巴士拉省成人血清非酒精性脂肪性肝病生物标志物与2型糖尿病和NAFLD肥胖的关系

Fatima Latif, Abeer G. Al Sawafi, Dawood S. Ali
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摘要

非酒精性脂肪性肝病(NAFLD)是由肝脏脂肪堆积引起的一系列疾病的术语。该研究的目的是确定患有糖尿病和肥胖成人的NAFLD患者的脂质损伤(MDA)、酶促和非酶促抗氧化剂以及各种生化指标之间的联系。本研究纳入100例患者和健康对照组,年龄在18 ~ 75岁,BMI在15.9 ~ 50.9 Kg/m2之间。酶促抗氧化剂(超氧化物歧化酶(SOD)、过氧化氢酶(CAT)、谷胱甘肽过氧化物酶(GPx));非酶促抗氧化剂(谷胱甘肽、维生素E、直接胆红素和总胆红素);测定血清中脂质损伤(丙二醛(MDA))、生化指标(肝酶(ALT、AST和ALP))、葡萄糖、白蛋白和脂质谱。NAFLD合并DM和肥胖成人除HDL外,血糖、BMI、ALT、AST、ALP、t、CHOL、LDL、TG、VLDL、SOD、CAT水平均升高。它呈下降趋势。与对照组相比维生素E和白蛋白水平有所下降。我们的研究结果表明,血清酶促抗氧化、非酶促抗氧化、血脂异常和肝功能障碍以及维生素E降低与NAFLD合并糖尿病和肥胖成人状态密切且独立相关。
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The Relation of Biomarkers in Serum Non-Alcohol Fatty Liver Disease with Diabetes Mellitus Type 2 and NAFLD Obese among Adults in Basrah Governorate
Non-alcoholic fatty liver disease (NAFLD) is the term for a range of conditions caused by a build-up of fat in the liver. The goal of the study was to determine the link between lipid damage (MDA), enzymatic and non-enzymatic antioxidants, and various biochemical indicators in patients with NAFLD who had diabetes and obese adults. This study included comparison 100 patients and healthy control group, aged 18 to 75 years while BMI range from 15.9 to 50.9 Kg/m2. Enzymatic antioxidants (superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx)); non-enzymatic antioxidants (GSH, vit E and direct and total bilirubin); lipid damage (malondialdehyde (MDA)), and biochemical markers ( liver enzyme ( ALT, AST & ALP), glucose, Albumin and lipid profile in the serum samples were measured . The  NAFLD with DM and obese adult showed  increasing of glucose, BMI, ALT, AST, ALP, T. CHOL, LDL, TG, VLDL, SOD and  CAT levels  excepted HDL. It showed a decreasing. Whereas decrease of Vitamin E and ALB levels compared to control group. Our findings show that the serum enzymatic anti-oxidant ,  non-enzymatic anti-oxidant, dyslipidemia and liver disfunction and vitamin E decrease are tightly and independently related to NAFLD with diabetes and obese adult status.
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