Background and Aim
Alcoholic liver disease (ALD) and non‐alcoholic fatty liver disease (NAFLD) have common hepatic histological features, but few studies have compared the genomic backgrounds of these two diseases. Here, we compared the genetic differences between ALD and NAFLD.
Methods
This study enrolled 318 Japanese patients with ALD (
n
= 118; male, 86%; median age, 62 years; liver cirrhosis, 58%; hepatocellular carcinoma [HCC], 31%) and NAFLD (
n
= 200; male, 55%; age, 61 years; cirrhosis, 19%; HCC, 12%). The genotype frequencies of 10 single nucleotide polymorphisms (SNPs) were analyzed.
Results
The
ADH1B
genotype GG and
ALDH2
genotype GG were observed more frequently, and the percentage of patients with the
MTP
genotype GG was lower in ALD compared with NAFLD patients (
ADH1B
, 16
vs
4%;
ALDH2
84
vs
44%;
MTP
62
vs
72%, respectively; all
P
< 0.01). Comparing noncirrhosis to cirrhosis, the frequency of the potassium voltage‐gated channel subfamily Q member 1 (
KCNQ1
) genotype TT and adrenoceptor beta 3 (
ADRB3
) genotype TT was increased significantly in ALD‐related cirrhosis. In contrast, the patatin‐like phospholipase 3 (
PNPLA3
) genotype CC was decreased significantly in NAFLD‐related cirrhosis. A comparison of patients with and without HCC demonstrated that the
KCNQ1
genotype TT was increased significantly in both HCC groups. In addition, associations between the
KCNJ15
genotype GG and ALD‐HCC and the G allele of
PNPLA3
and NAFLD‐HCC were identified.
Conclusions
SNPs in genes related to ethanol and lipid metabolism clearly differed between patients with ALD and NAFLD. KCNQ1 might affect the progression and hepatocarcinogenesis in both ALD and NAFLD.