Dataset Information

Prediction of non-alcoholic fatty-liver disease and liver fat content by serum molecular lipids.

ABSTRACT:

Aims/hypothesis

We examined whether analysis of lipids by ultra-performance liquid chromatography (UPLC) coupled to MS allows the development of a laboratory test for non-alcoholic fatty-liver disease (NAFLD), and how a lipid-profile biomarker compares with the prediction of NAFLD and liver-fat content based on routinely available clinical and laboratory data.

Methods

We analysed the concentrations of molecular lipids by UPLC-MS in blood samples of 679 well-characterised individuals in whom liver-fat content was measured using proton magnetic resonance spectroscopy ((1)H-MRS) or liver biopsy. The participants were divided into biomarker-discovery (n = 287) and validation (n = 392) groups to build and validate the diagnostic models, respectively.

Results

Individuals with NAFLD had increased triacylglycerols with low carbon number and double-bond content while lysophosphatidylcholines and ether phospholipids were diminished in those with NAFLD. A serum-lipid signature comprising three molecular lipids ('lipid triplet') was developed to estimate the percentage of liver fat. It had a sensitivity of 69.1% and specificity of 73.8% when applied for diagnosis of NAFLD in the validation series. The usefulness of the lipid triplet was demonstrated in a weight-loss intervention study.

Conclusions/interpretation

The liver-fat-biomarker signature based on molecular lipids may provide a non-invasive tool to diagnose NAFLD, in addition to highlighting lipid molecular pathways involved in the disease.

SUBMITTER: Oresic M

PROVIDER: S-EPMC3764317 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature

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Publications

Prediction of non-alcoholic fatty-liver disease and liver fat content by serum molecular lipids.

Orešič Matej M Hyötyläinen Tuulia T Kotronen Anna A Gopalacharyulu Peddinti P Nygren Heli H Arola Johanna J Castillo Sandra S Mattila Ismo I Hakkarainen Antti A Borra Ronald J H RJ Honka Miikka-Juhani MJ Verrijken An A Francque Sven S Iozzo Patricia P Leivonen Marja M Jaser Nabil N Juuti Anne A Sørensen Thorkild I A TI Nuutila Pirjo P Van Gaal Luc L Yki-Järvinen Hannele H

Diabetologia 20130704 10

<h4>Aims/hypothesis</h4>We examined whether analysis of lipids by ultra-performance liquid chromatography (UPLC) coupled to MS allows the development of a laboratory test for non-alcoholic fatty-liver disease (NAFLD), and how a lipid-profile biomarker compares with the prediction of NAFLD and liver-fat content based on routinely available clinical and laboratory data.<h4>Methods</h4>We analysed the concentrations of molecular lipids by UPLC-MS in blood samples of 679 well-characterised individua ...[more]

PMID: 23824212

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Project description:IntroductionNon-alcoholic fatty liver disease (NAFLD) is a multifactorial disease. As a clinical empirical prescription of traditional Chinese medicine, Qushi Huayu decoction (QHD) has attracted considerable attention for its advantages in multi-target treatment of NAFLD. However, the intervention mechanism of QHD on abnormal lipid levels and gut microbiota in NAFLD has not been reported.MethodsTherefore, we verified the therapeutic effect of QHD on high-fat diet (HFD)-induced NAFLD in rats by physiological parameters and histopathological examination. In addition, studies on gut microbiota and serum lipidomics based on 16S rRNA sequencing and ultra-high performance liquid chromatography-mass spectrometry (UPLC-MS) were conducted to elucidate the therapeutic mechanism of NAFLD in QHD.ResultsThe changes in gut microbiota in NAFLD rats are mainly reflected in their diversity and composition, while QHD treated rats restored these changes. The genera Blautia, Lactobacillus, Allobaculum, Lachnoclostridium and Bacteroides were predominant in the NAFLD group, whereas, Turicibacter, Blautia, Sporosarcina, Romboutsia, Clostridium_sensu_stricto_1, Allobaculum, and Psychrobacter were predominant in the NAFLD+QHD group. Lipid subclasses, including diacylglycerol (DG), triglycerides (TG), phosphatidylethanolamine (PE), phosphatidylcholine (PC), phosphatidic acid (PA), phosphatidylserine (PS), lysophosphatidylinositol (LPI), and phosphatidylglycerol (PG), were significantly different between the NAFLD and the control groups, while QHD treatment significantly altered the levels of DG, TG, PA, lysophosphatidylcholine (LPC), lysophosphatidylethanolamine (LPE), and platelet activating factor (PAF). Finally, Spearman's correlation analysis showed that NAFLD related differential lipid molecules were mainly associated with the genera of Bacteroides, Blautia, Lachnoclostridium, Clostridium_sensu_stricto_1, and Turicibacter, which were also significantly correlated with the biological parameters of NAFLD.DiscussionTaken together, QHD may exert beneficial effects by regulating the gut microbiota and thus intervening in serum lipids.

Dataset Information

Prediction of non-alcoholic fatty-liver disease and liver fat content by serum molecular lipids.

Aims/hypothesis

Methods

Results

Conclusions/interpretation

Publications

Prediction of non-alcoholic fatty-liver disease and liver fat content by serum molecular lipids.

Similar Datasets

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