Publication
Title
C-reactive protein levels in relation to various features of non-alcoholic fatty liver disease among obese patients
Author
Abstract
Background & Aims Non-alcoholic fatty liver disease (NAFLD) is a major hepatic consequence of obesity. It has been suggested that the high sensitivity C-reactive protein (hs-CRP) is an obesity-independent surrogate marker of severity of NAFLD, especially development of non-alcoholic steato-hepatitis (NASH), but this remains controversial. We aimed to investigate whether associations between various features of NAFLD and hs-CRP are independent of body mass index (BMI) in its broad range among obese patients. Methods A total of 627 obese adults (80% females), representing three cohorts from France and Belgium, had information on liver histology obtained from liver biopsies and measures of hs-CRP and BMI. We investigated whether the different features of NAFLD and BMI were associated with hs-CRP, with and without mutual adjustments using linear regression. Results BMI and hs-CRP were strongly associated. Per every 10% increase in BMI the hs-CRP level increased by 1920% (p <0.001), and adjustment for NAFLD-stage (including no-NAFLD) did not influence the association. We found no BMI-independent association between NASH and hs-CRP. However, a positive association between degree of steatosis and hs-CRP was observed (p <0.05) and this effect remained significant after adjusting for BMI, lobular inflammation, hepatocyte ballooning, and fibrosis. We found no significant associations between the other features of NAFLD and hs-CRP. Conclusions This study indicates that it is the accumulation of fat both in the adipose tissue and in liver steatosis that leads to increased hs-CRP levels among obese patients. Thus, hs-CRP may be a marker of steatosis, but not of severity of NAFLD, in obese patients.
Language
English
Source (journal)
Journal of hepatology. - Amsterdam
Publication
Amsterdam : 2011
ISSN
0168-8278
Volume/pages
55:3(2011), p. 660-665
ISI
000293930600022
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
[E?say:metaLocaldata.cgzprojectinf]
FLIP: Fatty liver: Inhibition of Progression
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 23.11.2011
Last edited 07.09.2017
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