Association between MFN2 gene polymorphisms and the risk and prognosis of acute liver failure: a case-control study

Y-L Wei1, Q Tian1, X-X Zhao1

  • 1Department of Infectious Diseases, Linyi People's Hospital, Linyi, China.

Insights

Mitofusin 2 (MFN2) gene variations, specifically rs873457 and rs4846085, are linked to acute liver failure (ALF) risk and patient outcomes. Certain MFN2 genotypes and haplotypes influence disease susceptibility and survival rates.

Area of Science:

  • Genetics
  • Hepatology
  • Molecular Biology

Background:

  • Acute liver failure (ALF) is a critical condition with significant morbidity and mortality.
  • The genetic factors influencing ALF risk and prognosis require further elucidation.
  • Mitofusin 2 (MFN2) plays a role in mitochondrial dynamics and cellular health, potentially impacting liver function.

Purpose of the Study:

  • To investigate the association between MFN2 gene polymorphisms and the risk of developing ALF.
  • To evaluate the impact of MFN2 gene polymorphisms on the prognosis and survival rates of ALF patients.
  • To identify specific MFN2 genetic variants and haplotypes that serve as predictive markers for ALF.

Main Methods:

  • Case-control study involving 138 ALF patients and 160 healthy controls.
  • Genotyping of MFN2 single nucleotide polymorphisms (SNPs) including rs873457, rs2336384, rs1474868, rs4846085, and rs2236055.
  • Biochemical assays measuring liver function markers (GPT, GOT, TB), coagulation function, blood ammonia, and lactic acid.
  • Statistical analyses including Kaplan-Meier survival, haplotype, binary logistic regression, and Cox regression analyses.

Main Results:

  • ALF patients with GG genotype of rs873457 or TT genotype of rs4846085 exhibited higher levels of GPT, GOT, TB, blood ammonia, and LA.
  • The GTACAGC haplotype was associated with a protective effect, while the GTGTGGC haplotype was a risk factor for ALF.
  • Blood ammonia and lactic acid were independent risk factors for ALF, whereas CC genotypes of rs873457 and rs4846085 were protective.
  • Patients with GG genotype of rs873457 or TT genotype of rs4846085 had reduced survival rates.
  • rs4846085 and rs873457 polymorphisms were independent prognostic factors for ALF.

Conclusions:

  • MFN2 gene polymorphisms, particularly rs873457 and rs4846085, are associated with the risk and prognosis of ALF.
  • Specific MFN2 genotypes (CC for rs873457 and rs4846085) and haplotypes (GTACAGC) may confer protection against ALF.
  • Elevated blood ammonia and lactic acid levels are significant risk factors for ALF.
  • MFN2 gene variants rs873457 and rs4846085 serve as potential biomarkers for predicting ALF risk and patient outcomes.

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