Chemerin As A Non-Invasive Serum Marker for Non-Alcoholic Fatty Liver Disease | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 24, Volume 84, Issue 1, July 2021, Page 1786-1790 PDF (340.29 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhm.2021.177253 | ||||
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Authors | ||||
Ghada Mohamed 1; Mohamed M Salama2; Essam Byoumy2; Azza Mohamed2; Wesam Ibrahim2; Ahmed El-shafie2; Mohamed Abdallah2 | ||||
1Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||||
2Ghada Abdelrahman Mohamed, Gastroenterology and Hepatology Unit, Department of Internal Medicine, Faculty of Medicine, Ain Shams University, Cairo | ||||
Abstract | ||||
Background: Attempts have been made to recognize noninvasive markers for the identification of non-alcoholic fatty liver disease (NAFLD). Chemerin is a newly defined adipokine linked to insulin resistance and adipogenesis. Objective: This study intended to evaluate the diagnostic ability of serum chemerin compared with NAFLD fibrosis score as a noninvasive marker for the diagnosis and grading of NAFLD. Patients and methods: We enrolled 60 NAFLD patients and categorized them into 3 subgroups based on the fatty liver grade by ultrasound. Thirty healthy participants were recruited as a control group. ELISA method was used for serum chemerin levels measurement. Results: Serum chemerin levels were significantly higher in NAFLD cases than controls (p ≤ 0.001). Furthermore, these levels were positively correlated with the fatty liver grade (p ≤ 0.001). Serum chemerin was comparable to NAFLD fibrosis score as regards NAFLD diagnosis (p ≤ 0.001). Patients within the gray zone of NAFLD fibrosis score had a significantly higher serum chemerin levels in comparison to patients under the gray zone (p ≤ 0.001). Conclusion: Serum chemerin is a promising marker for diagnosing and grading of NAFLD. More research is required to determine its definitive clinical benefit in patients with NAFLD. | ||||
Keywords | ||||
Non-alcoholic fatty liver disease; Chemerin; Adipokines; Obesity; NAFLD fibrosis score | ||||
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