Evidence map›Paper›PMID 40670082›Full record

ArticleJournal of atherosclerosis and thrombosis2026

Serum Desmosterol Level Reflects Hepatic Inflammation Grade in Patients with Biopsy-Confirmed Metabolic Dysfunction-Associated Steatotic Liver Disease.

Takashi Omatsu, Masahiro Koseki, Kaori Ito, Ayami Saga, Hiroshi Sawabe, Katsunao Tanaka, Hiroyasu Inui, Takeshi Okada, Makoto Nishida, Hirokazu Takahashi and 4 more

Abstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Takashi OmatsuDepartment of Cardiovascular Medicine, The University of Osaka Graduate School of Medicine.
Masahiro KosekiDepartment of Cardiovascular Medicine, The University of Osaka Graduate School of Medicine.
Kaori ItoAdvanced Medicine Development Dept., BML, Inc.
Ayami SagaDepartment of Cardiovascular Medicine, The University of Osaka Graduate School of Medicine.
Hiroshi SawabeDepartment of Cardiovascular Medicine, The University of Osaka Graduate School of Medicine.
Katsunao TanakaDepartment of Cardiovascular Medicine, The University of Osaka Graduate School of Medicine.
Hiroyasu InuiDepartment of Cardiovascular Medicine, The University of Osaka Graduate School of Medicine.
Takeshi OkadaDepartment of Cardiovascular Medicine, The University of Osaka Graduate School of Medicine.
Makoto NishidaDepartment of Cardiovascular Medicine, The University of Osaka Graduate School of Medicine.
Hirokazu TakahashiLiver Center, Faculty of Medicine, Saga University Hospital, Saga University.
Shinichi AishimaDepartment of Scientific Pathology, Graduate School of Medical Sciences, Kyushu University.
Yoshihiro KamadaDepartment of Advanced Metabolic Hepatology, The University of Osaka Graduate School of Medicine.
Hiroshi YoshidaDepartment of Laboratory Medicine, The Jikei University Kashiwa Hospital.
Yasushi SakataDepartment of Cardiovascular Medicine, The University of Osaka Graduate School of Medicine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimDesmosterol, a cholesterol precursor, is converted by Δ24-dehydrocholesterol reductase. Hence, desmosterol levels are considered to reflect cholesterol metabolism. This study aimed to evaluate sterols as novel biomarkers of liver condition in Asian moderate obese patients with metabolic dysfunction-associated steatotic liver disease (MASLD).

methodsIn total, 218 patients with MASLD who underwent liver biopsy were prospectively enrolled. Liver biopsy samples were evaluated by a well-versed pathologist according to the criteria. The serum sterols of biopsy-proven patients', such as desmosterol, sitosterol, and campesterol, of the patients with biopsy-proven MASLD were analyzed using liquid chromatography-mass spectrometry.

resultsInflammation grade 0/1/2/3 was observed in 8/107/90/12 patients, and fibrosis stage 0/1/2/3/4 was observed in 25/48/64/63/17 patients, respectively. Serum desmosterol levels were significantly different by inflammation grade 0-3 (one-way analysis of variance [ANOVA], p = 0.004), with a beta coefficient of 0.219 (95% confidence interval [CI]: 0.088-0.350, p<0.01). Ordinal logistic regression analysis data on inflammation grade, adjusted for other parameters, showed that desmosterol had an odds ratio of 3.727 (95% CI 1.422-9.901, p<0.005). Although desmosterol levels are influenced by statin treatment, in non-statin-treated patients, serum desmosterol levels remained significantly different by inflammation grade (one-way ANOVA, p = 0.041), and the beta coefficient was 0.233 (95% CI: 0.066-0.400, p<0.01).

conclusionsSerum desmosterol levels indicated the degree of hepatic inflammatory activity in patients with MASLD. Since desmosterol, a ligand of nuclear receptor LXR, reflects hepatic cholesterol metabolism, we hope that our findings will contribute to establishing a novel biomarker to screen the high-risk patients for cardiovascular diseases in MASLD.

Indexed as

BiomarkersDesmosterolFatty LiverInflammationLiverAdultBiopsyFemaleHumansMaleMiddle AgedObesityPrognosisProspective StudiesBiomarkersDesmosterolDesmosterolInflammationLiver biopsyMASHMASLD

Identifiers

PMID40670082
PMCPMC12782882

What Socratic holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.