Angiotensin receptor blockers might be protective against hepatic steatosis after liver transplantation

BMC Gastroenterology

Research

Ahad Eshraghian¹  Seyed Ali Malek-Hosseini²  Alireza Taghavi²  Hamed Nikoupour²  Saman Nikeghbalian² 

[1] Shiraz Transplant Center, Abu-Ali Sina Hospital, 71994-67985, Shiraz, Iran;Shiraz Transplant Center, Abu-Ali Sina Hospital, 71994-67985, Shiraz, Iran;Shiraz Transplant Center, Abu-Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran;

关键词: Angiotensin receptor blockers;    Non-alcoholic fatty liver disease;    Liver transplantation;    Hypertension;    Hepatic steatosis;    Losartan;   

DOI  :  10.1186/s12876-023-02781-9

 received in 2022-08-01, accepted in 2023-04-23,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHepatic steatosis is an increasing complication in liver transplant recipients. Currently, there is no pharmacologic therapy for treatment of hepatic steatosis after liver transplantation. The aim of this study was to determine the association between use of angiotensin receptor blockers (ARB) and hepatic steatosis in liver transplant recipients.MethodsWe conducted a case-control analysis on data from Shiraz Liver Transplant Registry. Liver transplant recipients with and without hepatic steatosis were compared for risk factors including use of ARB.ResultsA total of 103 liver transplant recipients were included in the study. Thirty five patients treated with ARB and 68 patients (66%) did not receive these medications. In univariate analysis, ARB use (P = 0.002), serum triglyceride (P = 0.006), weight after liver transplantation (P = 0.011) and etiology of liver disease (P = 0.008) were associated with hepatic steatosis after liver transplantation. In multivariate regression analysis, ARB use was associated with lower likelihood of hepatic steatosis in liver transplant recipients (OR = 0.303, 95% CI: 0.117–0.784; P = 0.014). Mean duration of ARB use (P = 0.024) and mean cumulative daily dose of ARB (P = 0.015) were significantly lower in patients with hepatic steatosis.ConclusionOur study showed that ARB use was associated with reduced incidence of hepatic steatosis in liver transplant recipients.

【 授权许可】

CC BY   
© The Author(s) 2023

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