Causal association between macrophage migration inhibitory factor and nonalcoholic fatty liver disease: A two-sample

Furong Yu1, Yonghong Fang2, Peifei Fang3

  • 1Department of Medical Technology, Anhui Medical College, Hefei, Anhui, China.

Medicine
|September 9, 2025
PubMed

Insights

This study found macrophage migration inhibitory factor (MIF) causally linked to nonalcoholic fatty liver disease (NAFLD). Macrophage colony-stimulating factor 1 (CSF1) showed no significant association with NAFLD risk.

Area of Science:

  • Hepatology
  • Immunology
  • Genetics

Background:

  • Nonalcoholic fatty liver disease (NAFLD) is a growing health concern.
  • Potential roles of macrophage colony-stimulating factor 1 (CSF1) and macrophage migration inhibitory factor (MIF) in NAFLD pathogenesis are suggested.
  • Causal links between CSF1, MIF, and NAFLD require clarification.

Purpose of the Study:

  • To investigate the causal associations between CSF1, MIF, and NAFLD.
  • Utilize Mendelian randomization (MR) to assess genetic predispositions.

Main Methods:

  • A 2-sample Mendelian randomization (MR) analysis was performed.
  • Summary statistics from genome-wide association studies (GWAS) for CSF1, MIF, and NAFLD were used.
  • Multiple MR methods (IVW, weighted median, etc.) and sensitivity analyses were employed.

Main Results:

  • No significant causal effect of CSF1 on NAFLD risk was detected (OR=1.08, P=0.53).
  • A significant causal association between higher MIF levels and increased NAFLD risk was observed (OR=1.14, P=0.03).
  • Sensitivity analyses supported the robustness of these findings.

Conclusions:

  • Macrophage migration inhibitory factor (MIF) plays a causal role in the development of nonalcoholic fatty liver disease (NAFLD).
  • CSF1 does not appear to have a direct causal relationship with NAFLD risk.
  • Further research into MIF-targeted therapies for NAFLD is warranted.

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