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非酒精性脂肪性肝病患者血清血管生成素样蛋白2和血管生成素样蛋白6水平的研究

Angiopoietin-like protein 2 and angiopoietin-like protein 6 levels in patients with nonalcoholic fatty liver disease.

作者信息

Erkan Gulbanu, Muratoglu Suzan, Ercin Ugur, Bilgihan Ayse

机构信息

Department of Internal Medicine, Division of Gastroenterology, Istanbul Medipol University, Istanbul, Turkey.

Department of Biochemistry, Faculty of Medicine, Gazi University, Ankara, Turkey.

出版信息

Arch Med Sci. 2018 Jun;14(4):781-787. doi: 10.5114/aoms.2016.61811. Epub 2016 Aug 16.

Abstract

INTRODUCTION

The aim of the current study was to examine the difference between patients detected with nonalcoholic fatty liver disease (NAFLD) and healthy subjects in terms of serum angiopoietin-like protein (ANGPTL) 2 and ANGPTL6 levels and to evaluate the correlation between ANGPTL2 and ANGPTL6 levels and liver enzyme levels, fasting glucose, lipid levels, and steatosis degree on ultrasonography (USG).

MATERIAL AND METHODS

A total of 159 participants were included in the study. The participants were divided into 3 groups depending on the steatosis degree on USG and serum alanine aminotransferase (ALT) levels: the NAFLD group with increased ALT, the NAFLD group with normal ALT, and the healthy control group. The groups were compared in terms of biochemical and ultrasonographic findings, insulin resistance, metabolic syndrome (MetS), and anthropometric parameters.

RESULTS

There was no significant difference between NAFLD patients and healthy subjects with respect to serum ANGPTL2 and ANGPTL6 levels ( > 0.05). ANGPTL2 levels did not correlate with serum, biochemical, or ultrasonographic findings, or anthropometric parameters ( > 0.05). A positive correlation was found between serum ANGPTL6 levels and fasting blood glucose, ALT, alkaline phosphatase, γ-glutamyl transpeptidase, fasting insulin, and HOMA-IR levels.

CONCLUSIONS

While our findings suggest no relationship between serum ANGPTL2 and ANGPTL6 levels and NAFLD, ANGPTL6 levels may be related to metabolic and biochemical parameters. The effects of ANGPTL2 and ANGPTL6 in the pathogenesis of NAFLD should be investigated further.

摘要

引言

本研究的目的是检测非酒精性脂肪性肝病(NAFLD)患者与健康受试者血清血管生成素样蛋白(ANGPTL)2和ANGPTL6水平的差异,并评估ANGPTL2和ANGPTL6水平与肝酶水平、空腹血糖、血脂水平以及超声检查(USG)下脂肪变性程度之间的相关性。

材料与方法

本研究共纳入159名参与者。根据USG下的脂肪变性程度和血清丙氨酸氨基转移酶(ALT)水平将参与者分为3组:ALT升高的NAFLD组、ALT正常的NAFLD组和健康对照组。比较各组的生化和超声检查结果、胰岛素抵抗、代谢综合征(MetS)和人体测量参数。

结果

NAFLD患者与健康受试者的血清ANGPTL2和ANGPTL6水平无显著差异(>0.05)。ANGPTL2水平与血清、生化或超声检查结果以及人体测量参数均无相关性(>0.05)。血清ANGPTL6水平与空腹血糖、ALT、碱性磷酸酶、γ-谷氨酰转肽酶、空腹胰岛素和HOMA-IR水平呈正相关。

结论

虽然我们的研究结果表明血清ANGPTL2和ANGPTL6水平与NAFLD之间无关联,但ANGPTL6水平可能与代谢和生化参数有关。ANGPTL2和ANGPTL6在NAFLD发病机制中的作用应进一步研究。

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