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Global prevalence, incidence, and outcomes of non-obese or lean non-alcoholic fatty liver disease: a systematic review and meta-analysis

Ye Q, Zou B, Yeo YH, Li J, Huang DQ, Wu Y, et al.

Lancet Gastroenterol Hepatol, 2020 08;5(8):739-752.
PMID: 32413340 DOI: 10.1016/S2468-1253(20)30077-7

BACKGROUND: Although non-alcoholic fatty liver disease (NAFLD) is commonly associated with obesity, it is increasingly being identified in non-obese individuals. We aimed to characterise the prevalence, incidence, and long-term outcomes of non-obese or lean NAFLD at a global level.
METHODS: For this systematic review and meta-analysis, we searched PubMed, Embase, Scopus, and the Cochrane Library from inception to May 1, 2019, for relevant original research articles without any language restrictions. The literature search and data extraction were done independently by two investigators. Primary outcomes were the prevalence of non-obese or lean people within the NAFLD group and the prevalence of non-obese or lean NAFLD in the general, non-obese, and lean populations; the incidence of NAFLD among non-obese and lean populations; and long-term outcomes of non-obese people with NAFLD. We also aimed to characterise the demographic, clinical, and histological characteristics of individuals with non-obese NAFLD.
FINDINGS: We identified 93 studies (n=10 576 383) from 24 countries or areas: 84 studies (n=10 530 308) were used for the prevalence analysis, five (n=9121) were used for the incidence analysis, and eight (n=36 954) were used for the outcomes analysis. Within the NAFLD population, 19·2% (95% CI 15·9-23·0) of people were lean and 40·8% (36·6-45·1) were non-obese. The prevalence of non-obese NAFLD in the general population varied from 25% or lower in some countries (eg, Malaysia and Pakistan) to higher than 50% in others (eg, Austria, Mexico, and Sweden). In the general population (comprising individuals with and without NAFLD), 12·1% (95% CI 9·3-15·6) of people had non-obese NAFLD and 5·1% (3·7-7·0) had lean NAFLD. The incidence of NAFLD in the non-obese population (without NAFLD at baseline) was 24·6 (95% CI 13·4-39·2) per 1000 person-years. Among people with non-obese or lean NALFD, 39·0% (95% CI 24·1-56·3) had non-alcoholic steatohepatitis, 29·2% (21·9-37·9) had significant fibrosis (stage ≥2), and 3·2% (1·5-5·7) had cirrhosis. Among the non-obese or lean NAFLD population, the incidence of all-cause mortality was 12·1 (95% CI 0·5-38·8) per 1000 person-years, that for liver-related mortality was 4·1 (1·9-7·1) per 1000 person-years, cardiovascular-related mortality was 4·0 (0·1-14·9) per 1000 person-years, new-onset diabetes was 12·6 (8·0-18·3) per 1000 person-years, new-onset cardiovascular disease was 18·7 (9·2-31·2) per 1000 person-years, and new-onset hypertension was 56·1 (38·5-77·0) per 1000 person-years. Most analyses were characterised by high heterogeneity.
INTERPRETATION: Overall, around 40% of the global NAFLD population was classified as non-obese and almost a fifth was lean. Both non-obese and lean groups had substantial long-term liver and non-liver comorbidities. These findings suggest that obesity should not be the sole criterion for NAFLD screening. Moreover, clinical trials of treatments for NAFLD should include participants across all body-mass index ranges.
FUNDING: None.
Fulltext The schizophrenia genetics knowledgebase: a comprehensive update of findings from candidate gene studies

Liu C, Kanazawa T, Tian Y, Mohamed Saini S, Mancuso S, Mostaid MS, et al.

Transl Psychiatry, 2019 08 27;9(1):205.
PMID: 31455759 DOI: 10.1038/s41398-019-0532-4

Over 3000 candidate gene association studies have been performed to elucidate the genetic underpinnings of schizophrenia. However, a comprehensive evaluation of these studies' findings has not been undertaken since the decommissioning of the schizophrenia gene (SzGene) database in 2011. As such, we systematically identified and carried out random-effects meta-analyses for all polymorphisms with four or more independent studies in schizophrenia along with a series of expanded meta-analyses incorporating published and unpublished genome-wide association (GWA) study data. Based on 550 meta-analyses, 11 SNPs in eight linkage disequilibrium (LD) independent loci showed Bonferroni-significant associations with schizophrenia. Expanded meta-analyses identified an additional 10 SNPs, for a total of 21 Bonferroni-significant SNPs in 14 LD-independent loci. Three of these loci (MTHFR, DAOA, ARVCF) had never been implicated by a schizophrenia GWA study. In sum, the present study has provided a comprehensive summary of the current schizophrenia genetics knowledgebase and has made available all the collected data as a resource for the research community.
Fulltext Meta-analysis supports GWAS-implicated link between GRM3 and schizophrenia risk

Saini SM, Mancuso SG, Mostaid MS, Liu C, Pantelis C, Everall IP, et al.

Transl Psychiatry, 2017 Aug 08;7(8):e1196.
PMID: 28786982 DOI: 10.1038/tp.2017.172

Genome-wide association study (GWAS) evidence has identified the metabotropic glutamate receptor 3 (GRM3) gene as a potential harbor for schizophrenia risk variants. However, previous meta-analyses have refuted the association between GRM3 single-nucleotide polymorphisms (SNPs) and schizophrenia risk. To reconcile these conflicting findings, we conducted the largest and most comprehensive meta-analysis of 14 SNPs in GRM3 from a total of 11 318 schizophrenia cases, 13 820 controls and 486 parent-proband trios. We found significant associations for three SNPs (rs2237562: odds ratio (OR)=1.06, 95% confidence interval (CI)=1.02-1.11, P=0.017; rs13242038: OR=0.90, 95% CI=0.85-0.96, P=0.016 and rs917071: OR=0.94, 95% CI=0.91-0.97, P=0.003). Two of these SNPs (rs2237562, rs917071) were in strong-to-moderate linkage disequilibrium with the top GRM3 GWAS significant SNP (rs12704290) reported by the Schizophrenia Working Group of the Psychiatric Genomics Consortium. We also found evidence for population stratification related to rs2237562 in that the 'risk' allele was dependent on the population under study. Our findings support the GWAS-implicated link between GRM3 genetic variation and schizophrenia risk as well as the notion that alleles conferring this risk may be population specific.
Applications of water blanching, surface contacting ultrasound-assisted air drying, and their combination for dehydration of white cabbage: Drying mechanism, bioactive profile, color and rehydration property

Tao Y, Han M, Gao X, Han Y, Show PL, Liu C, et al.

Ultrason Sonochem, 2019 May;53:192-201.
PMID: 30691995 DOI: 10.1016/j.ultsonch.2019.01.003

This work studied the influences of water blanching pretreatment (30 s), surface contacting ultrasound (492.3 and 1131.1 W/m2) assisted air drying, and their combination on drying kinetics and quality of white cabbage. Contacting sonication was performed by placing samples on an ultrasonic vibration plate, and the drying temperature was 60 °C. Through drying kinetic analysis and numerical simulation considering internal and external resistances and shrinkage, it was found that both blanching pretreatment and contacting sonication during drying intensified internal water diffusion and external water exchange to shorten cabbage drying time. Meanwhile, blanching pretreatment was more effective to enhance the drying process. The largest reduction of drying time (from 145 min to 24 min) was obtained when sequential blanching and contacting sonication at 1131.1 W/m2 were conducted. Dehydrated cabbages with blanching pretreatment were characterized by green color and high retention of vitamin C, while a severe loss of vitamin C was found in dried cabbages without blanching pretreatment. Moreover, although both blanching and contacting sonication shortened the drying time, the losses of phenolics, glucosinolates and resulting breakdown products were not alleviated. Contents of total phenolics, one glucosinolates (sinigrin) and one glucobrassicin breakdown product (indole-3-acetoritrile) in only air dried cabbages were significantly (p 
Fulltext Pleistocene isolation caused by sea-level fluctuations shaped genetic characterization of Pampus minor over a large-scale geographical distribution

Li Y, Liu C, Lin L, Li Y, Xiao J, Loh KH

Zookeys, 2020;969:137-154.
PMID: 33013170 DOI: 10.3897/zookeys.969.52069

The southern lesser pomfret (Pampus minor) is an economically important fish, and its numbers are declining because of overfishing and environmental pollution. In addition, owing to the similarities of its external morphological characteristics to other species in the genus Pampus, it is often mistaken for grey pomfret (P. cinereus) or silver pomfret (P. argenteus) juveniles. In this study, the genetic diversity and structure of 264 P. minor individuals from 11 populations in China and Malaysia coastal waters were evaluated for the first time, to the best of our knowledge, using mitochondrial cytochrome b fragments. The results showed that P. minor had moderate haplotype diversity and low nucleotide diversity. Furthermore, two divergent lineages were detected within the populations, but the phylogenetic structure corresponded imperfectly with geographical location; thus, the populations may have diverged in different glacial refugia during the Pleistocene low sea levels. Analysis of molecular variation (AMOVA) showed that genetic variation originated primarily from individuals within the population. Pairwise FST results showed significant differentiation between the Chinese and Malaysian populations. Except for the Xiamen population, which was classified as a marginal population, the genetic differentiation among the other Chinese populations was not significant. During the Late Pleistocene, P. minor experienced a population expansion event starting from the South China Sea refugium that expanded outward, and derivative populations quickly occupied and adapted to the new habitat. The results of this study will provide genetic information for the scientific conservation and management of P. minor resources.
Genus Promalactis Meyrick, 1908 (Lepidoptera: Oecophoridae) from Malaysia, with description of three new species

Liu C, Wang S

Zootaxa, 2020 Mar 23;4755(1):zootaxa.4755.1.2.
PMID: 32230193 DOI: 10.11646/zootaxa.4755.1.2

Based on the specimens collected in Mt. Trusmadi, Sabah, Malaysia, three new species of the genus Promalactis are described: P. clavivalvata sp. nov., P. abasiloba sp. nov. and P. trusmadiensis sp. nov. In addition, females of three previously known species (P. folivalva Wang, 2018, P. sectoralis Wang et al., 2013 and P. trigonilobata Wang, 2018) are described for the first time. Two species (P. sectoralis Wang et al., 2013 and P. pileata Wang, 2019) are newly recorded for Malaysia. Images of both adults and genitalia of the new species and the genitalia of the newly described females are provided.