血浆循环代谢物与脂肪变性肝病和肝酶相关:一项基于多平台人群的研究

Yasir J. Abozaid , Ibrahim Ayada , Laurens A. van Kleef , Neil J. Goulding , Jessica S. Williams-Nguyen , Robert C. Kaplan , Robert J. de Knegt , Lynne E. Wagenknecht , Nicholette D. Palmer , Nicholas J. Timpson , Jill M. Norris , Yii-Der Ida Chen , M. Arfan Ikram , Willem Pieter Brouwer , Mohsen Ghanbari
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引用次数: 0

摘要

背景和目的:脂肪变性肝病(SLD)是最常见的与代谢功能障碍密切相关的慢性肝病,但其发病机制尚不完全清楚。探索血浆循环代谢物可能有助于阐明SLD的潜在机制和识别新的生物标志物。方法:我们利用4项基于人群的队列研究(鹿特丹研究、雅芳父母和儿童纵向研究、胰岛素抵抗动脉粥样硬化家族研究和拉丁美洲研究)的数据,横断面检查了血浆代谢物与SLD以及肝酶之间的关系。对南丁格尔平台(n = 225个代谢物)和代谢平台(n = 991个代谢物)采用超高效液相色谱-质谱法测定代谢物。测定血清肝酶(丙氨酸转氨酶、天冬氨酸转氨酶和γ -谷氨酰转肽酶)水平,并通过超声或计算机断层扫描诊断SLD。对每个队列进行Logistic和线性回归模型并进行meta分析。错误发现率< 0.05为显著性阈值。结果:几种代谢物与SLD和肝酶显著相关,其中21种代谢物与SLD和肝酶均相关。最显著的相关性是苯丙氨酸、甘油三酯(高密度脂蛋白、中密度脂蛋白和小低密度脂蛋白)、夜莺的脂肪酸(亚油酸与总脂肪酸的比例为18:2,omega - 6脂肪酸与总脂肪酸的比例为18:2,多不饱和脂肪酸与总脂肪酸的比例为18:2)和代谢平台的谷氨酸和鞘磷脂。其他相关代谢产物主要参与脂质、氨基酸、碳水化合物和肽代谢。结论:我们的研究表明与SLD相关的循环代谢物景观。鉴定出的代谢物可能有助于更好地了解SLD的代谢途径,并有望成为早期诊断和监测疾病的潜在生物标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Plasma Circulating Metabolites Associated With Steatotic Liver Disease and Liver Enzymes: A Multiplatform Population-Based Study

Background and Aims

Steatotic liver disease (SLD) is the most common chronic liver disease strongly associated with metabolic dysfunction, but its pathogenesis remains incompletely understood. Exploring plasma circulating metabolites may help in elucidating underlying mechanisms and identifying new biomarkers for SLD.

Methods

We examined cross-sectionally the association between plasma metabolites and SLD as well as liver enzymes using data from 4 population-based cohort studies (Rotterdam study, Avon Longitudinal Study of Parents and Children, The Insulin Resistance Atherosclerosis Family Study, and Study of Latinos). Metabolites were assessed in the Nightingale platform (n = 225 metabolites) by nuclear magnetic resonance spectroscopy and in the Metabolon platform (n = 991 metabolites) by ultra-high-performance liquid chromatography-mass spectrometry. Serum levels of liver enzymes (alanine aminotransferase, aspartate aminotransferase, and gamma-glutamyl transpeptidase) were measured and SLD was diagnosed by ultrasound or computed tomography scan. Logistic and linear regression models were performed per cohort and meta-analyzed. A false discovery rate < 0.05 was considered as significant threshold.

Results

Several metabolites were significantly associated with SLD and liver enzymes, of which 21 metabolites were associated with both traits. The most significant associations were observed with phenylalanine, triglycerides in (high-density lipoprotein, intermediate-density lipoprotein, and small low-density lipoprotein), fatty acid (FA) ratios of (18:2 linoleic acid-to-total FA, omega 6 FA-to-total FA, and polyunsaturated FA-to-total FA) from the Nightingale and glutamate and sphingomyelin from the Metabolon platform. Other associated metabolites were mainly involved in lipid, amino acid, carbohydrates, and peptide metabolism.

Conclusion

Our study indicates a landscape of circulating metabolites associated with SLD. The identified metabolites may contribute to a better understanding of the metabolic pathways underlying SLD and hold promising for potential biomarkers in early diagnosis and monitoring of the disease.
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Gastro hep advances
Gastro hep advances Gastroenterology
CiteScore
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