Investigation of the association between nitric oxide synthase gene variants and NAFLD in adolescents with obesity
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Abstract
Objectives
The present study aimed to investigate whether nitric oxide synthase (NOS) enzyme gene variants (iNOS rs1060826, eNOS rs1799983, eNOS 27-bp VNTR) play a role in the etiopathogenesis of nonalcoholic fatty liver (NAFLD) in adolescents.
Methods
This cross-sectional study was conducted with obese adolescents [body mass index (BMI) standard deviation score (SDS) ≥2] aged 10–19 years (104 individuals) and age- and sex-matched healthy individuals (64 individuals) whose presence of NAFLD was determined by ultrasound. The iNOS rs1060826 and eNOS rs1799983 variants were performed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method, and the eNOS 27-bp VNTR variant was analyzed using the PCR method. The genotypes detected were compared between the patient group and the healthy controls and with the clinical parameters of the patients.
Results
iNOS rs1060826 and eNOS rs1799983 were independent of obesity, whereas eNOS 27-bp VNTR was independent of NAFLD. However, in the obese group, especially in those with NAFLD (+), the iNOS rs1060826 GG genotype was found to be associated with lower diastolic blood pressure (DBP) (p=0.011). Compared with the clinical parameters, insulin resistance (HOMA-IR) was higher in those carrying the eNOS rs1799983 gene variant-TT genotype in the NAFLD (+) group (p=0.051).
Conclusions
While the three functional gene variants of the NOS enzyme did not show a significant difference in terms of genotype between patients and healthy controls, it was determined that both the iNOS rs1060826 gene variant-GG allele was associated with low DBP and HOMA-IR may be higher in those carrying the eNOS rs1799983 gene variant TT genotype in NAFLD (+) patients. The iNOS rs1060826 polymorphism is a potentially important genetic variant that may influence DBP regulation through its effects on nitric oxide production.
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Research ethics: Ethical approval for this study was obtained from the Ethics Committee of Istanbul University Faculty of Medicine (Approval No: 2023-594).
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Informed consent: Written informed consent was obtained from both the adolescents and their parents.
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Author contributions: SHS contributed to writing and data organization, IK contributed to statistical analysis, YO contributed to laboratory analysis and validation, SK contributed to data collection, MŞ and AYŞ contributed to manuscript writing and editing, and SP contributed to data analysis.
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Use of Large Language Models, AI and Machine Learning Tools: None declared.
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Conflict of interest: The authors state no conflict of interest.
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Research funding: None declared. This study was carried out with the researchers’ own financial means.
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Data availability: Istanbul University Pediatrics Department.
References
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© 2025 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Original Articles
- Spatiotemporal associations between incidence of type 1 diabetes and COVID-19 vaccination rates in children in Germany – a population-based ecological study
- Continuous glucose monitoring evidence of celiac disease in type 1 diabetes
- Impact of race and delayed adoption of diabetes technology on glycemia and partial remission in type 1 diabetes
- Immunogenetic profiling of type 1 diabetes in Jordan: a case-control study on HLA-associated risk and protection
- Annual case counts and clinical characteristics of pediatric and adolescent patients with diabetes in Kenyatta National Hospital, Nairobi, Kenya. A 14 year retrospective study
- Real-world effectiveness of sodium glucose transporter 2 inhibitors among youth with type 2 diabetes
- Investigation of the association between nitric oxide synthase gene variants and NAFLD in adolescents with obesity
- Cardiometabolic outcomes in girls with premature adrenarche: a longitudinal analysis of typical vs. exaggerated presentations
- A disease that is difficult to predict: regional distribution and phenotypic, histopathological and genetic findings in McArdle disease
- Causal analysis of uterine artery pulsatility index-related proteins and the risk of precocious puberty in girls: a Mendelian randomization study
- Case Reports
- Understanding rickets in osteopetrosis via a case: mechanisms and treatment implications
- A case of JAGN1 mutation presenting with atypical diabetes and immunodeficiency
- Compound heterozygous ROBO1 gene variants in a neonate with congenital hypopituitarism, dysmorphic features and midline abnormalities: a case report and review of the literature
- Phenotypic variation among four members in a family with DAX1 deficiency
- MMP13-related metaphyseal dysplasia: a differential diagnosis of rickets
- Congress Abstracts
- JA-PED | Annual Meeting of the German Society for Pediatric and Adolescent Endocrinology and Diabetology (DGPAED e. V.)
Articles in the same Issue
- Frontmatter
- Original Articles
- Spatiotemporal associations between incidence of type 1 diabetes and COVID-19 vaccination rates in children in Germany – a population-based ecological study
- Continuous glucose monitoring evidence of celiac disease in type 1 diabetes
- Impact of race and delayed adoption of diabetes technology on glycemia and partial remission in type 1 diabetes
- Immunogenetic profiling of type 1 diabetes in Jordan: a case-control study on HLA-associated risk and protection
- Annual case counts and clinical characteristics of pediatric and adolescent patients with diabetes in Kenyatta National Hospital, Nairobi, Kenya. A 14 year retrospective study
- Real-world effectiveness of sodium glucose transporter 2 inhibitors among youth with type 2 diabetes
- Investigation of the association between nitric oxide synthase gene variants and NAFLD in adolescents with obesity
- Cardiometabolic outcomes in girls with premature adrenarche: a longitudinal analysis of typical vs. exaggerated presentations
- A disease that is difficult to predict: regional distribution and phenotypic, histopathological and genetic findings in McArdle disease
- Causal analysis of uterine artery pulsatility index-related proteins and the risk of precocious puberty in girls: a Mendelian randomization study
- Case Reports
- Understanding rickets in osteopetrosis via a case: mechanisms and treatment implications
- A case of JAGN1 mutation presenting with atypical diabetes and immunodeficiency
- Compound heterozygous ROBO1 gene variants in a neonate with congenital hypopituitarism, dysmorphic features and midline abnormalities: a case report and review of the literature
- Phenotypic variation among four members in a family with DAX1 deficiency
- MMP13-related metaphyseal dysplasia: a differential diagnosis of rickets
- Congress Abstracts
- JA-PED | Annual Meeting of the German Society for Pediatric and Adolescent Endocrinology and Diabetology (DGPAED e. V.)
