped the observed association signals. We measured hepatic steatosis using computed tomography in five African American (n = 3,124) and one Hispanic American (n = 849) cohorts. All analyses controlled for variation in age, age(2) , gender, alcoholic drinks, and population substructure. Heritability of hepatic steatosis was estimated in three cohorts. Variants in/near PNPLA3, NCAN, LYPLAL1, GCKR, and PPP1R3B were tested for association with hepatic steatosis using a regression framework in each cohort and meta-analyzed. Fine-mapping across African American cohorts was conducted using meta-analysis. African- and Hispanic-American cohorts were 33.9/37.5% male, with average age of 58.6/42.6 years and body mass index of 31.8/28.9 kg/m(2) , respectively. Hepatic steatosis was 0.20-0.34 heritable in African- and Hispanic-American families (P < 0.02 in each cohort). Variants in or near PNPLA3, NCAN, GCKR, PPP1R3B in African Americans and PNPLA3 and PPP1R3B in Hispanic Americans were significantly associated with hepatic steatosis; however, allele frequency and effect size varied across ancestries. Fine-mapping in African Americans highlighted missense variants at PNPLA3 and GCKR and redefined the association region at LYPLAL1.

conclusionMultiple genetic variants are associated with hepatic steatosis across ancestries. This explains a substantial proportion of the genetic predisposition in African- and Hispanic-Americans. Missense variants in PNPLA3 and GCKR are likely functional across multiple ancestries.

Indexed as

AcyltransferasesAdaptor Proteins, Signal TransducingAdultAgedBlack or African AmericanBlack PeopleChondroitin Sulfate ProteoglycansCohort StudiesFatty LiverFemaleGene FrequencyGenetic Predisposition to DiseaseGenetic VariationHispanic or LatinoHumansLectins, C-TypeAcyltransferasesAdaptor Proteins, Signal TransducingChondroitin Sulfate ProteoglycansGCKR protein, humanLectins, C-TypeLipaseLYPLAL1 protein, humanLysophospholipaseMembrane ProteinsNCAN protein, humanNerve Tissue ProteinsNeurocanPhospholipases A2, Calcium-IndependentPhosphoprotein PhosphatasesPNPLA3 protein, humanPPP1R3A protein, human

Identifiers

PMID23564467
PMCPMC3782998
OpenAlexW2152921740

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.