Lipids & metabolic liver disease

Serum soluble ASGR1 concentration is elevated in patients with metabolic dysfunction-associated steatotic liver disease and is associated with adiponectin

BMJ Open Diabetes Res CarePublished Case-control study

Authors' conclusion

In this group of patients with MASLD, sASGR1 levels are higher and are associated with the occurrence of MASLD, suggesting that sASGR1 may be an independent risk factor for MASLD.

Study context

Population
Patients with MASLD and general-population controls without MASLD
Participants
148 vs 98
Comparison
MASLD vs controls without MASLD
  • MASLDn = 148
  • Controln = 98reference
Outcome
Serum sASGR1 levels

Main finding

As reported in the abstract

  • Higher serum soluble ASGR1 (sASGR1) in MASLD vs control
  • MASLD vs Control: P < 0.05

Observational data: associations, not effects.

Further findings

sASGR1 as independent risk factor for MASLD (multiple regression, adjusted)

OR 2.644, 95% CI 1.138 to 6.143; p<0.05
  • Adjusted for potential confounding factors

AUC of serum sASGR1 for predicting MASLD

sASGR1 alone, AUC
0.761 (95% CI 0.698 to 0.824)
sASGR1 combined with AST and ALT, AUC
0.863 (95% CI 0.813 to 0.913)

Spearman correlations of serum sASGR1

Positive correlation with TG, total cholesterol, LDL-C, FPG, fasting insulin, HbA1c, HOMA-IR, TNF-α, ALT, AST, GGT, procollagen type III, hyaluronic acid and BMI (p<0.05)
Negative correlation with HDL-C (p<0.05)

Original publication

Serum soluble ASGR1 concentration is elevated in patients with metabolic dysfunction-associated steatotic liver disease and is associated with adiponectin. BMJ Open Diabetes Res Care. Published 27 January 2026. doi:10.1136/bmjdrc-2025-005638

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