Low Serum sRAGE and MASLD Are Associated and Share a Similar Gut Microbiota Profile: A Prospective and

Laura Sol Grinshpan1,2, Dana Ivancovsky-Wajcman1,2, Oren Tirosh3

  • 1School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.

Abstract

Insights

Low levels of soluble receptor for advanced glycation end-products (sRAGE) increase the risk of developing metabolic dysfunction-associated steatotic liver disease (MASLD). Both MASLD and low sRAGE share similar gut microbiota profiles, suggesting a potential biological connection.

Area of Science:

  • Hepatology
  • Metabolic Diseases
  • Microbiome Research

Background:

  • Metabolic dysfunction-associated steatotic liver disease (MASLD) pathogenesis is complex.
  • The soluble receptor for advanced glycation end-products (sRAGE) may have a protective role.
  • The link between gut microbiota, MASLD, and sRAGE requires further elucidation.

Purpose of the Study:

  • To prospectively assess the association between serum sRAGE levels and MASLD.
  • To investigate the relationship between sRAGE levels and gut microbiota composition in MASLD.

Main Methods:

  • Prospective cohort study evaluating serum sRAGE and MASLD over time.
  • MASLD diagnosis confirmed via ultrasonography or controlled attenuation parameter.
  • Gut microbiota analyzed using 16S rRNA sequencing in a sub-sample.

Main Results:

  • Low sRAGE levels were linked to a 2.22-fold increased risk of new-onset or persistent MASLD.
  • A dose-response relationship was observed between sRAGE levels and MASLD risk.
  • Significant differences in gut microbiota diversity were found between MASLD and non-MASLD groups, with shared taxa linked to low sRAGE and MASLD.

Conclusions:

  • Reduced serum sRAGE levels are associated with a higher likelihood of MASLD.
  • MASLD and low sRAGE share a common gut microbiota signature.
  • These findings suggest a potential biological link between sRAGE, gut microbiota, and MASLD pathogenesis.

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