Evidence map›Paper›PMID 31695245›Full record

ArticleJournal of clinical and experimental hepatology

Whole-Exome Sequencing Identifies a Variant in Phosphatidylethanolamine N-Methyltransferase Gene to be Associated With Lean-Nonalcoholic Fatty Liver Disease.

Govardhan Bale, Ravikanth V Vishnubhotla, Sasikala Mitnala, Mithun Sharma, Rao N Padaki, Smita C Pawar, Reddy N Duvvur

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. [Research progress on clinical characteristics and pathological mechanisms of lean metabolic-associated fatty liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  7. Article
  8. Review
  9. Review
  10. Article
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  12. Article
  13. Epigenetic Regulation in Lean Nonalcoholic Fatty Liver Disease.International journal of molecular sciences · 2023
    Review
  14. Nutrients · 2023
    Article
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  18. Article
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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 2 institutions in 1 country.

Govardhan BaleInstitute of Basic Sciences and Translational Research, Asian Healthcare Foundation, Hyderabad 500082, Telangana, India.
Ravikanth V VishnubhotlaInstitute of Basic Sciences and Translational Research, Asian Healthcare Foundation, Hyderabad 500082, Telangana, India.
Sasikala MitnalaInstitute of Basic Sciences and Translational Research, Asian Healthcare Foundation, Hyderabad 500082, Telangana, India.
Mithun SharmaDepartment of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad 500082, Telangana, India.
Rao N PadakiDepartment of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad 500082, Telangana, India.
Smita C PawarDepartment of Genetics, Osmania University, Hyderabad, Telangana, India.
Reddy N DuvvurDepartment of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad 500082, Telangana, India.
Asian Institute of Gastroenterology · INOsmania University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimNonalcoholic fatty liver disease (NAFLD) is a spectrum of liver diseases with simple steatosis on one end and hepatocellular carcinoma on the other. Although obesity is a known risk factor for NAFLD, individuals with normal body mass index (BMI) also have hepatic fatty infiltration, now termed "lean-NAFLD". It represents a distinct entity with a strong underlying genetic component. The present study aimed to sequence the complete exonic regions of individuals with lean-NAFLD to identify germline causative variants associated with disrupted hepatic fatty acid metabolism, thereby conferring susceptibility to NAFLD.

methodsWhole blood was collected from patients with lean-NAFLD (n = 6; BMI < 23.0 kg/m

resultsAlthough WES identified ∼74,000 variants in individual samples, using various pipelines. variants in genes namely phosphatidylethanolamine N-methyltransferase (PEMT) and oxysterol-binding protein-related protein10 (OSBPL10) that have roles in dietary choline intake and regulation of cholesterol homeostasis, respectively, were identified (discovery set). Furthermore, significant differences were noted in BMI (p = 0.006), waist/hip circumference (p > 0.001), waist/hip ratio (p > 0.001), aspartate aminotransferase (p > 0.001), alanine aminotransferase (p > 0.001), and triglycerides (p = 0.002) between patients and controls. Validation of variants (rs7946-PEMT and rs2290532-OSBPL10) revealed that variant in PEMT but not OSBPL10 gene was associated (p = 0.04) with threefold increased risk of NAFLD in lean individuals.

conclusionOur results demonstrate the association of rs7946 with lean-NAFLD. WES may be an effective strategy to identify causative variants underlying lean-NAFLD.

Indexed as

ALT, alanine aminotransferaseARFI, Acoustic Radiation Force ImpulseAST, aspartate aminotransferaseBMI, Body mass indexCI, confidence intervalDNA, Deoxyribonucleic acidFFAs, free fatty acidsgDNA, genomic Deoxyribonucleic acidGWAS, Genome-wide association studiesHCC, Hepatocellular carcinomaHDL, high-density lipoproteinsindel, insertion deletionlean-NAFLDNAFLD, Nonalcoholic fatty Liver diseaseNASH, nonalcoholic steatohepatitisng, nano gramnonalcoholic fatty liver diseaseOSBPL10OSBPL10, Oxysterol-binding protein-related protein10PC, phosphatidylcholinePCR, Polymerase chain reactionPEMTPEMT, Phosphatidylethanolamine N-methyltransferasePE, phosphatidylethanolaminePHRED, Phil's Read EditorpM, pico moleSIFT, Sorting Intoleratnt from TolerantSNPs, Single-nucleotide polymorphismsSNVs, Single-nucleotide variantsWC, Waist circumferenceWES, Whole-Exome Sequencingwhole-exome sequencing

Identifiers

PMID31695245
PMCPMC6823660
OpenAlexW2914862833

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.