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        <datestamp>2026-09-16T04:32:50Z</datestamp>
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          <dc:title>Data Sheet 1_MAFLD is linked to lower HBV DNA levels in chronic hepatitis B: clinical and transcriptomic insights.docx</dc:title>
          <dc:creator>Xiaoyun Gao (2792791)</dc:creator>
          <dc:creator>Xuan Du (3692404)</dc:creator>
          <dc:subject>Foetal Development and Medicine</dc:subject>
          <dc:subject>chronic hepatitis B</dc:subject>
          <dc:subject>HBV DNA</dc:subject>
          <dc:subject>MAFLD</dc:subject>
          <dc:subject>metabolic heterogeneity</dc:subject>
          <dc:subject>transcriptomic analysis</dc:subject>
          <dc:description>Background&lt;p&gt;Chronic hepatitis B (CHB) frequently coexists with metabolic dysfunction–associated fatty liver disease (MAFLD), yet the impact of MAFLD on hepatitis B virus (HBV) replication remains incompletely understood. We aimed to investigate the association between MAFLD and HBV DNA levels and to provide biological context through integrative transcriptomic analyses.&lt;/p&gt;Methods&lt;p&gt;We analyzed a large retrospective cohort of patients with CHB and assessed the association between MAFLD and serum HBV DNA levels using linear regression models. HBV DNA was analyzed as a continuous outcome after log10 transformation. To provide molecular context for the clinical findings, weighted gene co-expression network analysis (WGCNA) was performed in an independent HBV liver transcriptomic dataset to identify HBV-associated host co-expression modules. These modules were subsequently characterized in independent liver transcriptomic datasets representing distinct metabolic and histological liver contexts using single-sample gene set enrichment analysis (ssGSEA).&lt;/p&gt;Results&lt;p&gt;MAFLD was independently associated with lower circulating HBV DNA levels. This association varied across MAFLD phenotypes, with the lowest HBV DNA levels observed in overweight- or obesity-related MAFLD. Transcriptomic analyses identified HBV-associated host co-expression programs linked to lipid and cholesterol metabolism, inflammatory signaling, and antiviral responses. Cross-cohort analyses further showed that selected modules varied across distinct metabolic and fibrotic liver contexts.&lt;/p&gt;Conclusions&lt;p&gt;MAFLD is associated with reduced HBV DNA levels in patients with CHB, especially in overweight- or obesity-related MAFLD. The transcriptomic findings provide complementary biological context for this clinical association and highlight metabolic and immune pathways that warrant further mechanistic investigation.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-16T04:32:50Z</dc:date>
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          <dc:type>Dataset</dc:type>
          <dc:identifier>10.3389/fmed.2026.1926645.s001</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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