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Clinically distinct metabotypes of pediatric MASLD identified through unsupervised clustering of NASH CRN data - PubMed

5 hours ago
  • #pediatric MASLD
  • #metabotypes
  • #NASH CRN
  • Three distinct metabotypes of pediatric MASLD were identified through unsupervised clustering: early-mild (49.4%), cardiometabolic (36.8%), and inflammatory-fibrotic (13.8%).
  • The inflammatory-fibrotic group showed alterations in tryptophan metabolism, particularly elevated kynurenine pathway metabolites, correlated with fibrosis stage.
  • The cardiometabolic group exhibited greater enrichment in branched-chain amino acid degradation, butanoate, and purine metabolism.
  • The study provides a framework for targeted interventions in pediatric MASLD, though validation in independent cohorts is needed.
  • Competing interests and research grants from various pharmaceutical companies were disclosed by some authors.