Biochemical screen correction possibilities in patients with non-alcoholic fatty liver disease with diabetes mellitus
The rationale for this study is the controversial data regarding the efficacy of hepatoprotectors and antioxidants for lipid profile correction in non-alcoholic fatty liver disease, the prevalence of which is increasing especially in association with diabetes mellitus. We examined 100 non-alcoholic...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Oles Honchar Dnipro National University
2018-08-01
|
| Series: | Regulatory Mechanisms in Biosystems |
| Subjects: | |
| Online Access: | https://medicine.dp.ua/index.php/med/article/view/460 |
| _version_ | 1811193922424143872 |
|---|---|
| author | S. V. Feisa M. V. Rostoka-Reznikova M. I. Tovt-Korshynska L. T. Siksai |
| author_facet | S. V. Feisa M. V. Rostoka-Reznikova M. I. Tovt-Korshynska L. T. Siksai |
| author_sort | S. V. Feisa |
| collection | DOAJ |
| description | The rationale for this study is the controversial data regarding the efficacy of hepatoprotectors and antioxidants for lipid profile correction in non-alcoholic fatty liver disease, the prevalence of which is increasing especially in association with diabetes mellitus. We examined 100 non-alcoholic fatty liver disease patients (40–75 years old) with concomitant type 2 diabetes mellitus (n = 73) or without it (n = 27), the groups were standardized by age and gender. In patients with non-alcoholic fatty liver disease with diabetes mellitus we revealed significantly higher rates of total cholesterol, triglycerides and atherogenic factor in association with a significantly lower high-density lipoproteins level versus the group of patients without concomitant diabetes. We recommended the modification of lifestyle as basic management of their condition to all patients, hypoglycemic therapy with metformin to persons with concomitant diabetes mellitus and rosuvastatin to patients with non-alcoholic fatty liver disease without diabetes. In addition, 25 patients received essential phospholipids (2 caps. 3 times a day) and omega-3 polyunsaturated fatty acids (1000 mg per day) for 3 months; 26 patients – α-lipoic acid (600 mg daily) for 3 months, 22 patients received rosuvastatin (10 mg daily), 27 patients with non-alcoholic fatty liver disease without diabetes mellitus received rosuvastatin (10 mg daily). We evaluated the treatment efficiency after 3 months treatment, and the remote consequences – 12 months after the start of combined treatment. After 3 months, the alanine-aminotransferase rate had decreased by 15.1% in the group taking combined essential phospholipids and ω3-polyunsaturated fatty acids and by 12.9% in the group taking alpha-lipoic acid, which was significantly larger than in the rosuvastatin group (7.5%); gamma-glutamate transpeptidase level decreased by 16.7%, 18.7% and 9.4% respectively indicating anticholestatic and hepatoprotective effect of both proposed treatment combinations. The same tendency of cytolysis and cholestasis processes inhibition was observed after 12 months as well. In conclusion, the combination of standard treatment with antioxidant and hepatoprotective agents (omega-3 polyunsaturated fatty acids with essential phospholipids or only alpha-lipoic acid) promotes both cytolysis and cholestasis syndromes inhibition in non-alcoholic fatty liver disease patients with concomitant type 2 diabetes mellitus. |
| first_indexed | 2024-04-12T00:17:34Z |
| format | Article |
| id | doaj.art-00104606c44b407c8eae0c7a355be1fd |
| institution | Directory Open Access Journal |
| issn | 2519-8521 2520-2588 |
| language | English |
| last_indexed | 2024-04-12T00:17:34Z |
| publishDate | 2018-08-01 |
| publisher | Oles Honchar Dnipro National University |
| record_format | Article |
| series | Regulatory Mechanisms in Biosystems |
| spelling | doaj.art-00104606c44b407c8eae0c7a355be1fd2022-12-22T03:55:48ZengOles Honchar Dnipro National UniversityRegulatory Mechanisms in Biosystems2519-85212520-25882018-08-019338439010.15421/021857460Biochemical screen correction possibilities in patients with non-alcoholic fatty liver disease with diabetes mellitusS. V. Feisa0M. V. Rostoka-Reznikova1M. I. Tovt-Korshynska2L. T. Siksai3Uzhhorod National UniversityUzhhorod National UniversityUzhhorod National UniversityUzhhorod National UniversityThe rationale for this study is the controversial data regarding the efficacy of hepatoprotectors and antioxidants for lipid profile correction in non-alcoholic fatty liver disease, the prevalence of which is increasing especially in association with diabetes mellitus. We examined 100 non-alcoholic fatty liver disease patients (40–75 years old) with concomitant type 2 diabetes mellitus (n = 73) or without it (n = 27), the groups were standardized by age and gender. In patients with non-alcoholic fatty liver disease with diabetes mellitus we revealed significantly higher rates of total cholesterol, triglycerides and atherogenic factor in association with a significantly lower high-density lipoproteins level versus the group of patients without concomitant diabetes. We recommended the modification of lifestyle as basic management of their condition to all patients, hypoglycemic therapy with metformin to persons with concomitant diabetes mellitus and rosuvastatin to patients with non-alcoholic fatty liver disease without diabetes. In addition, 25 patients received essential phospholipids (2 caps. 3 times a day) and omega-3 polyunsaturated fatty acids (1000 mg per day) for 3 months; 26 patients – α-lipoic acid (600 mg daily) for 3 months, 22 patients received rosuvastatin (10 mg daily), 27 patients with non-alcoholic fatty liver disease without diabetes mellitus received rosuvastatin (10 mg daily). We evaluated the treatment efficiency after 3 months treatment, and the remote consequences – 12 months after the start of combined treatment. After 3 months, the alanine-aminotransferase rate had decreased by 15.1% in the group taking combined essential phospholipids and ω3-polyunsaturated fatty acids and by 12.9% in the group taking alpha-lipoic acid, which was significantly larger than in the rosuvastatin group (7.5%); gamma-glutamate transpeptidase level decreased by 16.7%, 18.7% and 9.4% respectively indicating anticholestatic and hepatoprotective effect of both proposed treatment combinations. The same tendency of cytolysis and cholestasis processes inhibition was observed after 12 months as well. In conclusion, the combination of standard treatment with antioxidant and hepatoprotective agents (omega-3 polyunsaturated fatty acids with essential phospholipids or only alpha-lipoic acid) promotes both cytolysis and cholestasis syndromes inhibition in non-alcoholic fatty liver disease patients with concomitant type 2 diabetes mellitus.https://medicine.dp.ua/index.php/med/article/view/460type 2 diabetes mellitus; dyslipidemia; hepatoprotectors; essential phospholipids; omega-3 polyunsaturated fatty acids; alpha-lipoic acid |
| spellingShingle | S. V. Feisa M. V. Rostoka-Reznikova M. I. Tovt-Korshynska L. T. Siksai Biochemical screen correction possibilities in patients with non-alcoholic fatty liver disease with diabetes mellitus Regulatory Mechanisms in Biosystems type 2 diabetes mellitus; dyslipidemia; hepatoprotectors; essential phospholipids; omega-3 polyunsaturated fatty acids; alpha-lipoic acid |
| title | Biochemical screen correction possibilities in patients with non-alcoholic fatty liver disease with diabetes mellitus |
| title_full | Biochemical screen correction possibilities in patients with non-alcoholic fatty liver disease with diabetes mellitus |
| title_fullStr | Biochemical screen correction possibilities in patients with non-alcoholic fatty liver disease with diabetes mellitus |
| title_full_unstemmed | Biochemical screen correction possibilities in patients with non-alcoholic fatty liver disease with diabetes mellitus |
| title_short | Biochemical screen correction possibilities in patients with non-alcoholic fatty liver disease with diabetes mellitus |
| title_sort | biochemical screen correction possibilities in patients with non alcoholic fatty liver disease with diabetes mellitus |
| topic | type 2 diabetes mellitus; dyslipidemia; hepatoprotectors; essential phospholipids; omega-3 polyunsaturated fatty acids; alpha-lipoic acid |
| url | https://medicine.dp.ua/index.php/med/article/view/460 |
| work_keys_str_mv | AT svfeisa biochemicalscreencorrectionpossibilitiesinpatientswithnonalcoholicfattyliverdiseasewithdiabetesmellitus AT mvrostokareznikova biochemicalscreencorrectionpossibilitiesinpatientswithnonalcoholicfattyliverdiseasewithdiabetesmellitus AT mitovtkorshynska biochemicalscreencorrectionpossibilitiesinpatientswithnonalcoholicfattyliverdiseasewithdiabetesmellitus AT ltsiksai biochemicalscreencorrectionpossibilitiesinpatientswithnonalcoholicfattyliverdiseasewithdiabetesmellitus |