J Gastroenterol:慢性肝病血浆游离氨基酸的分析及血清白蛋白与血浆支链氨基酸的关系:单中心回顾性研究

2018-01-31 MedSci MedSci原创

支链氨基酸的水平在慢性肝病进展过程中有所下降,在CHC、PBC和NAFLD/NASH等患者中,总支链氨基酸水平与血浆白蛋白s水平独立相关。PBC患者,支链氨基酸和BTR之间的相关性最强。NASH患者尽管血浆白蛋白处于正常水平,支链氨基酸的水平也总是降低的。

目前,研究并不清楚,血浆游离氨基酸(PFAAs)的失衡是如何发生的,以及在慢性肝病(CLDs)进展过程中,血浆游离氨基酸(PFAAs)失衡是如何显示与血清白蛋白(sAlb)水平的关系的。本研究的目的是阐明PFAAs的概况,以及近年来在进展期CLDs患者中血浆白蛋白和PFAAs的关系。

本研究为一项回顾性研究。该研究回顾性地评估了1569个PFAAs,这些数据来自于908位不同的慢性肝病患者(CHC, CHB,酒精,NAFLD/NASH, PBC, AIH, PSC,和病因不明的肝病)。最后,共计共纳入1140个PFAAs数据。

在慢性肝病进展过程中,研究发生每一位慢性肝病患者均存在氨基酸失衡。单变量和多变量分析显示,在慢性丙型肝炎病毒(CHC)、NAFLD/NASH和PBC的患者中,血浆支链氨基酸(pBCAAs)水平与CP评分(尤其是血浆白蛋白评分)显著相关。在这些患者中,血浆白蛋白与支链氨基酸/酪氨酸比值(BTR)的相关系数分别为0.53、0.53和0.79。有趣的是,甚至当血浆白蛋白处于正常水平,NAFLD/NASH患者血浆支链氨基酸水平仍然发生改变;当血浆白蛋白水平低于正常范围时,支链氨基酸水平趋向更低。

支链氨基酸的水平在慢性肝病进展过程中有所下降,在CHC、PBC和NAFLD/NASH等患者中,总支链氨基酸水平与血浆白蛋白s水平独立相关。PBC患者,支链氨基酸和BTR之间的相关性最强。NASH患者尽管血浆白蛋白处于正常水平,支链氨基酸的水平也总是降低的。

原始出处

Sano A, Kakazu E, Morosawa T, et al. The profiling of plasma free amino acids and the relationship between serum albumin and plasma-branched chain amino acids in chronic liver disease: a single-center retrospective study. J Gastroenterol, 2018, Jan 27. doi: 10.1007/s00535-018-1435-5.

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    2018-10-07 许安
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    2018-02-02 珙桐
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