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Association between MFN2 gene polymorphisms and the risk and prognosis of acute liver failure: a case-control study
1Department of Infectious Diseases, Linyi People's Hospital, Linyi, China.
Abstract:
This study aimed to determine the role of mitofusin 2 (MFN2) gene polymorphisms in the risk and prognosis of acute liver failure (ALF). A total of 298 blood samples were collected from 138 ALF patients (case group) and 160 healthy participants (control group). Coagulation function, glutamic pyruvic transaminase (GPT), glutamic oxaloacetic transaminase (GOT), total bilirubin (TB), blood ammonia and lactic acid (LA) were measured. The predictive evaluation of MFN2 gene polymorphisms in the risk and prognosis of ALF patients was estimated using Kaplan-Meier survival analysis, haplotype analysis, binary logistic regression analysis and Cox regression analysis. Higher levels of GPT, GOT, TB, blood ammonia and LA were observed in ALF patients with the GG genotype of rs873457 or the TT genotype of rs4846085 than in those with the CC genotype of these two SNPs. The GTACAGC and GTGTGGC haplotypes were a protective factor and a risk factor for ALF, respectively. Blood ammonia and LA levels were independent risk factors and the CC genotype of rs873457 and the CC genotype of rs4846085 were protective factors for ALF. ALF patients with the GG genotype of rs873457 or the TT genotype of rs4846085 had a lower survival rate than those with other genotypes of these two SNPs. The rs4846085 and rs873457 polymorphisms were both independent factors affecting the prognosis of ALF patients. MFN2 gene polymorphisms (rs873457, rs2336384, rs1474868, rs4846085 and rs2236055) may be associated with ALF and the rs873457 and rs4846085 polymorphisms are correlated with the risk and prognosis of ALF.
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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