{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T22:33:33Z","timestamp":1767911613707,"version":"3.49.0"},"reference-count":43,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T00:00:00Z","timestamp":1606694400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Gaucher disease (GD) is associated with peculiar metabolic abnormalities (ie hypermetabolic state, peripheral insulin resistance, dyslipidaemia), partially reverted by enzyme replacement therapy (ERT) at the expense of weight gain. Such metabolic alterations together with an unhealthy lifestyle acquired by an ageing GD population may favour the development of liver steatosis. We aimed at evaluating the prevalence of significant liver steatosis and at identifying the factors associated with liver steatosis in a cohort of patients with type 1 GD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty adult type 1 GD patients from an Italian academic referral centre were prospectively submitted to vibration\u2010controlled transient elastography (Fibroscan\u00ae) with controlled attenuation parameter (CAP); significant steatosis was defined as CAP values \u2265250\u00a0dB\/min.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median CAP values were 234 [165\u2010358] dB\/min and 8 patients (40%) had significant steatosis. Significant steatosis was associated with indices of adiposity (weight, BMI and waist circumference), high blood pressure, insulin resistance and metabolic syndrome. GD\u2010related variables and dose and duration of ERT were not associated with significant steatosis. In the subgroup of 16 patients on stable ERT for at least 24\u00a0months, CAP resulted significantly and positively associated with liver stiffness (rho 0.559, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.024).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Significant steatosis is highly prevalent in adult type 1 GD patients and is strongly associated with a worse metabolic profile, featuring metabolic dysfunction\u2010associated fatty liver disease (MAFLD). MAFLD may determine liver fibrosis progression in GD patients on stable ERT and may be a risk factor for long\u2010term liver\u2010related complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/liv.14640","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T03:13:18Z","timestamp":1598584398000},"page":"3061-3070","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Liver steatosis is highly prevalent and is associated with metabolic risk factors and liver fibrosis in adult patients with type 1 Gaucher disease"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1051-1272","authenticated-orcid":false,"given":"Fabio","family":"Nascimbeni","sequence":"first","affiliation":[{"name":"Regional Referral Centre for Lysosomal Storage Diseases Division of Internal Medicine and Metabolism Civil Hospital AOU of Modena University of Modena and Reggio Emilia Modena 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Modena Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Spina","sequence":"additional","affiliation":[{"name":"Radiology Division Civil Hospital AOU of Modena Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Domenica","family":"Cappellini","sequence":"additional","affiliation":[{"name":"Rare Diseases Centre Department of Medicine and Medical Specialities \"Ca' Granda\" Foundation IRCCS Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4794-9809","authenticated-orcid":false,"given":"Pietro","family":"Andreone","sequence":"additional","affiliation":[{"name":"Regional Referral Centre for Lysosomal Storage Diseases Division of Internal Medicine and Metabolism Civil Hospital AOU of Modena University of Modena and Reggio Emilia Modena 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