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Mouse Model of Metabolic Dysfunction-Associated Steatotic Liver Disease with Fibrosis
Published on: July 18, 2025
Helicobacter pylori Infection and Metabolic Dysfunction-Associated Steatotic Liver Disease: A Prospective Study and
Longgang Zhao1, Yun Chen1, Xinyuan Zhang2
1Yale University School of Nursing, Orange, Connecticut.
Helicobacter pylori infection, particularly CagA-positive strains, is linked to an increased risk of metabolic dysfunction-associated steatotic liver disease (MASLD). This suggests H. pylori may play a role in MASLD development.
Area of Science:
- Gastroenterology
- Hepatology
- Infectious Diseases
Background:
- Metabolic dysfunction-associated steatotic liver disease (MASLD) and Helicobacter pylori (H. pylori) infection are prevalent global health issues.
- The relationship between H. pylori and MASLD is not well-established, with limited data from non-Asian populations.
Purpose of the Study:
- To investigate the association between H. pylori infection and the risk of developing MASLD.
- To evaluate the impact of CagA seropositivity, a marker of H. pylori virulence, on MASLD risk.
Main Methods:
- Analysis of UK Biobank participants (N=4,246) with H. pylori serostatus data.
- Cox proportional hazards models and meta-analysis of eight prospective cohorts (36,145 participants, 6,979 MASLD cases).
- Adjustment for demographic, lifestyle, and cardiometabolic factors.
Main Results:
- H. pylori seropositivity showed a marginal association with increased MASLD risk (HR 1.88).
- CagA seropositivity was significantly associated with higher MASLD risk (HR 2.40).
- Meta-analysis revealed H. pylori infection is associated with a 24% increased MASLD risk (RR 1.24; 95% CI, 1.17-1.31).
Conclusions:
- H. pylori infection, especially CagA-positive strains, is associated with an elevated risk of MASLD.
- Findings suggest a potential role for H. pylori virulence factors in MASLD pathogenesis.
- Results may inform risk stratification and targeted H. pylori eradication strategies for MASLD prevention.
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