Altered retinol binding protein‐4 (RBP‐4) mRNA in obesity is associated with the susceptibility and progression of Nonalcoholic fatty liver disease (NAFLD) | ||||
| Zagazig University Medical Journal | ||||
| Article 40, Volume 30, Issue 9.1, December 2024, Page 5140-5151 PDF (1.1 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2024.338612.3697 | ||||
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| Authors | ||||
Nearmeen Rashad   1; Dalia Gameil2; Maha Mahmoud Hamed Sakr3; Sherweet Ahmed4; Lamiaa G Mohammad5; Amira M. Elsayed6; George Emad Shaker7
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| 1Diabetes and Endocrine Unit -Internal Medicin Departement -Zagazig University | ||||
| 2Department of Pediatrics, Faculty of Medicine, Zagazig University, Egypt | ||||
| 3Clinical Pathology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt | ||||
| 4Liver, gastrointestinal, and infectious diseases Department Faculty of Medicine, Zagazig University | ||||
| 55Physiology Department, Faculty of Medicine, Zagazig University | ||||
| 6internal Medicine Department, Faculty of Medicine, Benha University, Beha, Egypt. | ||||
| 7Internal Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt. | ||||
| Abstract | ||||
| Background Nonalcoholic fatty liver disease (NAFLD) is a rapidly progressive disease and nowadays is the main cause of chronic liver disease in children and adults. This study aimed to investigate serum and mRNA levels of retinol-binding protein‐4 (RBP‐4) in obese Egyptian children vs adults and to assess its correlation with susceptibility and progression of NAFLD. Methods: The study comprised 50 obese patients (25 adults and 25 children) and 50 healthy controls. All participants were subjected to full clinical, anthropometric, and biochemical assessment. . liver steatosis was assessed by the controlled attenuation parameter component. Fatty liver indexes and hepatic steatosis index were calculated. RBP‐4 mRNA and serum levels were tested. Results: Our results revealed significantly higher values of serum RBP-4 and its mRNA levels in obese groups compared to control groups. In obese pediatric patients, the serum RBP‐4 and its mRNA levels were elevated in the NAFLD patients (75.1±4.8 and 6.2±4.5, respectively) in comparison to the non-NAFLD group (56.2±1.9, and 4.6±0.14, respectively), P <0 .001. Additionally, in the obese adult group, the serum RBP‐4 and its mRNA values were significantly higher in the NAFLD obese group (75.5±3.5 and 6.3±3.7, respectively) in comparison to the non-NAFLD group (56.5±15.4, and 4.2±0.13, respectively). Obesity indices and hepatic and metabolic dysfunction parameters were significantly positively correlated with serum RBP‐4 and its mRNA values in obese groups. Conclusion: RBP-4 mRNA and serum levels are higher in obese patients compared to controls, particularly in NAFLD patients. RBP-4 mRNA and serum RBP-4 could be non-invasive biomarkers of NAFLD. | ||||
| Keywords | ||||
| non-alcoholic fatty liver disease; fatty liver indexes; obesity; retinol binding protein‐4; controlled attenuation parameter | ||||
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