Doctoral School of Biological and Biomedical Sciences, University of Oradea, Oradea, Romania.
Medicine Department, Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.
In Vivo. 2024 Sep-Oct;38(5):2271-2283. doi: 10.21873/invivo.13692.
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).
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.
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.
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.
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。
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。
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。