Correlation between HDL2, HDL3 and serum ferritin levels with fatty liver and NAFLD activity score (NAS) in liver histology of organ donors.


Journal

BMC gastroenterology
ISSN: 1471-230X
Titre abrégé: BMC Gastroenterol
Pays: England
ID NLM: 100968547

Informations de publication

Date de publication:
27 Oct 2021
Historique:
received: 14 05 2021
accepted: 08 10 2021
entrez: 28 10 2021
pubmed: 29 10 2021
medline: 30 10 2021
Statut: epublish

Résumé

Nonalcoholic fatty liver disease (NAFLD) is one of the most important liver diseases. High-density lipoprotein (HDL) has anti-atherogenic properties and its reduction can be associated with fatty liver. Serum ferritin levels are usually elevated in patients with NAFLD. This study aimed to evaluate the correlation between HDL subtypes and serum ferritin levels with evidence of NAFLD in liver histology of organ donors. One hundred organ donor patients who were eligible for the study were included in the study and ferritin; HDL2 and HDL3 were measured in blood samples. Donated liver tissue biopsy specimens were evaluated for fatty liver and NAFLD activity score (NAS). In addition, AST and ALT were measured in recipients 24 h after transplant. All data abstracted and analyzed statistically. Serum HDL2 levels and HDL2/HDL3 ratio in patients with NAS > 1 were significantly lower (P < 0.05). Serum levels of HDL3 and ferritin were not significantly associated with NAS >1 (P > 0.05). In addition, serum ferritin > 1000 ng/ml in organ donors associated with increased AST and ALT levels 24 h after transplantation in the liver organ recipient. Lower HDL2 values and HDL2/HDL3 ratio were associated with increased NAFLD activity score, but HDL3 and ferritin did not show such a relationship. In addition, higher levels of ferritin in organ donors may be associated with increased AST and ALT 24 h after liver transplantation in the organ recipient.

Sections du résumé

BACKGROUND BACKGROUND
Nonalcoholic fatty liver disease (NAFLD) is one of the most important liver diseases. High-density lipoprotein (HDL) has anti-atherogenic properties and its reduction can be associated with fatty liver. Serum ferritin levels are usually elevated in patients with NAFLD. This study aimed to evaluate the correlation between HDL subtypes and serum ferritin levels with evidence of NAFLD in liver histology of organ donors.
METHODS METHODS
One hundred organ donor patients who were eligible for the study were included in the study and ferritin; HDL2 and HDL3 were measured in blood samples. Donated liver tissue biopsy specimens were evaluated for fatty liver and NAFLD activity score (NAS). In addition, AST and ALT were measured in recipients 24 h after transplant. All data abstracted and analyzed statistically.
RESULTS RESULTS
Serum HDL2 levels and HDL2/HDL3 ratio in patients with NAS > 1 were significantly lower (P < 0.05). Serum levels of HDL3 and ferritin were not significantly associated with NAS >1 (P > 0.05). In addition, serum ferritin > 1000 ng/ml in organ donors associated with increased AST and ALT levels 24 h after transplantation in the liver organ recipient.
CONCLUSIONS CONCLUSIONS
Lower HDL2 values and HDL2/HDL3 ratio were associated with increased NAFLD activity score, but HDL3 and ferritin did not show such a relationship. In addition, higher levels of ferritin in organ donors may be associated with increased AST and ALT 24 h after liver transplantation in the organ recipient.

Identifiants

pubmed: 34706656
doi: 10.1186/s12876-021-01958-4
pii: 10.1186/s12876-021-01958-4
pmc: PMC8549218
doi:

Substances chimiques

Cholesterol, HDL 0
Lipoproteins, HDL 0
Lipoproteins, HDL2 0
Lipoproteins, HDL3 0
Ferritins 9007-73-2

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

405

Subventions

Organisme : Vice-Chancellor for Research, Shiraz University of Medical Sciences
ID : 21083

Informations de copyright

© 2021. The Author(s).

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Auteurs

Saman Nikeghbalian (S)

Department of Hepatobiliary and Transplantation Surgery, Shiraz Organ Transplant Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Rasoul Rahimi (R)

Department of Hepatobiliary and Transplantation Surgery, Shiraz Organ Transplant Center, Shiraz University of Medical Sciences, Shiraz, Iran. rahimi.rasoul78@gmail.com.
Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. rahimi.rasoul78@gmail.com.

Hamed Nikoupour (H)

Shiraz University of Medical Sciences, Shiraz, Iran.

Neda Soleimani (N)

Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Sina Vakili (S)

Biochemistry Department, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.

Fatemeh Zal (F)

Department of Biochemistry, Shiraz University of Medical Sciences, Shiraz, Iran.

Fahimeh Kaveh Baghbahadorani (F)

Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

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Classifications MeSH