December 2013, Volume 16, No.35 Abstracts

Hyperuricemia and Inflammatory Reaction:A Study of Their Roles in Pathogenesis of NAFLD

WU Pei-xianLAN WeiZHANG Fanet al.Department of EndocrinologyShenzhen Hospital of Peking UniversityShenzhen 518036China

    Abstract  Objective  To investigate the roles of hyperuricemia and inflammatory reaction in the pathogenesis of nonalcoholic fatty liver diseaseNAFLD.Methods  A total of 70 NAFLD patientsNAFLD groupdiagnosed in this hospital from April to July 2010 were dividedbased on uric acid(UA) levelsinto subgroups An=38UA416 μmol/L),Bn=32UA416 μmol/L),and 74 normal subjects enrolled as control group.Heightweightwaist circumferenceWC),hip circumferenceHC),blood pressureBPwere measuredwaist-hip ratioWHR),body mass indexBMIcalculatedalanine aminotransferaseALT),UAfasting blood glucoseFBG),glycated hemoglobinHbA1c),triglycerideTG),total cholesterolTC),low density lipoprotein cholesterolLDL-C),high density lipoprotein cholesterolHDL-C),fasting insulinFINS),hyaluronic acidHA),Ⅳ collagen,IL-18,resistin determined and insulin resistance indexHOMA-IRcalculated.Results  Systolic blood pressureSBP),BMIWHRUATGHOMA-IRALTHAIL-18resistin were higher in NAFLD group than in controlP0.05.SBPUATGALTIL-18resistin higher in subgroup B than in subgroup AHDL-C lowerP0.05.By Spearman correlation analysisUA was positively correlated with WHRr=0.331),BMIr=0.241),ALTr=0.323),HOMA-IRr=0.264),TGr=0.213),resistinr=0.315),IL-18r=0.369),negatively with HDL-Cr=-0.224in NAFLD patientsP0.05);by partial correlation analysis after excluding WHRBMIHOMA-IRTG and HDL-CUA was positively correlated with ALTr=0.222),resistinr=0.326),IL-18r=0.435)(P0.05);further excluding resistin and IL-18UA had no linear correlation with ALTr=0.172P=0.106.Conclusion  NAFLD patients may predispose to hyperuricemiahyperuricemia may be involved in the pathogenesis of NAFLD through insulin resistanceinflammation reaction and so on.

    Key words  HyperuricemiaInterleukin-18Insulin resistanceFatty livernon-alcoholic


The Expression of Leptin/PI3-K/PKB in Patients with Non-alcoholic Fatty Liver Disease

XU Dan,HUANG Xiao-dong,ZHANG Heng,et al.Department of Gastroenterology,Central Hospital of Wuhan,Wuhan 430014,China

    Abstract  Objective  To evaluate the expression of leptin,leptin receptor (OB-R) and the components in phosphatidylinositol 3-kinase/protein kinase B (PI3-K/PKB) signaling pathway in patients with non-alcoholic fatty liver disease (NAFLD).Methods  Totally 30 patients with definite diagnosis of NAFLD treated in our hospital between May 2007 and September 2007 were included in this study,and 30 patients with cholecystic polypus but normal liver treated in our hospital were taken as the control group.The method of immunohistochemstry were used to assess the expression of hepatic leptin,OB-R,PI3-K (p85α) and PKB in all participants,and serum leptin level was determined by radioimmunoassay.This study also analyzed whether the expression of these proteins was correlated with each others.Results  The serum leptin level in NAFLD group were significantly higher than that in the control group(10.90±3.39)μg/L vs.(5.55±1.96)μg/L,t=-7.841,P0.05.Compared to the control group,the expression of hepatic leptin,OB-R and PI3-K was also significant higher in NAFLD group (P0.05),while the expression of PKB was significantly lower in NAFLD group (P0.05).In NAFLD group,the expression of hepatic leptin was positively correlated with serum leptin level and the expression of PI3-K(p85α) (r=0.413P0.05;r=0.365P0.05);While the expression of PKB was negatively correlated with serum leptin level and the expression of PI3-K(p85α)(r=-0.923,P0.05;r=-0.854P0.05).In the control group,the expression of hepatic leptin was also positively correlated with serum leptin level and the expression of PI3-K(p85α) (r=0.593,P0.05;r=0.795P0.05).But the expression of PKB was positively correlated with serum leptin level and the expression of PI3-K(p85α)(r=0.686P0.05;r=0.840P0.05).Conclusion  The expression of hepatic leptin and leptin receptor was high in NAFLD patients,but the expression of PKB was relatively low.Over expression of hepatic leptin in NAFLD patients seems lead to leptin resistance instead of activation of PKB,and the impaired activation of PI3-K by leptin and PI3-K might be a new mechanism of hepatic leptin resistance in NAFLD patients.

    Key words  LeptinReceptor,leptinPhosphatidylinostiol 3-kinaseProtein kinase BFatty liver,non-alcoholic


Related Influencing Factors of T2DM Combined with NAFLD and Its Relationship to Carotid Artery Atherosclerosis

CHEN Yi-dingYAO Wei-fengWAN Huiet al.Department of EndocrinologyWuxi No.2 Peoples HospitalWuxi 214002,China

    Abstract  Objective  To explore the related influencing factors of type 2 diabetes mellitus (T2DM) combined with nonalcoholic fatty liver disease (NAFLD) and its relationship to carotid artery atherosclerosis (CAA).Methods  A total of 278 T2DM patients hospitalized in this hospital in 2012 were divided,based on whether combined with NAFLD,into non-NAFLD group (n=152),NAFLD group (n=126).Height,weight,waist circumference (WC),hip circumference (HC),blood pressure (BP),disease duration and other general data were recorded,levels of liver enzymes and glucolipid metabolism detected,and carotid atherosclerotic plaques (CAP) determined.Results  No significant difference in gender,age,BP between 2 groups (P0.05).The body mass index (BMI),waist-hip ratio (WHR),alanine aminotransferase (LT),aspartate aminotransferase (AST),triglyceride (TG),insulin resistance index (HOMA-IR),carotid intima-media thickness (IMT),incidence of CAA were higher,high density lipoprotein cholesterol (HDL-C) lower in NAFLD group than in non-NAFLD group,the difference was significant (P0.05).Partial correlation analysis showed that IMT was positively correlated with HOMA-IR (r=0.368,P0.05).Stepwise Logistic regression analysis showed that T2DM combined with NAFLD and HOMA-IR were risk factors of CAA (P0.05);BMI,TG,WHR,ALT,HOMA-IR were independent risk factors of NAFLD (P0.05).Conclusion  Dyslipidemia,insulin resistance and CAA are more vulnerable to T2DM patients combined with NAFLD.NAFLD is related to BMI,TG,WHR,ALT,HOMA-IR.

    Key words   Diabetes mellitustype 2Carotid arteriesIntima-media thicknessAtherosclerosisFatty livernon-alcoholic


Nonalcoholic Fatty Liver Disease and SNPs-11377C/G in Promoter Region of Adiponectin Gene:A Correlation Study in Han Elderly Population in Guilin

YE YaoYU JianWANG Lin-jiaoet al.Department of Endocrinologythe Affiliated Hospital of Guilin Medical CollegeGuilin 541001China

    Abstract  Objective  To investigate the association of SNPs-11377 C/G in proximal promoter region of adiponectin gene with nonalcoholic fatty liver diseaseNAFLDin Han elderly population in Guilin.Methods  From July to November in 2012heightweightblood pressureBPwere measuredbody mass indexBMIcalculatedfasting blood glucoseFBG),alanine aminotransferaseALT),aspartate aminotransferaseAST),triglycerideTG),total cholesterolTC),high density lipoprotein cholesterolHDL-C),low density lipoprotein cholesterolLDL-C),uric acidUAdetected in 150 NAFLD patientsNAFLD groupand 130 normal subjectscontrol group.NAFLD risk factors were analyzed by univariate Logistic regression and non-conditional Logistic regression analysisand SNPs-11377 C/G in proximal promoter region of adiponectin gene detected by polymerase chain reaction-restriction fragment length polymorphismPCR-RFLP.Genotypes and allele frequency were compared between 2 groups.Results  SBPDBPFBG and levels of ALTTGTCLDL-CUA were higher in NAFLD group than in control groupP0.05),HDL-C lowerP0.01);No significant difference was noted in AST between 2 groupsP0.05.By univariate Logistic regression analysisgenderBMIhypertensionFBGTGHDL-CLDL-C,and UA entered into the regression equationP0.05);By non-conditional Logistic regression analysisgenderBMITGUA entered into the regression equationP0.05.There was no significant difference in SNPs-11377 C/G in proximal promoter region of adiponectin gene or allele frequency between 2 groupsP0.05.There was no significant difference in BMISBPDBPFBGALTASTTGTCHDL-CLDL-C,and UA in the NAFLD patients or normal subjects with different genotypesP00.05.Conclusion  There is no obvious correlation between NAFLD and SNPs-11377 C/G in proximal promoter region of adiponectin gene in Han elderly population in Guilin.

    Key words  AdiponectinPolymorphismsingle nucleotideAgedGuilin;Fatty livernon-alcoholic


Relationship of Prediabetic State to Interaction between Chymase and Traditional Cardiovascular Risk Factors

WANG Qiao-lingSHEN Xu-huiYAO Xinget al.School of Medicine of Huzhou Teachers CollegeHuzhou 313000China

    Abstract  Objective  To explore the relationship of prediabetic statePDSto the interaction between chymase and traditional cardiovascular risk factorsto provide basis for research of diabetes mellitusDMmechanism.Methods  Fasting blood glucoseFBG),2h postprandial blood glucose2h PBGwere determined in 1 197 residents aged 55-75 years in urban communities from July to September 2009.Based on the results71 subjects with normal carbohydrate toleranceNG groupand 189 PDS subjectsPDS groupwere selected to have biochemical and immune parameters detection.The relationship of PDS to the interaction between chymase and traditional cardiovascular risk factors were analyzed.Results  FBG2h PBGfasting insulininsulin resistance indexHOMA-IR),systolic blood pressureSBP),waist circumferenceWC),waist-hip ratioWHRwere higher in PDS group than in NG group,β cell sensitivity indexHOMA-β)lowerP0.05.By univariate Logistic regression analysisage60-64 years old),hypertensioncentral obesityincreased insulinmoderate),decreased HOMA-β and increased HOMA-IRmoderate or highwere positively correlated with PDSand there was a linear trend between chymase level and varying ages


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