Lipids & metabolic liver disease

Metabolic Dysfunction-associated Steatotic Liver Disease Alters Fatty Acid Profiles in the Liver and Adipose Tissue

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Patients with MASH exhibited reduced hepatic PUFA content, increased hepatic saturated FAs, and a higher n6-to-n3 PUFA ratio, whereas no clear trends were observed in adipose tissue. These findings highlight distinct differences in FA metabolism between the liver and adipose tissue in MASLD, emphasizing tissue-specific regulatory mechanisms.

Study context

Population
Patients with severe obesity undergoing laparoscopic gastric bypass surgery; 122 women, mean age 46.9 ± 9.7 years, BMI 43.5 ± 5.7 kg/m²
Participants
183 patients
Exposure
Fatty acid (FA) profiles in normal liver vs simple steatosis vs MASH
Outcome
FA proportions in liver, serum, visceral and subcutaneous adipose tissue
Methodological detailsFA composition by gas-liquid chromatography; Kruskal-Wallis test
  • FA composition by gas-liquid chromatography; Kruskal-Wallis test

Main finding

As reported in the abstract

  • FA proportions varied more in liver than in adipose tissue in MASH
  • MASH vs Normal liver: all adjusted P < .01
  • MASH vs Normal liver: all adjusted P < .001

Observational data: associations, not effects.

Original publication

Metabolic Dysfunction-associated Steatotic Liver Disease Alters Fatty Acid Profiles in the Liver and Adipose Tissue. J Clin Endocrinol Metab. Published 12 June 2025. doi:10.1210/clinem/dgaf346

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