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论文摘要

肥胖及超重人群中血清Wnt5a水平与肝脏脂肪变和纤维化 程度的相关性研究

作者:梁利波, 王霞, 何訸等

Author:LIANG Li-bo, WANG Xia, HE He. et al

收稿日期:          年卷(期)页码:2017,48(1):7-11

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:肥胖 Wnt5a 肝脂肪变性 肝纤维化

Key words:Obesity Wnt5a Liver steatosis Liver fibrosis

基金项目:

中文摘要

目的 探讨肥胖及超重人群中血清Wnt5a水平与肝脏脂肪变及纤维化程度的相关性。方法 134例在我院体检中心参加体检并在内分泌代谢科就诊,同时完成了瞬时弹性扫描仪(Fibroscan)检查的肥胖或超重患者,根据Fibroscan检测结果〔肝脏实时受控衰减参数(controlled attenuation parameter, CAP)评估肝脏脂肪变性程度,瞬时肝脏弹性测量值(elasticity,E)评估纤维化程度〕分为正常对照组(27例)、轻度非酒精性脂肪肝(non-alcoholic fatty liver disease, NAFLD)组(51例)和中重度NAFLD组(56例)。同时测量腰围(waist circumstance, WC)、臀围(hip circumstance, HC),进行糖耐量试验和胰岛功能试验,检测血清转氨酶、血脂等,并采用酶联免疫吸附法(ELISA)测定血清Wnt5a和β-连环蛋白(β-catenin)水平。结果 对照组、轻度NAFLD组和中重度NAFLD组3组间年龄、性别、体质量指数(BMI)、WC、HC差异均无统计学意义( P>0.05)。3组间空腹及餐后2 h血糖、空腹胰岛素水平和胰岛素抵抗指数差异有统计学意义( P P>0.05)。轻度NAFLD组与对照组的CAP值、E值、血清Wnt5a和β-catenin水平相当,差异均无统计学意义( P>0.05)。中重度NAFLD组CAP值、E值和血清Wnt5a均高于对照组和轻度NAFLD组,差异有统计学意义( P r=-0.19, P r=0.02, P=0.241)。结论 血清Wnt5a水平与NAFLD有关,在肥胖或超重合并NAFLD的发病不同阶段可能起着不同的病理生理作用。

英文摘要

Objective To determine serum Wnt5a and its associations with liver steatosis and fibrosis in overweight and obese people. Methods The study participants were recruited from those who visited our hospital for health examinations. They were divided into three groups according to body mass index (BMI), controlled attenuation parameter (CAP)values and elasticity (E) values of liver fibroscan: Control ( n=27), Mild NAFLD (non-alcoholic fatty liver disease, n=51) and Moderate/severe NAFLD ( n=56). The waist circumference (WC), hip circumference (HC), oral glucose tolerance test (OGTT), insulin releasing test (IRT), liver function, blood lipid, serum Wnt5a and β-catenin of those participants were measured. Results The three groups of participants had no significant differences in age, gender, BMI, WC or HC ( P>0.05). Significant differences appeared in fasting glucose, 2 h postprandial glucose and fasting insulin level between the three groups ( P P>0.05).The participants with NAFLD had higher levels of serum Wnt5a and β-catenin than controls ( P r=-0.19, P r=0.02, P=0.241). Conclusion Wnt5a may play a role at different stages of NAFLD in overweight/obese people.

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