期刊
AMERICAN JOURNAL OF GASTROENTEROLOGY
卷 116, 期 8, 页码 1741-1745出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.14309/ajg.0000000000001326
关键词
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资金
- German Research Foundation (DFG) consortium SFB 1382 Gut-liver axis (SFB1382) [403114013/A03]
- DFG [STR 1095/6-1]
- German Research Foundation [SCHN-1640/11]
- German Research Foundation (DFG) [403114013/B07, SCHN 1626/1-1]
This study analyzed data from a large sample recruited by the UK Biobank and found that genetic factors have a greater impact on liver-specific mortality, while certain gene mutations contribute to overall mortality. In addition, obesity and metabolic syndrome disproportionally contribute to liver-related deaths. The findings highlight the interplay between genetics and environment in liver-related mortality and provide a basis for hepatic surveillance programs.
INTRODUCTION: The increasing liver-related mortality calls for hepatic surveillance programs. To design them, factors selectively increasing liver-related vs overall mortality need to be identified. METHODS: We analyzed mortality data from 467,558 individuals recruited by the community-based UK Biobank. The mean follow-up was 11.4 years. Results: While all assessed genetic factors associated with increased liver-specific mortality, only homozygous TM6SF2 mutation and SERPINA1 mutation conferred elevated overall mortality. Among the environmental factors, obesity and metabolic syndrome disproportionately contributed to liver-related deaths. Discussion: Our data demonstrate an interplay between genetics and environment and provide a basis for hepatic surveillance programs.
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