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网膜素、内脂素和鸢尾素在慢性肝病中的作用。

Omentin, vaspin and irisin in chronic liver diseases.

机构信息

Chair and Department of Gastroenterology and Hepatology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.

Municipal Hospital, Sosnowiec, Poland.

出版信息

J Physiol Pharmacol. 2019 Apr;70(2). doi: 10.26402/jpp.2019.2.11. Epub 2019 Aug 20.

Abstract

Omentin and vaspin are adipokines potentially considered in the development of liver pathology. Irisin is new myokin potentially participating in energy processes in the organisms. The aim of this study was to evaluate the plasma concentration of these cytokines and the relationships of them with selected parameters of laboratory tests and of histopathological changes in selected chronic liver diseases: non-alcoholic fatty liver diseases (NAFLD), primary biliary cholangitis (PBC) and alcoholic cirrhosis (AC). The plasma concentration of omentin was the highest in AC group and the lowest in control group (CG). Irisin plasma concentration was the highest in CG and the lowest in AC. Mean vaspin concentrations did not differ significantly between groups. Among many laboratory parameters, only in the AC group positive relationships were found between omentin concentration and bilirubin, as well as glucose, and negative between omentin level and the number of platelets and erythrocytes; there was a positive relationship between the concentration of vaspin and bilirubin, as well as negative between vaspin level and the number of erythrocytes or hematocrit value in this group. INR value had positive correlation with vaspin concentration and negative with irisin level in NAFLD group. No significant dependences between the concentrations of explored cytokines and laboratory tests were found in PBC group. It was found the positive correlation between the plasma concentration of irisin and fibrosis as well as inflammation in PBC group. The negative correlation between irisin level and inflammation in NAFLD was also showed. Omentin can be considered as an indicator for predicting inflammation, steatosis and balloon degeneration in NAFLD and PBC. Summarizing, it is unclear but possible that explored cytokines have some relationships with certain features of liver damage and development of chronic diseases of this organ.

摘要

网膜素和内脂素是潜在参与肝脏病理发生的脂肪细胞因子。鸢尾素是一种新的肌细胞因子,可能参与机体的能量代谢过程。本研究旨在评估这些细胞因子的血浆浓度,并研究其与所选慢性肝病(非酒精性脂肪性肝病、原发性胆汁性胆管炎和酒精性肝硬化)的实验室检测和组织病理学变化的某些参数之间的关系。在 AC 组中,网膜素的血浆浓度最高,在 CG 组中最低。在 CG 组中,鸢尾素的血浆浓度最高,在 AC 组中最低。各组间平均内脂素浓度无显著差异。在许多实验室参数中,仅在 AC 组中发现网膜素浓度与胆红素、葡萄糖呈正相关,与血小板和红细胞数呈负相关;在该组中,内脂素浓度与胆红素呈正相关,与红细胞数或红细胞压积呈负相关。INR 值与 NAFLD 组的内脂素浓度呈正相关,与鸢尾素水平呈负相关。在 PBC 组中,未发现探索性细胞因子与实验室检测之间存在显著的相关性。在 PBC 组中发现,鸢尾素的血浆浓度与纤维化和炎症呈正相关。NAFLD 组中鸢尾素水平与炎症之间也呈负相关。网膜素可作为预测 NAFLD 和 PBC 炎症、脂肪变性和气球样变性的指标。总之,这些细胞因子与肝脏损伤的某些特征以及该器官慢性疾病的发展之间可能存在一定的关系,但目前尚不清楚。

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