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Article

Nonalcoholic Fatty Liver Disease (NAFLD), But not Its Susceptibility Gene Variants, Influences the Decrease of Kidney Function in Overweight/Obese Children

1
Department Internal Medicine and Medical Specialties, Sapienza University of Rome, 00161 Rome, Italy
2
Department of Pediatrics, Sapienza University of Rome, 00161 Rome, Italy
3
Department of Radiological Sciences, Sapienza University of Rome, 00161 Rome, Italy
4
Institute of Translational Pharmacology, National Research Council, 00133 Rome, Italy
*
Author to whom correspondence should be addressed.
Int. J. Mol. Sci. 2019, 20(18), 4444; https://doi.org/10.3390/ijms20184444
Received: 26 July 2019 / Revised: 30 August 2019 / Accepted: 6 September 2019 / Published: 9 September 2019
(This article belongs to the Special Issue Molecular Research on Obesity and Metabolic Diseases)
Nonalcoholic fatty liver disease (NAFLD) is associated with an increased risk of kidney disease in adults and children. However, it is uncertain whether this association is influenced by major NAFLD susceptibility genes. In a sample of 230 overweight/obese children, 105 with NAFLD (hepatic fat fraction ≥5% by magnetic resonance imaging) and 125 without NAFLD, rs738409 in PNPLA3, rs58542926 in TM6SF2, rs1260326 in GCKR, and rs641738 in MBOAT7 were genotyped. Abnormal kidney function was defined as estimated glomerular filtration rate (eGFR) < 90 mL/min/1.73 m2 and/or the presence of microalbuminuria (24 h urinary albumin excretion between 30 and 300 mg). In comparison with children without NAFLD, those with NAFLD showed increased prevalence of reduced eGFR (13.3% vs. 1.6%; p < 0.001) and microalbuminuria (8.6% vs. 3.4%, p = 0.025). TM6SF2, GCKR, and MBOAT7 risk alleles did not show any impact on kidney function, while the PNPLA3 G allele was associated with lower eGFR, but only in children with NAFLD (p = 0.003). After adjustment for confounders, NAFLD (OR, 4.7; 95% CI, 1.5–14.8; padj = 0.007), but not the PNPLA3 gene variant, emerged as the main independent predictor of renal dysfunction. Overall, our findings suggest that NAFLD remains the main determinant of decline in kidney function in overweight/obese children, while the PNPLA3 rs738409 prosteatogenic variant has a small impact, if any. View Full-Text
Keywords: NAFLD; PNPLA3 rs738409 gene polymorphism; renal function; overweight/obesity; children and adolescents NAFLD; PNPLA3 rs738409 gene polymorphism; renal function; overweight/obesity; children and adolescents
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MDPI and ACS Style

Di Costanzo, A.; Pacifico, L.; D’Erasmo, L.; Polito, L.; Di Martino, M.; Perla, F.M.; Iezzi, L.; Chiesa, C.; Arca, M. Nonalcoholic Fatty Liver Disease (NAFLD), But not Its Susceptibility Gene Variants, Influences the Decrease of Kidney Function in Overweight/Obese Children. Int. J. Mol. Sci. 2019, 20, 4444. https://doi.org/10.3390/ijms20184444

AMA Style

Di Costanzo A, Pacifico L, D’Erasmo L, Polito L, Di Martino M, Perla FM, Iezzi L, Chiesa C, Arca M. Nonalcoholic Fatty Liver Disease (NAFLD), But not Its Susceptibility Gene Variants, Influences the Decrease of Kidney Function in Overweight/Obese Children. International Journal of Molecular Sciences. 2019; 20(18):4444. https://doi.org/10.3390/ijms20184444

Chicago/Turabian Style

Di Costanzo, Alessia, Lucia Pacifico, Laura D’Erasmo, Luca Polito, Michele Di Martino, Francesco Massimo Perla, Ludovica Iezzi, Claudio Chiesa, and Marcello Arca. 2019. "Nonalcoholic Fatty Liver Disease (NAFLD), But not Its Susceptibility Gene Variants, Influences the Decrease of Kidney Function in Overweight/Obese Children" International Journal of Molecular Sciences 20, no. 18: 4444. https://doi.org/10.3390/ijms20184444

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