SERUM IL-6 LEVELS CATEGORIZED BY BMI AND SERUM ALT IN INDIVIDUALS WITH NON-ALCOHOLIC FATTY LIVER DISEASE

Thị Thanh Thảo Đặng, Minh Hà Nguyễn, Hữu Ngọc Tuấn Nguyễn

Main Article Content

Abstract

Introduction: Elevated Interleukin-6 (IL-6) levels in patients with non-alcoholic fatty liver disease (NAFLD) may originate from hepatic inflammation, suggesting the potential of IL-6 as a biomarker to support the diagnosis of non-alcoholic hepatitis. Objectives: To determine serum IL-6 levels in individuals with NAFLD and compare the differences in serum IL-6 levels according to BMI groups and ALT levels in this population. Subjects and Methods: A cross-sectional study was conducted on 144 patients diagnosed with fatty liver through abdominal ultrasound at Nguyen Tri Phuong Hospital from March to June 2023. Serum IL-6 and ALT levels were measured at the hospital's laboratory. Data was analyzed using Stata 14.0 software. The Mann-Whitney and Kruskal-Wallis tests were used to assess differences with significance at p < 0.05, and Spearman correlation was used to evaluate the correlation. Results: The median serum IL-6 level in the study population was 51.08 pg/mL (30.82 – 87.17). There were no statistically significant differences in serum IL-6 levels according to BMI and ALT groups. There was a moderate and statistically significant positive correlation (r = 0.33, p = 0.012) between serum IL-6 levels and BMI in the obese NAFLD group. Conclusion: Serum IL-6 levels were determined in the study subjects. Preliminary findings indicated a correlation between serum IL-6 levels and BMI in the obese NAFLD group.

Article Details

References

1. Younossi ZM, Golabi P, Paik JM, et al. The global epidemiology of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH): a systematic review. Hepatology. Apr 1 2023;77(4): 1335-1347. doi:10.1097/hep. 0000000000000004
2. Calzadilla Bertot L, Adams LA. The Natural Course of Non-Alcoholic Fatty Liver Disease. Int J Mol Sci. May 20 2016;17(5)doi: 10.3390/ ijms17050774
3. Hoene M, Weigert C. The role of interleukin-6 in insulin resistance, body fat distribution and energy balance. Obes Rev. Jan 2008;9(1):20-9. doi:10.1111/j.1467-789X.2007.00410.x
4. Kwo PY, Cohen SM, Lim JK. ACG Clinical Guideline: Evaluation of Abnormal Liver Chemistries. Am J Gastroenterol. Jan 2017; 112(1):18-35. doi:10.1038/ajg.2016.517
5. Abdel-Razik A, Mousa N, Shabana W, et al. A novel model using mean platelet volume and neutrophil to lymphocyte ratio as a marker of nonalcoholic steatohepatitis in NAFLD patients: multicentric study. Eur J Gastroenterol Hepatol. Jan 2016; 28(1):e1-9. doi: 10.1097/meg. 0000000000000486
6. Jorge ASB, Andrade JMO, Paraíso AF, et al. Body mass index and the visceral adipose tissue expression of IL-6 and TNF-alpha are associated with the morphological severity of non-alcoholic fatty liver disease in individuals with class III obesity. Obes Res Clin Pract. Jan-Feb 2018;12 (Suppl 2):1-8. doi:10.1016/j.orcp. 2016.03.009
7. Asrih M, Jornayvaz FR. Inflammation as a potential link between nonalcoholic fatty liver disease and insulin resistance. J Endocrinol. Sep 2013;218(3):R25-36. doi:10.1530/joe-13-0201
8. Mohanty SR, Troy TN, Huo D, et al. Influence of ethnicity on histological differences in non-alcoholic fatty liver disease. J Hepatol. Apr 2009;50(4): 797-804. doi:10.1016/j.jhep. 2008.11.017
9. Browning JD, Szczepaniak LS, Dobbins R, et al. Prevalence of hepatic steatosis in an urban population in the United States: impact of ethnicity. Hepatology. Dec 2004;40(6):1387-95. doi:10.1002/hep.20466