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核心技术专利:CN118964589B侵权必究
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A potential age-independent MASLD-related liver fibrosis index based on metabolic profiling.

作者信息

Zampieri Serena, Petrella Greta, Nagni Elisa, Micheli Laura, Maiorca Francesca, Lombardi Ludovica, Carbone Marilena, Sabetta Annamaria, Miglionico Marzia, Pecani Marin, Raparelli Valeria, Basili Stefania, Stefanini Lucia, Cicero Daniel Oscar

机构信息

Department of Chemical Science and Technology, University of Rome "Tor Vergata", 00133, Rome, Italy.

Department of Translational and Precision Medicine, Sapienza University of Rome, 00185, Rome, Italy.

出版信息

Sci Rep. 2025 Sep 2;15(1):32328. doi: 10.1038/s41598-025-18172-x.


DOI:10.1038/s41598-025-18172-x
PMID:40897824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12405442/
Abstract

The burden of metabolic dysfunction-associated steatotic liver disease (MASLD) is of immediate concern, as its prevalence is increasing worldwide. MASLD often progresses to liver fibrosis, posing significant health risks. Age-independent, noninvasive tools to evaluate fibrosis are needed to improve diagnostic accuracy across all age groups. Eighty-four inflammatory, hematological, and metabolic variables were quantified in the blood of 63 individuals with MASLD, with varying degrees of fibrosis, and 22 age-matched controls. Linear regression models were used to identify markers strongly correlated with liver fibrosis that were not influenced by age. Logistic regression models were used to evaluate the ability of various indices to discriminate between no/mild and severe liver fibrosis. Glutamine and propionate levels were identified as strongly correlated with fibrosis but not with age and were combined to form the GP index. The GP index demonstrated superior predictive power for liver fibrosis compared to existing scores, like FIB-4 and FIB-3. The study introduces the GP index, a novel metabolite-based score for diagnosing and monitoring liver fibrosis in patients with MASLD, which demonstrated robust performance irrespective of patient age in this cohort. By excluding age-dependent markers, the GP index can potentially reduce false positives and improve diagnostic accuracy, particularly in older populations. The combination of glutamine and propionate in this index represents a novel approach, capturing both intrinsic hepatic metabolic changes and extrinsic influences from the gut microbiota, providing a simple yet effective solution for liver fibrosis staging.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeec/12405442/04073155df93/41598_2025_18172_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeec/12405442/0a957a4720b6/41598_2025_18172_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeec/12405442/0283e6c2a227/41598_2025_18172_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeec/12405442/04073155df93/41598_2025_18172_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeec/12405442/0a957a4720b6/41598_2025_18172_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeec/12405442/0283e6c2a227/41598_2025_18172_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeec/12405442/04073155df93/41598_2025_18172_Fig3_HTML.jpg

相似文献

[1]
A potential age-independent MASLD-related liver fibrosis index based on metabolic profiling.

Sci Rep. 2025-9-2

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Gangrene Secondary to Perineal Invasion by Rectal Cancer: A Case Report and Literature Review.

Cureus. 2024-12-26

[2]
Metabolic Crosstalk in Multimorbidity: Identifying Compensatory Effects Among Diabetes, Hypertension, and Dyslipidemia.

J Endocr Soc. 2024-9-11

[3]
Fibrosis-3 Index: A New Score to Predict Liver Fibrosis in Patients With Nonalcoholic Fatty Liver Disease Without Age as a Factor.

Gastro Hep Adv. 2022-8-2

[4]
Serum Creatinine as an Independent Predictor of Moderate to Severe Fibrosis in Chinese American Non-obese Metabolic Dysfunction-Associated Steatotic Liver Disease.

Cureus. 2024-5-26

[5]
EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD): Executive Summary.

Diabetologia. 2024-11

[6]
Reply: The exact predictive value of HBcrAg and HBV RNA in serological status and disease activity in CHB.

Hepatology. 2024-11-1

[7]
EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD).

J Hepatol. 2024-9

[8]
AASLD Practice Guideline on blood-based noninvasive liver disease assessment of hepatic fibrosis and steatosis.

Hepatology. 2025-1-1

[9]
The association between platelet-related parameters and nonalcoholic fatty liver disease in a metabolically healthy nonobese population.

Sci Rep. 2024-3-13

[10]
Targeted metabolomics reveals plasma short-chain fatty acids are associated with metabolic dysfunction-associated steatotic liver disease.

BMC Gastroenterol. 2024-1-23

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