Hepatic phenotype in NBAS-associated disease: clinical course, prognostic factors and outcome in 230 patients
Background and Aims Since described in 2015, NBAS-associated disease has emerged as an important cause of acute liver failure (ALF) in children. We analysed the variable expression, genotype-phenotype association, outcome and prognostic factors of the hepatic involvement. Methods Individuals with bi...
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
July 2025
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| In: |
Liver international
Year: 2025, Volume: 45, Issue: 7, Pages: 1-13 |
| ISSN: | 1478-3231 |
| DOI: | 10.1111/liv.70146 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/liv.70146 Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/liv.70146 
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| Author Notes: | Bianca Peters, Lea Dewi Schlieben, Heiko Brennenstuhl, Cigdem Arikan, Sarah M. Bedoyan, Fatma Derya Bulut, Ellen Crushell, Carlo Dionisi-Vici, Ada Drab, Alexander Fichtner, Aixa Gonzalez Garcia, Deanna Fry, Sven F. Garbade, Nicole Hammann, Nedim Hadzic, Robert Hegarty, Marianne Hørby Jørgensen, Martin Laaß, Elke Lainka, Lina Leghlam, Eberhard Lurz, Halise Neslihan Önenli Mungan, Andrea Pietrobattista, Begona Polo, Piotr Socha, James E. Squires, Tian Sun, Georg F. Vogel, Holger Prokisch, Stefan Kölker, Georg F. Hoffmann, Christian Staufner, Dominic Lenz |
| Summary: | Background and Aims Since described in 2015, NBAS-associated disease has emerged as an important cause of acute liver failure (ALF) in children. We analysed the variable expression, genotype-phenotype association, outcome and prognostic factors of the hepatic involvement. Methods Individuals with biallelic pathogenic NBAS variants were recruited within an international observational study, including new and previously published patients. Results We studied 230 individuals, including 13 previously unreported patients. The liver was the most frequently affected organ (63.4%), with 41.3% experiencing at least one ALF. The median age at onset was 0.9 years, the median age at last ALF 5 years, the latest ALF occurred at 24 years. Liver crises were triggered by febrile infections and presented with highly increased hepatic transaminases. Liver involvement varied significantly between the subgroups: 91.7% of patients with infantile liver failure syndrome type 2 and 88.9% of patients from the combined subgroup (variants affecting β-propeller domain) presented with ALF, whereas SOPH (stature, optic atrophy, Pelger-Huët anomaly) patients mostly had either no liver involvement (66.4%) or persistently elevated transaminases without ALF (28%). The rate of native liver survival was 83.9%; 16 individuals underwent liver transplantation and 24 died. Conclusion Liver abnormalities are common and the leading cause of death in NBAS-associated disease. There is a clear genotype-phenotype association regarding the hepatic involvement. Liver crises occur primarily during infancy; however, early medical attention in case of febrile infections is necessary at all ages. Liver transplantation prevents ALF, but its risks must be weighed against the frequency and severity of liver crises decreasing with age. |
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| Item Description: | Zuerst veröffentlicht: 28. Mai 2025 Gesehen am 10.11.2025 |
| Physical Description: | Online Resource |
| ISSN: | 1478-3231 |
| DOI: | 10.1111/liv.70146 |