Review Article

Noncoding RNAs in Nonalcoholic Fatty Liver Disease: Potential Diagnosis and Prognosis Biomarkers

Table 1

Candidate genes and variant associated with NAFLD: function and phenotype.

PathwayGenesVariant/SNPPhenotype/functionStage/phaseStudiesReferences

Lipid metabolismPNPLA3rs738409 C/GHepatic steatosis, histologic lobular inflammation, HCC fibrosis, lipolytic and lipogenic function in vitroNAFLD/NASH/activated HSCsGWAS, case-control[22, 115],
PPARγrs1801282 G/CProtection against liver injuryNAFLDCase-control, GWAS, meta-analysis[116]
LPIN1rs13412852 C/TRegulation of lipid metabolism, reduced lipolysis, decreased flux of FAs to the liver, decreased fibrosisNAFLDCase-control[115]
NCANrs2228603 C/TRegulates cell adhesion and migration/hepatic steatosisNAFLDGWAS[115]
RETNrs3745367 G/AInvolved in lipid metabolism, hepatic insulin resistance, inflammatory cascade reactions, and fibrogenesisNAFLDGWAS, case-control[115]

Cholesterol biogenesisSREBPF 1rs11868035 A/GThe severity of steatosis and necroinflammation/impaired glucose homeostasis and lipoprotein and adiponectin responses to fat ingestionNAFLD
NASH
Case-control[117]
SREBPF 2rs2228314 G>CHistological characteristics and NASH diagnosisNASHCase-control[118]

Fatty acid uptake and transportPPARrs1801282Protection against liver injuryNAFLDCase-control, GWAS, meta-analysis[119]
APOC3rs2854116 T/C rs2854117 C/THepatic steatosis/inhibits lipoprotein lipase and triglyceride clearanceNAFLDCase-control, meta-analysis[120]
FABP1rs2241883 T/C rs1545224G/AImpact blood lipoprotein/lipid levels and responses to lipid-lowering therapy and glycogenolysis/fibrosis steatosisNAFLD/NASHCase-control[121]
MTTPrs1800591
rs1800804
rs1057613
Synthesis and secretion of VLDL in the liver, transfer protein involved in apoB-lipoprotein assembly/hypobetalipoproteinemia
Fibrosis, steatosis, and increased histological grade of NASH
NAFLD/NASHGWAS, case-control[120]

Oxidative stressPPARαrs1800206Steatosis, inflammation, and fibrosis
Activates fatty acid oxidation and hepatic lipid hydrolysis
NAFLD/NASHGWAS, case-control[121]
PNPLA3rs738409 C/GHepatic steatosis, histologic lobular inflammation, HCC development, fibrosis/lipolytic and lipogenic function in vitroNAFLD/NASH/activated HSCsGWAS, case-control[120]
TM6SF2rs58542926Hepatic steatosis, necroinflammation, ballooning, higher serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels/fibrosis, cirrhosisNAFLD/NASHGWAS[22, 115],
GCKRrs780094 A>G rs1260326 C>TSteatosis/fibrosis, inability to regulate glucose influx into hepatocytes, increased de novo lipogenesisNAFLD/NASHGWAS, meta-analysis[20, 27],
HSD17B13rs72613567 T>ALocalizes to hepatocyte lipid droplets/decreased HSD17B13 and PNPLA3 production↓NASH
↓Fibrosis
Case-control[20]

Insulin resistanceADIPOQrs2241766 rs1501299Insulin-sensitizing, anti-inflammatory adipokine/severity of liver disease and with an atherogenic postprandial lipoprotein profile in NASHNAFLDCase-control[115]
IRS1rs1801278Downstream regulator of insulin action, deceased insulin signaling/fibrosisNAFLDCase-control[115]
PPARγ C1αrs8192678Transcriptional coactivator that regulates genes involved in lipid and glucose metabolismNAFLDCase-control[122]
TCF7L2rs7903146C/TRegulates gene expression in cellular metabolism and growthNAFLDCase-control[122]