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Updated: Sep 14, 2025

Author Spotlight: Establishing MASLD Cell Models for Investigating Disease Mechanisms and the Lipid-Lowering Effects of Koumiss
Published on: July 19, 2024
Increased serum uric acid to creatinine ratio is associated with metabolic dysfunction associated steatotic liver
Fang Wang1, XuDong Zheng1, Xiang Ni1
1Department of The Health Management Center, The First Affiliated Hospital of USTC: Anhui Provincial Hospital (South District), Hefei, 230001, Anhui, China.
Abstract:
To investigate the correlation between the serum uric acid to creatinine ratio (SUA/SCr) and the severity of hepatic steatosis in individuals with MASLD. A total of 34,981 individuals were measured the controlled attenuated parameter (CAP) using transient elastography (TE), then we studied the association between SUA/SCr and the severity of hepatic steatosis defined with the value of CAP. A cohort of 2179 individuals without MASLD were followed up to investigate the relationship between SUA/SCr and the incidence of MASLD during the following 33 months. After adjusting for confounding factors, smooth fitting curve and threshold saturation analysis showed that SUA/SCr exhibited a significant positive correlation with CAP (P < 0.0001), with different inflection points in sex, BMI and age subgroups. Logistic regression analysis showed that SUA/SCr demonstrated a certain degree of predictive value for MASLD (P < 0.001). In followed-up population, individuals with higher SUA/SCr exhibited a significantly increased cumulative incidence of MASLD (P = 0.0008). Increased SUA/SCr levels are associated with the severity of hepatic steatosis in MASLD, is an independent risk factor for MASLD. Individuals with elevated levels of SUA/SCr are at a higher risk of developing MASLD. Maybe SUA/SCr could be considered as a useful biomarker for MASLD in clinical work, although the predictive value is limited, and further validation and combined usage with other markers are necessary.
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