Evidence map›Paper›PMID 41147688›Full record

ArticleAlimentary pharmacology & therapeutics2026

Inherited Genetic Risk of Liver Fibrosis in Lean Versus Nonlean Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD).

Kaleb Tesfai, Luis Antonio Díaz, Juan Pablo Arab, Marco Arrese, Francisco Idalsoaga, Gustavo Ayares, Saaket Agrawal, Fernando Javier Barreyro, Adrian Gadano, Sebastián Marciano and 20 more

Abstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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

30 authors.

Kaleb TesfaiMASLD Research Center, Division of Gastroenterology and Hepatology, University of California at San Diego, La Jolla, California, USA.ORCID https://orcid.org/0000-0001-5968-2294
Luis Antonio DíazMASLD Research Center, Division of Gastroenterology and Hepatology, University of California at San Diego, La Jolla, California, USA.ORCID https://orcid.org/0000-0002-8540-4930
Juan Pablo ArabDepartamento De Gastroenterología, Escuela De Medicina, Pontificia Universidad Católica De Chile, Santiago, Chile.ORCID https://orcid.org/0000-0002-8561-396X
Marco ArreseDepartamento De Gastroenterología, Escuela De Medicina, Pontificia Universidad Católica De Chile, Santiago, Chile.ORCID https://orcid.org/0000-0002-0499-4191
Francisco IdalsoagaDepartamento De Gastroenterología, Escuela De Medicina, Pontificia Universidad Católica De Chile, Santiago, Chile.ORCID https://orcid.org/0000-0001-5607-0698
Gustavo AyaresDepartamento De Gastroenterología, Escuela De Medicina, Pontificia Universidad Católica De Chile, Santiago, Chile.
Saaket AgrawalProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Fernando Javier BarreyroDepartamento De Gastroenterología, Hospital Escuela, Laboratorio De Biotecnología Molecular, Conicet, Universidad Nacional De Misiones, Posadas, Misiones, Argentina.ORCID https://orcid.org/0000-0002-0410-2982
Adrian GadanoUnidad De Hepatología, Hospital Italiano De Buenos Aires, Buenos Aires, Argentina.ORCID https://orcid.org/0000-0002-3590-2472
Sebastián MarcianoUnidad De Hepatología, Hospital Italiano De Buenos Aires, Buenos Aires, Argentina.ORCID https://orcid.org/0000-0002-7983-1450
Jorge Martínez MoralesUnidad De Hepatología, Hospital Italiano De Buenos Aires, Buenos Aires, Argentina.
Cristiane Villela-NogueiraEscuela De Medicina E División De Hepatología, Hospital Universitário Clementino Fraga Filho, Universidade Federal Do Rio De Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0003-1355-2368
Nathalie LeiteEscuela De Medicina E División De Hepatología, Hospital Universitário Clementino Fraga Filho, Universidade Federal Do Rio De Janeiro, Rio de Janeiro, Brazil.
Gil SallesEscuela De Medicina E División De Hepatología, Hospital Universitário Clementino Fraga Filho, Universidade Federal Do Rio De Janeiro, Rio de Janeiro, Brazil.
Claudia Regina CardosoEscuela De Medicina E División De Hepatología, Hospital Universitário Clementino Fraga Filho, Universidade Federal Do Rio De Janeiro, Rio de Janeiro, Brazil.
Claudia Alves CoutoInstituto Alfa De Gastroenterologia, Hospital Das Clínicas Da Universidade Federal De Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.ORCID https://orcid.org/0000-0002-9776-4757
Rafael TheodoroInstituto Alfa De Gastroenterologia, Hospital Das Clínicas Da Universidade Federal De Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Mísia Joyner de Sousa Dias MonteiroInstituto Alfa De Gastroenterologia, Hospital Das Clínicas Da Universidade Federal De Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.ORCID https://orcid.org/0000-0002-2863-4094
Claudia P OliveiraDepartamento De Gastroenterologia (LIM07), Faculdade De Medicina Da Universidade De São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-2848-417X
Mario G PessoaDepartamento De Gastroenterologia (LIM07), Faculdade De Medicina Da Universidade De São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-0942-7348
Mario Reis Alvares-da-SilvaServiço de Gastroenterologia, Hospital De Clínicas De Porto Alegre, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil.ORCID https://orcid.org/0000-0002-5001-246X
Daniel Q HuangDepartment of Medicine, Division of Endocrinology, University of California San Diego, La Jolla, California, USA.ORCID https://orcid.org/0000-0002-5165-5061
Egbert MadambaMASLD Research Center, Division of Gastroenterology and Hepatology, University of California at San Diego, La Jolla, California, USA.
Seema SinghMASLD Research Center, Division of Gastroenterology and Hepatology, University of California at San Diego, La Jolla, California, USA.
Snigdha LokanadhamMASLD Research Center, Division of Gastroenterology and Hepatology, University of California at San Diego, La Jolla, California, USA.
Ricki BettencourtMASLD Research Center, Division of Gastroenterology and Hepatology, University of California at San Diego, La Jolla, California, USA.
Lisa M RichardsMASLD Research Center, Division of Gastroenterology and Hepatology, University of California at San Diego, La Jolla, California, USA.
Amit V KheraDivision of Cardiology, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-6535-5839
Rohit LoombaMASLD Research Center, Division of Gastroenterology and Hepatology, University of California at San Diego, La Jolla, California, USA.ORCID https://orcid.org/0000-0002-4845-9991
Veeral AjmeraMASLD Research Center, Division of Gastroenterology and Hepatology, University of California at San Diego, La Jolla, California, USA.ORCID https://orcid.org/0000-0001-5626-0942

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
Pediatric Trials in Non-Alcoholic Steatohepatitis (NASH)U01DK061734 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROHIT LOOMBA · 2002 to 2026
$24.4M
CTSA UM1 Program at University of California San Diego Altman Clinical and Translational Research InstituteUM1TR005449 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Michael A Hogarth, David Mitchell Smith · 2025 to 2026
$20.6M
Tissue-specific roles of FXR in CVD and NASHP01HL147835 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GLASS, CHRISTOPHER K · 2020 to 2024
$12.2M
San Diego Digestive Diseases Research CenterP30DK120515 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Bernd G. Schnabl · 2019 to 2026
$10.8M
HIV MASLD Clinical Research Network (HCRN)R01DK121378 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI NAGA P CHALASANI, ROHIT LOOMBA · 2020 to 2026
$8.7M
Novel IL-23 inhibitor for the treatment of alcohol associated liver diseaseU01AA029019 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KISSELEVA, TATIANA, LOOMBA, ROHIT · 2020 to 2024
$3.7M
QUS Technology for Diagnosis and Grading of Hepatic Steatosis in NAFLDR01DK106419 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LOOMBA, ROHIT, SIRLIN, CLAUDE B · 2015 to 2019
$3.4M
San Diego Cirrhosis Clinical Research NetworkU01DK130190 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROHIT LOOMBA · 2021 to 2026
$2.3M
Non-invasive screening of diabetics for advanced fibrosis due to NAFLDR01DK124318 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LOOMBA, ROHIT · 2020 to 2022
$1.7M
A Novel Multimodal Approach to Characterize NAFLD Severity and PrognosisK23DK119460 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AJMERA, VEERAL HARESH · 2019 to 2023
$1.1M
Multidisciplinary Research Training in Digestive Physiology and DiseasesT32DK142622 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LARS ECKMANN, ROHIT LOOMBA · 2025 to 2026
$738k
NCATS NIH HHS 5UL1TR001442NCATS NIH HHS UL1 TR001442NCATS NIH HHS UM1 TR005449NHLBI NIH HHS P01 HL147835NHLBI NIH HHS P01HL147835NIAAA NIH HHS U01 AA029019NIDDK NIH HHS K23 DK090303NIDDK NIH HHS K23 DK119460NIDDK NIH HHS K23DK119460NIDDK NIH HHS P30 DK120515NIDDK NIH HHS P30DK120515NIDDK NIH HHS R01 DK106419NIDDK NIH HHS R01DK106419NIDDK NIH HHS R01 DK121378NIDDK NIH HHS R01DK121378NIDDK NIH HHS R01 DK124318NIDDK NIH HHS R01DK124318NIDDK NIH HHS T32 DK142622NIDDK NIH HHS U01 DK061734NIDDK NIH HHS U01DK061734NIDDK NIH HHS U01 DK130190NIDDK NIH HHS U01DK130190
6 · The paper itself

Abstract

introductionPrevious studies have revealed conflicting results regarding liver fibrosis risk in lean metabolic dysfunction-associated steatotic liver disease (MASLD). We aimed to compare the risk of significant fibrosis in lean versus nonlean MASLD and identify fibrosis-associated factors in lean MASLD.

methodsThe study was a cross-sectional analysis of prospectively enrolled adults with MASLD. Individuals with lean MASLD were age- and sex-matched with nonlean MASLD. Fibrosis assessment included vibration-controlled transient elastography, magnetic resonance elastography and liver biopsy. A genetic risk score (GRS), summating the effect alleles of PNPLA3 and TM6SF2 minus the protective HSD17B13 genotype, was estimated to consider inherited genetic risk across BMI categories. Results were validated in an external Latin American cohort.

resultsThe mean (

conclusionsThe prevalence of significant fibrosis and the effect of GRS were similar in lean and nonlean MASLD, highlighting that lean MASLD patients may have a comparable risk to overweight and obese MASLD.

Indexed as

Fatty LiverGenetic Predisposition to DiseaseLiver CirrhosisAcyltransferasesAdultAgedBody Mass IndexCross-Sectional StudiesElasticity Imaging TechniquesFemaleGenotypeHumansLipaseMaleMembrane ProteinsMiddle AgedAcyltransferasesLipaseMembrane ProteinsPhospholipases A2, Calcium-IndependentPNPLA3 protein, humanTM6SF2 protein, humanfatty livergenetic risk scoreMASLDNITsnonalcoholic fatty liver diseasenoninvasive testssignificant fibrosis

Identifiers

PMID41147688
PMCPMC12671836

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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.