| Title: | Association of Circadian Rhythms With the Risk of Chronic Liver Disease: Findings From a Large Prospective Study |
| Journal: | Clinical and Translational Gastroenterology |
| Published: | 17 Nov 2025 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/41247058/ |
| DOI: | https://doi.org/10.14309/ctg.0000000000000949 |
Publication 18904
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Abstract
INTRODUCTION: The liver clock of hepatocytes is actively involved in regulating their proliferation, metabolism, oxidative stress response, and chronic liver disease (CLD) progression. However, the relationship between circadian rhythms and CLD remains poorly understood. This study aimed to examine the associations of circadian rhythms with metabolic dysfunction-associated steatotic liver disease, cirrhosis, and hepatocellular carcinoma.</p>
METHODS: This study included 94,006 participants from the UK Biobank. Circadian rhythms were assessed by a 7-day accelerometer by relative amplitude (RA), which indicates the difference between the most and least active periods. Cox regression and restricted cubic splines were used to evaluate the associations between circadian rhythms and CLD. Liver fat content and hepatic inflammation were additionally assessed using magnetic resonance imaging-measured proton density fat fraction and corrected T1 scores.</p>
RESULTS: During the follow-up of 9.8 years, individuals in the lowest quartile of RA had higher hazard ratios of 1.54 (95% CI: 1.32-1.78) for metabolic dysfunction-associated steatotic liver disease, 1.79 (95% CI: 1.38-2.32) for cirrhosis, and 1.65 (95% CI: 1.02-2.76) for hepatocellular carcinoma than those in the highest third quartile did. A dose-response relationship between RA and CLD was observed ( P < 0.001). Furthermore, there was a joint and independent relationship between polygenic risk scores, RA, and the CLD. RA was negatively correlated with proton density fat fraction and corrected T1 scores, demonstrating a dose-response pattern ( P < 0.001).</p>
DISCUSSION: Abnormal circadian rhythm is significantly associated with the risk of CLD, potentially due to increased liver fat content and hepatic inflammation. Therefore, disrupted circadian rhythms may be a risk factor for liver disease and represent a potential target for intervention.</p>
19 Keywords
- Adult
- Aged
- Carcinoma, Hepatocellular
- Chronic Disease
- Circadian Rhythm
- Fatty Liver
- Female
- Follow-Up Studies
- Humans
- Liver
- Liver Cirrhosis
- Liver Neoplasms
- Magnetic Resonance Imaging
- Male
- Middle Aged
- Non-alcoholic Fatty Liver Disease
- Prospective Studies
- Risk Factors
- United Kingdom
12 Authors
- Rong Yang
- Can Shen
- Yu Jia
- Yi Yao
- Yiheng Zhou
- Yu Cheng
- Yonglang Cheng
- Rui Zeng
- Zhi Wan
- Qian Zhao
- Dongze Li
- Xiaoyang Liao
1 Application
| Application ID | Title |
|---|---|
| 112111 | Multi-system diseases and death trajectory of metabolic dysfunction-associated fatty liver disease |
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