Obesity-related non-alcoholic steatohepatitis and TGF-β1 serum levels in relation to morbid obesity

Annals of Hepatology

Juan P Flores-Gutiérrez, MD¹  Héctor Maldonado-Garza, MD²  Ricardo N Sepúlveda-Flores, MD²  Francisco J Bosques-Padilla, MD²  Pablo Zorrilla-Blanco, MD²  Ricardo Salinas-Garza, MD²  Lucio Vera-Cabrera, MD³ 

[1] Departamento de Anatomía Patológica.Hospital Universitario “Dr. José E. González”, Universidad Autónoma de Nuevo León. Monterrey, N.L., México;Departamento de Gastroenterología;Laboratorio de Dermatología;

关键词: Obesity;    Non-alcoholic steatohepatitis;    Hepatic fibrosis;    Steatosis;   

DOI  :  

来源: DOAJ

【 摘 要 】

Non-alcoholic steatohepatitis (NASH) can vary from mild hepatic inflammation and steatosis to cirrhosis, and is most frequently associated with obesity, Type 2 diabetes mellitus, hypertension, and the female gender. The prevalence of fatty liver and NASH in the general population is 20% and 3%, respectively. In Western countries, 15–20% of the population is obese and 74–90% of them exhibit fatty changes in liver biopsies. We assessed the prevalence of NASH in morbidly obese patients and evaluated serum TGF-β1 concentrations in different stages of liver fibrosis. Thirty-five obese patients were evaluated, nine male and 26 female. Their mean body mass index (BMI) was 43.62 ± 7.92 kg/m2. Liver biopsies were evaluated by light microscopy; graded and staged according to Brunt’s system. Serum obtained from patients was used to detect TGF-β1 concentrations by an ELISA method. Serum alanine transaminase (ALT) levels were elevated in four of the patients and the mean level was 49.98 ± 94.7 (8–65 IU/L). NASH was diagnosed in 32 (91%) of the biopsies, and the most common pattern seen was mixed, predominantly macrovesicular steatosis. Some degree of fibrosis was seen in 34 (97%) of the biopsies and 22 (63%) were at stage 2 (range 1–3). Serum concentrations of TGF-β1 had no relationship with the stages of fibrosis. In conclusion, NASH and fibrosis are common in our obese patients, as observed in other studies. TGF-β1 may play a key role in liver fibrogenesis.

【 授权许可】

Unknown