Evidence map›Paper›PMID 23580007›Full record

ArticleBehavior genetics2013

The genetic architecture of liver enzyme levels: GGT, ALT and AST.

Jenny H D A van Beek, Marleen H M de Moor, Eco J C de Geus, Gitta H Lubke, Jacqueline M Vink, Gonneke Willemsen, Dorret I Boomsma

Open access · greenAbstract readTwin Study
In one paragraph

Article in Behavior genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% 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

74 citing papers in PubMed, 3 syntheses or guidelines pooled it, 184 citations in OpenAlex.

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  18. [Clinical characteristics and risk factors of pyogenic liver abscess complicated by sepsis in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
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14 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

7 authors at 4 institutions in 2 countries.

Jenny H D A van BeekDepartment of Biological Psychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands. J.H.D.A.van.Beek@vu.nl
Marleen H M de Moor
Eco J C de Geus
Gitta H Lubke
Jacqueline M Vink
Gonneke Willemsen
Dorret I Boomsma
Amsterdam Neuroscience · NLVrije Universiteit Amsterdam · NLEMGO Institute for Health and Care Research · NLUniversity of Notre Dame · US

Funding

Psychometric and Genetic Assessments of Substance UseR37DA018673 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI NEALE, MICHAEL CHURTON · 2005 to 2014
$3.7M
European Research Council 230374European Research Council 284167NIDA NIH HHS R37 DA018673
6 · The paper itself

Abstract

High levels of liver enzymes GGT, ALT and AST are predictive of disease and all-cause mortality and can reflect liver injury, fatty liver and/or oxidative stress. Variation in GGT, ALT and AST levels is heritable. Moderation of the heritability of these liver enzymes by age and sex has not often been explored, and it is not clear to what extent non-additive genetic and shared environmental factors may play a role. To examine the genetic architecture of GGT, ALT and AST, plasma levels were assessed in a large sample of twins, their siblings, parents and spouses (N = 8,371; age range 18-90). For GGT and ALT, but not for AST, genetic structural equation modeling showed evidence for quantitative sex differences in the genetic architecture. There was no evidence for qualitative sex differences, i.e. the same genes were expressed in males and females. Both additive and non-additive genetic factors were important for GGT in females (total heritability h(2) 60 %) and AST in both sexes (total h(2) 43 %). The heritability of GGT in males and ALT for both sexes was due to additive effects only (GGT males 30 %; ALT males 40 %, females 22 %). Evidence emerged for shared environmental factors influencing GGT in the male offspring generation (variance explained 28 %). Thus, the same genes influence liver enzyme levels across sex and age, but their relative contribution to the variation in GGT and ALT differs in males and females and for GGT across age. Given adequate sample sizes these results suggest that genome-wide association studies may result in the detection of new susceptibility loci for liver enzyme levels when pooling results over sex and age.

Indexed as

AdolescentAdultAgedAged, 80 and overAlanine TransaminaseAspartate AminotransferasesFamily HealthFemalegamma-GlutamyltransferaseGene-Environment InteractionGenome-Wide Association StudyHumansLiverMaleMiddle AgedModels, GeneticAlanine TransaminaseAspartate Aminotransferasesgamma-Glutamyltransferase

Identifiers

PMID23580007
PMCPMC3918238
OpenAlexW2018611922

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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.