Insulin resistance drives GGT elevation in MASLD with diabetes: evidence from clinical cohorts, mendelian randomization and functional genomics

Ayan Mandal, Ankita Chatterjee, Debopriyo Ganguly, Bandana Mondal, Analabha Basu, Priyadarshi Basu · 2026

Read Insulin resistance drives GGT elevation in MASLD with diabetes: evidence from clinical cohorts, mendelian randomization and functional genomics by Ayan Mandal, Ankita Chatterjee, Debopriyo Ganguly, Bandana Mondal, Analabha Basu, Priyadarshi Basu (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13478528.txt.

Description

Ayan Mandal and coauthors published a 2026 study asking why the liver enzyme GGT rises in fatty liver disease combined with type 2 diabetes. The two conditions often coexist through insulin resistance, yet GGT gets less attention than other liver enzymes. The team combined a hospital cohort of 498 patients with validation in a United States survey dataset of 2,586 people.

Patients with both conditions had the highest GGT and insulin resistance scores. Genetic analyses using Mendelian randomization pointed to a causal push from genetically higher fasting insulin toward higher GGT, separate from other metabolic traits. Functional mapping of GGT-linked gene variants added biological context. The authors conclude that insulin resistance itself drives much of the enzyme elevation, which may sharpen how clinicians read this routine test.

Catalog record

CREATORAyan Mandal, Ankita Chatterjee, Debopriyo Ganguly, Bandana Mondal, Analabha Basu, Priyadarshi Basu
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE48648
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13478528

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