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微小RNA-122和前神经降压素作为非酒精性脂肪性肝病无创诊断生物标志物的研究(一项病例对照研究)

Micro-RNAs-122 and Pro-neurotensin biomarker for non-invasive diagnosis of Non-alcoholic fatty liver disease (A Case control study).

作者信息

Ghazy A M, Soliman A H E, Mohammed A E A, Aladl H A, Hussein M A R

机构信息

Lecturer of hepatology, gastroenterology and Infectious diseases faculty of medicine for boys, Cairo, Al-Azhar university, Cairo, Egypt.

Lecturer of internal medicine Faculty of medicine for boys, Cairo Al-Azhar University,Cairo, Egypt.

出版信息

Clin Ter. 2025;176(3):344-349. doi: 10.7417/CT.2025.5232.

Abstract

BACKGROUND

With a prevalence of 24% worldwide, nonalcoholic fatty liver disease (NAFLD) is regarded as a major risk factor for liver-related morbidity and death. The current gold standard for diagnosing the severity of non-alcoholic fatty liver is liver biopsy. Instead of using invasive procedures to identify nonalcoholic fatty liver, it is imperative to create non-invasive diagnostic methods. Goal: The purpose of our case-control study was to investigate the potential non-invasive biomarker significance of serum pro-neurotensin and circulating miRNA-122 for the diagnosis of non-alcoholic fatty acid disorders.

METHODS

For fifty individuals with confirmed NAFLD, clinical evaluations, lab tests, and anthropometric measures were recorded. A control group of fifty people who appeared to be in good health was enlisted. Pro-neurotensin and micro-RNAs 122 were measured in serum samples.

RESULTS

Serum proneurotensin levels had 83.4% sensitivity and 82.7% specificity at a cut-off ≥ 106, whereas mi-RNA-122 showed a rise in levels in NAFLD (p <0.05). At a cut-off ≥ 6.71, mi-RNA-122 exhibited 53% sensitivity and 72% specificity to distinguish NAFLD from healthy controls.

CONCLUSION

To diagnose NAFLD cases, the combination of serum pro-neurotensin and circulating mi-RNA-122 may be helpful. To learn more about the potential contribution of pro-NT and mi-RNA-122 to the onset, course, and prognosis of NASH, large-scale research is required.

摘要

背景

非酒精性脂肪性肝病(NAFLD)在全球的患病率为24%,被视为肝脏相关发病和死亡的主要危险因素。目前诊断非酒精性脂肪肝严重程度的金标准是肝活检。必须创建非侵入性诊断方法,而不是使用侵入性程序来识别非酒精性脂肪肝。目的:我们的病例对照研究旨在探讨血清前神经降压素和循环miRNA-122对诊断非酒精性脂肪酸疾病的潜在非侵入性生物标志物意义。

方法

记录了50例确诊为NAFLD的个体的临床评估、实验室检查和人体测量指标。招募了50名看似健康的对照组人员。检测血清样本中的前神经降压素和微小RNA 122。

结果

血清前神经降压素水平在临界值≥106时,敏感性为83.4%,特异性为82.7%,而mi-RNA-122在NAFLD中水平升高(p<0.05)。在临界值≥6.71时,mi-RNA-122区分NAFLD与健康对照的敏感性为53%,特异性为72%。

结论

血清前神经降压素和循环mi-RNA-122的联合检测可能有助于诊断NAFLD病例。需要开展大规模研究,以进一步了解前神经降压素和mi-RNA-122对非酒精性脂肪性肝炎发病、病程和预后的潜在作用。

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