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探讨维生素 D 水平与肝脏疾病血清标志物的相关性:一项横断面研究的启示。

Exploring the Correlation Between Vitamin D Levels and Serological Markers in Liver Diseases: Insights from a Cross-Sectional Study.

机构信息

Doctoral School of Biological and Biomedical Sciences, University of Oradea, Oradea, Romania.

Medicine Department, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.

出版信息

In Vivo. 2024 Sep-Oct;38(5):2271-2283. doi: 10.21873/invivo.13692.

Abstract

BACKGROUND/AIM: This study investigated the correlation between vitamin D levels and serological markers of liver diseases in two groups of patients: the control group (CG) and the study group (SG).

MATERIALS AND METHODS

The study analyzed data on vitamin D levels categorized as insufficient, sufficient, and optimal, along with serological markers, such as alpha2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin total, gamma-glutamyl transferase (GGT), alanine aminotransferase (ALT), aspartate aminotransferase (AST), glucose, total cholesterol, and triglycerides.

RESULTS

The results indicate significant differences in vitamin D levels between the two groups, particularly in SG, where vitamin D levels varied according to its status and correlated with serological markers. Marker levels, including alpha2-macroglobulin, glucose, and total cholesterol, were notably higher in SG compared to CG, suggesting a potential association with non-alcoholic fatty liver disease (NAFLD). Further analysis using Pearson correlation revealed a strong, inverse relationship between vitamin D levels and FibroTest, NashTest, alpha2-globulin, and glucose. Additionally, increasing FibroTest and NashTest stages, as well as levels of alpha2-macroglobulin and glucose, were associated with lower vitamin D levels in SG.

CONCLUSION

These findings under-score the complex interplay between vitamin D and serological markers in NAFLD, highlighting the potential significance of vitamin D levels in disease progression. Further research is warranted to elucidate the mechanisms underlying this relationship and its clinical implications.

摘要

背景/目的:本研究旨在探讨两组患者(对照组[CG]和研究组[SG])的维生素 D 水平与肝脏疾病血清学标志物之间的相关性。

材料与方法

本研究分析了维生素 D 水平不足、充足和最佳的分类数据,以及血清学标志物,如α2-巨球蛋白、触珠蛋白、载脂蛋白 A1、总胆红素、γ-谷氨酰转移酶(GGT)、丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、葡萄糖、总胆固醇和甘油三酯。

结果

结果表明,两组间维生素 D 水平存在显著差异,特别是在 SG 中,维生素 D 水平根据其状态而变化,并与血清学标志物相关。与 CG 相比,SG 中的标志物水平,包括α2-巨球蛋白、葡萄糖和总胆固醇显著升高,这表明其与非酒精性脂肪性肝病(NAFLD)之间可能存在关联。使用 Pearson 相关性分析进一步表明,维生素 D 水平与 FibroTest、NashTest、α2-球蛋白和葡萄糖之间存在强烈的负相关关系。此外,随着 FibroTest 和 NashTest 阶段以及α2-巨球蛋白和葡萄糖水平的增加,SG 中的维生素 D 水平也随之降低。

结论

这些发现强调了维生素 D 和 NAFLD 血清学标志物之间的复杂相互作用,突出了维生素 D 水平在疾病进展中的潜在重要性。需要进一步的研究来阐明这种关系的机制及其临床意义。

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Global burden of liver disease: 2023 update.全球肝病负担:2023 年更新。
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