Hakki Yilmaz1, Kadir Serkan Yalcin2, Mehmet Namuslu3, Huseyin Tugrul Celik3, Meral Sozen4, Osman Inan5, Isılay Nadir4, Cansel Turkay4, Ali Akcay6, Ali Kosar2. 1. Dr. A. Y. Ankara Oncology Training and Research Hospital, Department of Internal Medicine, Section of Nephrology, Yenimahalle, Ankara, Turkey drhakkiyilmaz@yahoo.com. 2. Turgut Ozal University, School of Medicine, Department of Internal Medicine, Ankara, Turkey. 3. Turgut Ozal University, School of Medicine, Department of Biochemistry, Beştepe, Ankara, Turkey. 4. Turgut Ozal University, School of Medicine, Department of Gastroenterology, Beştepe, Ankara, Turkey. 5. Yenimahelle Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey. 6. Turgut Ozal University, School of Medicine, Department of Internal Medicine, Section of Nephrology, Ankara, Turkey.
Abstract
BACKGROUND-AIM: Non-alcoholic fatty liver disease (NAFLD) is a major cause of chronic liver disease worldwide. The aims of this study were to assess Neutrophil-Lymphocyte Ratio (NLR) and C-reactive protein (CRP), and their association with liver histology in patients with non-alcoholic steatohepatitis (NASH), chronic hepatitis B (HBV), and hepatitis C (HCV). MATERIAL- METHODS: We studied 38 consecutive patients with biopsy-proven NASH, 19 patients with HCV, 45 patients with HBV, and 35 healthy controls who were similar for age and gender. The stage of fibrosis was measured using a 6-point scale. RESULTS: NLR was significantly higher in NASH patients compared to controls, HBV, and HCV patients (p<0.001, p<0.001, and p<0.001, respectively). NLR was positively associated with NAFLD activity scores (r=0.861, p<0.001). NLR was associated with hepatocyte ballooning degeneration (r=0.426, p=0.024), lobular inflammation(r=0.694, p<0.001), steatosis(r=0.498, p=0.007), and fibrosis stage(r=0.892, p<0.001) in NASH patients. Univariate and multivariate analyses showed that NLR was significantly associated with liver fibrosis and NAS (β=0.631, p<0.001 for liver fibrosis; β=0.753, p<0.001 for NAS in the multivariate model); however, CRP had no association with liver fibrosis and NAS CONCLUSION: NLR is a promising and inexpensive inflammation marker that correlates with histological grade and fibrosis stage in NASH patients.
BACKGROUND-AIM: Non-alcoholic fatty liver disease (NAFLD) is a major cause of chronic liver disease worldwide. The aims of this study were to assess Neutrophil-Lymphocyte Ratio (NLR) and C-reactive protein (CRP), and their association with liver histology in patients with non-alcoholic steatohepatitis (NASH), chronic hepatitis B (HBV), and hepatitis C (HCV). MATERIAL- METHODS: We studied 38 consecutive patients with biopsy-proven NASH, 19 patients with HCV, 45 patients with HBV, and 35 healthy controls who were similar for age and gender. The stage of fibrosis was measured using a 6-point scale. RESULTS: NLR was significantly higher in NASH patients compared to controls, HBV, and HCV patients (p<0.001, p<0.001, and p<0.001, respectively). NLR was positively associated with NAFLD activity scores (r=0.861, p<0.001). NLR was associated with hepatocyte ballooning degeneration (r=0.426, p=0.024), lobular inflammation(r=0.694, p<0.001), steatosis(r=0.498, p=0.007), and fibrosis stage(r=0.892, p<0.001) in NASH patients. Univariate and multivariate analyses showed that NLR was significantly associated with liver fibrosis and NAS (β=0.631, p<0.001 for liver fibrosis; β=0.753, p<0.001 for NAS in the multivariate model); however, CRP had no association with liver fibrosis and NAS CONCLUSION: NLR is a promising and inexpensive inflammation marker that correlates with histological grade and fibrosis stage in NASH patients.
Authors: Andrea Sonaglioni; Federica Cerini; Antonio Cerrone; Lorenzo Argiento; Gian Luigi Nicolosi; Elisabetta Rigamonti; Michele Lombardo; Maria Grazia Rumi; Mauro Viganò Journal: Intern Emerg Med Date: 2022-03-17 Impact factor: 5.472
Authors: Marwa K Ibrahim; Ghada Maher Salum; Noha G Bader El Din; Reham M Dawood; Ahmed Barakat; Ahmed Khairy; Mostafa K El Awady Journal: PLoS One Date: 2016-05-02 Impact factor: 3.240