Metabolite Erythritol in 24-H Urine Is Associated With Higher Intrahepatic Lipid Content: The Maastricht Study

The role of the pentose phosphate pathway (PPP) in the pathogenesis of intrahepatic lipid (IHL) accumulation has not been studied before in humans. Is the PPP, proxied by 24-h urinary erythritol, associated with IHL content at the population level? In the fully adjusted model, 24-h urinary erythritol levels were associated with higher IHL content. Furthermore, genetically predicted erythritol levels were not associated with liver fat, suggesting that erythritol per se is not responsible for the former observation. Findings of the current study suggest that 1) the PPP is associated with IHL content at the population level, and 2) erythritol could potentially serve as a urinary biomarker for IHL content.

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Journal
Diabetes
Published
2026-03-13
DOI
https://doi.org/10.2337/db25-0881
Primary Topic
Liver Disease Diagnosis and Treatment
Type
article
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article

Metabolite Erythritol in 24-H Urine Is Associated With Higher Intrahepatic Lipid Content: The Maastricht Study

Anke Wesselius, Casper G. Schalkwijk, Martijn C.G.J. Brouwers, Dennis Visser et al.
Diabetes
Liver Disease Diagnosis and Treatment
article

Metabolite Erythritol in 24-H Urine Is Associated With Higher Intrahepatic Lipid Content: The Maastricht Study

Anke Wesselius, Casper G. Schalkwijk, Martijn C.G.J. Brouwers, Dennis Visser, Amée M. Buziau, Carla Kallen, Evan Yi-Wen Yu, Simone J.P.M. Eussen, Laura K.M. Steinbusch, Irene M.L.W. Körver-Keularts, Pieter C. Dagnelie, Ilja C.W. Arts, Pomme I.H.G. Simons, Marleen M.J. van Greevenbroek, M. Eline Kooi
article en

Abstract

The role of the pentose phosphate pathway (PPP) in the pathogenesis of intrahepatic lipid (IHL) accumulation has not been studied before in humans. Is the PPP, proxied by 24-h urinary erythritol, associated with IHL content at the population level? In the fully adjusted model, 24-h urinary erythritol levels were associated with higher IHL content. Furthermore, genetically predicted erythritol levels were not associated with liver fat, suggesting that erythritol per se is not responsible for the former observation. Findings of the current study suggest that 1) the PPP is associated with IHL content at the population level, and 2) erythritol could potentially serve as a urinary biomarker for IHL content.

Diabetes
Maastricht University Medical Centre (NL), Maastricht University (NL), Netherlands Metabolomics Centre (NL), Southeast University (CN)
Openalex Percentile: Top 24%
Liver Disease Diagnosis and Treatment
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Metabolite Erythritol in 24-H Urine Is Associated With Higher Intrahepatic Lipid Content: The Maastricht Study — Anke Wesselius, Casper G. Schalkwijk, et al. · Diabetes (2026) | TGRS Research Map | TGRS