Hepatic steatosis and not type 2 diabetes, body mass index, or hepatic fibrosis associates with hyperglucagonemia in individuals with steatotic liver disease

Author:

Kjeldsen Sasha A. S.1ORCID,Werge Mikkel P.2,Grandt Josephine2ORCID,Richter Michael M.13ORCID,Thing Mira2,Hetland Liv E.2,Rashu Elias B.2,Jensen Anne-Sofie H.12ORCID,Winther-Sørensen Marie1ORCID,Kellemann Jesper Sloth1,Holst Jens J.45,Junker Anders E.2,Serizawa Reza R.6,Vyberg Mogens67,Gluud Lise Lotte28,Wewer Albrechtsen Nicolai J.13ORCID

Affiliation:

1. Department of Clinical Biochemistry, Copenhagen University Hospital - Bispebjerg, Copenhagen, Denmark

2. Gastro Unit, Copenhagen University Hospital, Amager and Hvidovre, Hvidovre, Denmark

3. Novo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

4. Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

5. Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

6. Department of Pathology, Copenhagen University Hospital, Amager and Hvidovre, Hvidovre, Denmark

7. Department of Clinical Medicine, Center for RNA Medicine, Aalborg University, Copenhagen, Denmark

8. Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

Abstract

Individuals with metabolic dysfunction-associated steatotic liver disease (MASLD) present with increased plasma levels of glucagon (hyperglucagonemia), irrespective of body mass index (BMI) and type 2 diabetes. Therefore, MASLD and the resultant hyperglucagonemia may act as a diabetogenic risk factor. Notably, hepatic steatosis was a significant contributor to the hyperglucagonemia in MASLD, potentially unveiling a pathway for the hyperglucagonemia in some patients with type 2 diabetes.

Funder

Novo Nordisk Fonden

Sundhed og Sygdom, Det Frie Forskningsråd

European Foundation for the Study of Diabetes

Publisher

American Physiological Society

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