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Although polymorphisms in genes such as NLRP3 and IL1B have not yet been comprehensively investigated, their central roles in mediating the inflammatory response to MSU crystals imply that genetic variations in these pathways may modulate the threshold at which asymptomatic hyperuricemia progresses to clinically significant tophus formation, by regulating the magnitude and duration of inflammatory responses

MASH affects millions of people worldwide and is one of the fastest growing causes of liver failure and liver transplantation

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