代谢功能障碍相关脂肪性肝病患者在接受为期 2 年的饮食干预后的循环 microRNA 图谱。

IF 5.4 2区 医学 Q1 Medicine
Ana Luz Tobaruela-Resola, José Ignacio Riezu-Boj, Fermín I Milagro, Paola Mogna-Pelaez, José I Herrero, Mariana Elorz, Alberto Benito-Boillos, Josep A Tur, J Alfredo Martínez, Itziar Abete, María Ángeles Zulet
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引用次数: 0

摘要

目的:全球三分之一的人口患有代谢功能障碍相关性脂肪肝(MASLD)。尽管该病发病率很高,但却缺乏评估该病的微创诊断方法。本研究探讨了循环微RNAs(miRNAs)作为2年营养干预后MASLD诊断生物标志物的潜力:对肥胖症脂肪肝(FLiO)研究(NCT03183193)中的 55 名脂肪肝受试者(MASLD 组)进行了基线分析以及 6、12 和 24 个月后的分析。受试者被分为两组:干预后仍有脂肪变性的受试者(不健康组)和脂肪变性已消失的受试者(健康组)。肝脏状况通过磁共振成像(MRI)、超声波检查、弹性成像和血清转氨酶进行评估。循环 miRNA 水平通过 RT-PCR 进行测量:结果:饮食干预能够在 6、12 和 24 个月后调节循环 miRNA 的表达。逻辑回归分析显示,诊断营养干预后 MASLD 是否消失的最有效面板包括:6 个月时的 miR15b-3p、miR126-5p 和体重指数(AUC 0.68);12 个月时的 miR29b-3p、miR122-5p、miR151a-3p 和体重指数(AUC 0.85);24 个月时的 miR21-5p、miR151a-3p 和体重指数(AUC 0.85):结论:循环 miRNAs 有助于预测超重或肥胖受试者在接受以减肥为导向的营养干预后的 MASLD。这些发现凸显了miRNAs在诊断MASLD中的潜在作用,并强调了精准营养在管理和确定MASLD中的重要性:临床试验注册:试验注册号:NCT03183193 (www.Clinicaltrials: gov)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Circulating microRNA panels in subjects with metabolic dysfunction-associated steatotic liver disease after following a 2-year dietary intervention.

Purpose: Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) affects one-third of the global population. Despite its high prevalence, there is a lack of minimally non-invasive diagnostic methods to assess this condition. This study explores the potential of circulating microRNAs (miRNAs) as diagnostic biomarkers for MASLD after a 2-year nutritional intervention.

Methods: Fifty-five subjects with steatosis (MASLD group) from the Fatty Liver in Obesity (FLiO) study (NCT03183193) were analyzed at baseline and after 6, 12 and 24 months. Participants were classified into two groups: those who still had steatosis after the intervention (unhealthy group) and those in whom steatosis had disappeared (healthy group). Hepatic status was evaluated through magnetic resonance imaging (MRI), ultrasonography, elastography and serum transaminases. Circulating miRNA levels were measured by RT-PCR.

Results: The dietary intervention was able to modulate the expression of circulating miRNAs after 6, 12, and 24 months. Logistic regression analyses revealed that the most effective panels for diagnosing whether MASLD has disappeared after the nutritional intervention included miR15b-3p, miR126-5p and BMI (AUC 0.68) at 6 months, miR29b-3p, miR122-5p, miR151a-3p and BMI (AUC 0.85) at 12 months and miR21-5p, miR151a-3p and BMI at 24 months (AUC 0.85).

Conclusions: Circulating miRNAs were useful in predicting MASLD in subjects with overweight or obesity after following a weight-loss oriented nutritional intervention. These findings highlight the potential role of miRNAs in diagnosing MASLD and underscore the importance of precision nutrition in managing and determining MASLD.

Clinical trial registration: Trial registration number: NCT03183193 (www.

Clinicaltrials: gov).

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来源期刊
Journal of Endocrinological Investigation
Journal of Endocrinological Investigation ENDOCRINOLOGY & METABOLISM-
CiteScore
8.10
自引率
7.40%
发文量
242
期刊介绍: The Journal of Endocrinological Investigation is a well-established, e-only endocrine journal founded 36 years ago in 1978. It is the official journal of the Italian Society of Endocrinology (SIE), established in 1964. Other Italian societies in the endocrinology and metabolism field are affiliated to the journal: Italian Society of Andrology and Sexual Medicine, Italian Society of Obesity, Italian Society of Pediatric Endocrinology and Diabetology, Clinical Endocrinologists’ Association, Thyroid Association, Endocrine Surgical Units Association, Italian Society of Pharmacology.
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