Gut Liver.  2016 May;10(3):456-463. 10.5009/gnl15261.

PNPLA3 rs738409 Polymorphism Associated with Hepatic Steatosis and Advanced Fibrosis in Patients with Chronic Hepatitis C Virus: A Meta-Analysis

Affiliations
  • 1Department of Gastroenterology and Hepatology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. guojinjun1972@163.com
  • 2Department of Infectious Diseases, The Ninth People's Hospital of Chongqing, Chongqing, China.
  • 3Institute of Life Sciences, Chongqing Medical University, Chongqing, China.

Abstract

BACKGROUND/AIMS
The recognition of a correlation between patatin-like phospholipase domain containing-protein 3 (PNPLA3) rs738409 (C>G) and the severity of liver steatosis or fibrosis in chronic hepatitis C (CHC) has not reached a consensus. This meta-analysis sought to investigate with accuracy the association between the PNPLA3 rs738409 (C>G) polymorphism and liver steatosis and advanced fibrosis in CHC patients.
METHODS
We performed a comprehensive literature search from the PubMed, Embase, Web of Science, and Google Scholar databases up to December 31, 2014. Crude odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Statistical analyses were performed using Stata 12.0 software.
RESULTS
The meta-analysis revealed the severity of liver fibrosis was significantly higher in CHC patients with PNPLA3 rs738409 GG in Caucasians (versus CC+CG: OR, 2.29; 95% CI, 1.57 to 3.35; p<0.05) but not Asian populations. In Caucasians, liver steatosis was also more severe in CHC patients with rs738409 GG (versus CC+CG; OR, 4.33; 95% CI, 2.59 to 7.22; p<0.05). The sensitivity analysis indicated the results of this meta-analysis were stable and no publication bias was detected.
CONCLUSIONS
PNPLA3 rs738409 (C>G) was associated with the risk of both advanced liver fibrosis and steatosis in patients with CHC, especially among Caucasian populations.

Keyword

Patatin-like phospholipase domain containing protein 3 rs738409; Advanced liver fibrosis; Fatty liver; Hepatitis C, chronic; Meta-analysis

MeSH Terms

Asian Continental Ancestry Group/genetics
European Continental Ancestry Group/genetics
Fatty Liver/*genetics
Hepatitis C, Chronic/*genetics
Humans
Lipase/*genetics
Liver Cirrhosis/*genetics
Membrane Proteins/*genetics
*Polymorphism, Single Nucleotide
Membrane Proteins
Lipase
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