Lipids & metabolic liver disease

Metabolic profiling of MRI ‐measured liver fat in the UK Biobank

Obesity (Silver Spring)Published Cohort study

Authors' conclusion

Hazardous metabolomic profiles are associated with ectopic hepatic fat and are relevant to risk of vascular-metabolic disease.

Study context

Population
UK Biobank participants with MRI-measured proton density liver fat fraction (PDFF) 5 years after metabolite measurement; main analysis among those without chronic disease and not taking statins
Outcome
Associations of 180 metabolites with PDFF (difference in SD units of each log metabolite with 1-SD higher PDFF)
Follow-up
PDFF measured 5 years later
Methodological detailsUK Biobank, metabolomic profiling
  • UK Biobank
  • Metabolomic profiling

Main finding

As reported in the abstract

Metabolite associations with liver fat
Metabolites positively associated with liver fat after accounting for confounders, particularly extremely large and very large lipoprotein particles, VLDL TG, small HDL particles, glycoprotein acetyls, monounsaturated and saturated fatty acids, amino acids
p < 0.0001 for 152 traits

Observational data: associations, not effects.

Further findings

Associations by vascular metabolic conditions

Broadly comparable with vs without vascular metabolic conditions; negative rather than positive associations of intermediate-density and large LDL particles among those with BMI ≥25 kg/m², diabetes or CVD

Risk prediction for PDFF

Metabolite principal components: significant improvement in risk prediction relative to BMI
15%
Improvement twice as great as conventional HDL-C and TG (nonsignificant)

Original publication

Metabolic profiling of MRI ‐measured liver fat in the UK Biobank. Obesity (Silver Spring). Published 5 March 2023. doi:10.1002/oby.23687

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