Lipids & metabolic liver disease

Unravelling the liver-brain connection: A two-sample Mendelian randomization study investigating the causal relationship between non-alcoholic fatty liver disease (NAFLD) and cortical structure

Diabetes Res Clin PractPublished Two-sample Mendelian randomization study

Main finding · Cortical thickness, pars orbitalis gyrusResult — go to the resultβ −0.008 mm 95% CI −0.013 mm to −0.004

Authors' conclusion

The two-sample MR study supports the existence of a liver-brain axis by demonstrating a causal association between NAFLD and changes in cortical structures. These findings emphasize the potential association between NAFLD and brain health, which could have implications for preventing and treating cognitive deficits and neuropsychiatric conditions in patients with NAFLD.

Study context

Population
Genome-wide association studies (GWAS) summary data for NAFLD from large-scale cohorts; cortical surface area (SA) and thickness (TH) from ENIGMA Consortium magnetic resonance imaging (MRI) dataENIGMA MRI data
Participants
33,992 participants
Comparison
Genetically predicted NAFLD vs cortical structure
Outcome
Causal effect of NAFLD on cortical surface area and cortical thickness (inverse-variance weighted (IVW))
Methodological detailsinverse-variance weighted primary method, sensitivity analyses: MR Pleiotropy RESidual Sum and Outlier (MR-PRESSO), MR-Egger, weighted median
  • Inverse-variance weighted primary method
  • Sensitivity analyses: MR-PRESSO, MR-Egger, weighted median

Main finding

Cortical thickness, pars orbitalis gyrus

β

−0.008 mm

95% CI −0.013 mm to −0.004

P = 3.00 × 10-4

As reported in the abstract

Further findings

Sensitivity analyses

No significant heterogeneity and pleiotropy were identified

Original publication

Unravelling the liver-brain connection: A two-sample Mendelian randomization study investigating the causal relationship between NAFLD and cortical structure. Diabetes Res Clin Pract. Published 29 September 2023. doi:10.1016/j.diabres.2023.110927

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