BACKGROUND: Innate immune system participates actively into inflammatory processes, with immune cells and liver secreting a number of immune peptides. Among them, both soluble CD14 receptor (sCD14) and human neutrophil alpha-defensins (HNDs) may represent serum markers of necro-inflammation in obese patients with non-alcoholic fatty liver disease. METHODS: To verify this hypothesis, we investigated changes in circulating levels of sCD14 and HNDs in 11 severely obese young women following surgery-induced weight loss (bilio-pancreatic diversion). Patients were evaluated before surgery and 2 years later, with NAS score evaluated on liver biopsies and whole body glucose uptake (M value) by euglycemic hyperinsulinemic clamp. RESULTS: NAS score improved in nine patients [median NAS score in the whole sample, 6 (5-6) vs. 3 (3-4), p = 0.016]. Serum concentrations of HNDs decreased significantly in all (p = 0.016), whilst sCD14 increased only in the nine women who showed the amelioration of the NAS score [2.4 (1.7-2.6) vs. 2.6 (2.3-3.3) μg/ml, p = 0.001]. NAS score and HNDs correlated significantly both before (r(o) = 0.671, p = 0.02) and after weight loss (r(o) = 0.683, p = 0.029), NAS score and sCD14 only before surgery (r(o) = 0.605, p = 0.04). The M value increased in all patients [2.67 (1.99-3.01) vs. 6.89 (6.35-7.32) mg kg (FFM)(-1)min(-1); p = 0.01], but independently of NAS score changes. CONCLUSIONS: Changes in levels of HNDs and sCD14 accompany those in hepatic necro-inflammation due to surgical-induced weight loss. Further studies are needed to verify any causative role of these peptides in non-alcoholic steatohepatitis.
BACKGROUND: Innate immune system participates actively into inflammatory processes, with immune cells and liver secreting a number of immune peptides. Among them, both soluble CD14 receptor (sCD14) and human neutrophil alpha-defensins (HNDs) may represent serum markers of necro-inflammation in obesepatients with non-alcoholic fatty liver disease. METHODS: To verify this hypothesis, we investigated changes in circulating levels of sCD14 and HNDs in 11 severely obese young women following surgery-induced weight loss (bilio-pancreatic diversion). Patients were evaluated before surgery and 2 years later, with NAS score evaluated on liver biopsies and whole body glucose uptake (M value) by euglycemic hyperinsulinemic clamp. RESULTS: NAS score improved in nine patients [median NAS score in the whole sample, 6 (5-6) vs. 3 (3-4), p = 0.016]. Serum concentrations of HNDs decreased significantly in all (p = 0.016), whilst sCD14 increased only in the nine women who showed the amelioration of the NAS score [2.4 (1.7-2.6) vs. 2.6 (2.3-3.3) μg/ml, p = 0.001]. NAS score and HNDs correlated significantly both before (r(o) = 0.671, p = 0.02) and after weight loss (r(o) = 0.683, p = 0.029), NAS score and sCD14 only before surgery (r(o) = 0.605, p = 0.04). The M value increased in all patients [2.67 (1.99-3.01) vs. 6.89 (6.35-7.32) mg kg (FFM)(-1)min(-1); p = 0.01], but independently of NAS score changes. CONCLUSIONS: Changes in levels of HNDs and sCD14 accompany those in hepatic necro-inflammation due to surgical-induced weight loss. Further studies are needed to verify any causative role of these peptides in non-alcoholic steatohepatitis.
Authors: S B Heymsfield; S Lichtman; R N Baumgartner; J Wang; Y Kamen; A Aliprantis; R N Pierson Journal: Am J Clin Nutr Date: 1990-07 Impact factor: 7.045
Authors: Fredrik Bäckhed; Hao Ding; Ting Wang; Lora V Hooper; Gou Young Koh; Andras Nagy; Clay F Semenkovich; Jeffrey I Gordon Journal: Proc Natl Acad Sci U S A Date: 2004-10-25 Impact factor: 11.205
Authors: Samuel Klein; Bettina Mittendorfer; J Christopher Eagon; Bruce Patterson; Lafaine Grant; Nikki Feirt; Ekihiro Seki; David Brenner; Kevin Korenblat; Jennifer McCrea Journal: Gastroenterology Date: 2006-05 Impact factor: 22.682
Authors: Siobhan F Clarke; Eileen F Murphy; Kanishka Nilaweera; Paul R Ross; Fergus Shanahan; Paul W O'Toole; Paul D Cotter Journal: Gut Microbes Date: 2012-05-01
Authors: José Manuel Fernández-Real; Sofia Pérez del Pulgar; Elodie Luche; José Maria Moreno-Navarrete; Aurelie Waget; Matteo Serino; Eleonora Sorianello; Alex Sánchez-Pla; Francesc Carmona Pontaque; Joan Vendrell; Matilde R Chacón; Wifredo Ricart; Remy Burcelin; Antonio Zorzano Journal: Diabetes Date: 2011-06-23 Impact factor: 9.461
Authors: Quentin N Wilson; Magan Wells; Ashley T Davis; Christina Sherrill; Matthew C B Tsilimigras; Roshonda B Jones; Anthony A Fodor; Kylie Kavanagh Journal: Sci Rep Date: 2018-07-27 Impact factor: 4.379