Plasma concentrations of zonulin are elevated in obese men with fatty liver disease
A-Sol Kim,1,2 Hae-Jin Ko1,3 1Department of Family Medicine, School of Medicine, Kyungpook National University, Daegu, South Korea; 2Department of Family Medicine, Kyungpook National University Chilgok Hospital, Daegu, South Korea; 3Department of Family Medicine, Kyungpook National University Hospita...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2018-04-01
|
| Series: | Diabetes, Metabolic Syndrome and Obesity |
| Subjects: | |
| Online Access: | https://www.dovepress.com/plasma-concentrations-of-zonulin-are-elevated-in-obese-men-with-fatty--peer-reviewed-article-DMSO |
| _version_ | 1828045784046632960 |
|---|---|
| author | Kim AS Ko HJ |
| author_facet | Kim AS Ko HJ |
| author_sort | Kim AS |
| collection | DOAJ |
| description | A-Sol Kim,1,2 Hae-Jin Ko1,3 1Department of Family Medicine, School of Medicine, Kyungpook National University, Daegu, South Korea; 2Department of Family Medicine, Kyungpook National University Chilgok Hospital, Daegu, South Korea; 3Department of Family Medicine, Kyungpook National University Hospital, Daegu, South Korea Purpose: Zonulin is considered as a biomarker of increased intestinal permeability. The relationship between intestinal permeability and obesity is known, and many studies have investigated the relationship between intestinal permeability and liver disease. Thus, we aimed to investigate the potential association between plasma zonulin concentrations and fatty liver in obese men. Patients and methods: A total of 140 obese men without inflammatory bowel diseases, autoimmune diseases, and severe liver diseases were included. The subjects were divided into three groups: normal, mild fatty liver, and moderate-to-severe fatty liver, according to abdominal ultrasonography findings. We subdivided the subjects into two subgroups based on the amount of alcohol consumption (appropriate drinking and hazardous drinking), and subgroup analyses were performed. Results: The mean plasma zonulin concentrations (ng/mL) in the normal, mild fatty liver, and moderate-to-severe fatty liver groups were 0.618, 2.143, and 5.815, respectively (P<0.001). A multivariate multinomial logistic regression analysis revealed an odds ratio (OR) of 1.77 (P=0.015) in the moderate-to-severe fatty liver group. The median plasma zonulin concentrations (ng/mL) in the appropriate drinking subgroup of the fatty liver groups were 0.002, 0.500, and 6.550, respectively (P-trend<0.001), and in the hazardous drinking subgroup were 0.002, 0.590, and 5.800, respectively (P-trend=0.001). The ORs for moderate-to-severe fatty liver were 1.91 (P=0.039) in the appropriate drinking group and 1.56 (P=0.045) in the hazardous drinking group. Conclusion: Plasma zonulin concentrations were elevated among obese men. A significant association was found between zonulin concentrations and severity of fatty liver. Keywords: zonulin, intestinal permeability, fatty liver, obesity |
| first_indexed | 2024-04-10T18:16:35Z |
| format | Article |
| id | doaj.art-1e32a098f5124c2584e10b7810f7e847 |
| institution | Directory Open Access Journal |
| issn | 1178-7007 |
| language | English |
| last_indexed | 2024-04-10T18:16:35Z |
| publishDate | 2018-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Diabetes, Metabolic Syndrome and Obesity |
| spelling | doaj.art-1e32a098f5124c2584e10b7810f7e8472023-02-02T08:30:05ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072018-04-01Volume 1114915737913Plasma concentrations of zonulin are elevated in obese men with fatty liver diseaseKim ASKo HJA-Sol Kim,1,2 Hae-Jin Ko1,3 1Department of Family Medicine, School of Medicine, Kyungpook National University, Daegu, South Korea; 2Department of Family Medicine, Kyungpook National University Chilgok Hospital, Daegu, South Korea; 3Department of Family Medicine, Kyungpook National University Hospital, Daegu, South Korea Purpose: Zonulin is considered as a biomarker of increased intestinal permeability. The relationship between intestinal permeability and obesity is known, and many studies have investigated the relationship between intestinal permeability and liver disease. Thus, we aimed to investigate the potential association between plasma zonulin concentrations and fatty liver in obese men. Patients and methods: A total of 140 obese men without inflammatory bowel diseases, autoimmune diseases, and severe liver diseases were included. The subjects were divided into three groups: normal, mild fatty liver, and moderate-to-severe fatty liver, according to abdominal ultrasonography findings. We subdivided the subjects into two subgroups based on the amount of alcohol consumption (appropriate drinking and hazardous drinking), and subgroup analyses were performed. Results: The mean plasma zonulin concentrations (ng/mL) in the normal, mild fatty liver, and moderate-to-severe fatty liver groups were 0.618, 2.143, and 5.815, respectively (P<0.001). A multivariate multinomial logistic regression analysis revealed an odds ratio (OR) of 1.77 (P=0.015) in the moderate-to-severe fatty liver group. The median plasma zonulin concentrations (ng/mL) in the appropriate drinking subgroup of the fatty liver groups were 0.002, 0.500, and 6.550, respectively (P-trend<0.001), and in the hazardous drinking subgroup were 0.002, 0.590, and 5.800, respectively (P-trend=0.001). The ORs for moderate-to-severe fatty liver were 1.91 (P=0.039) in the appropriate drinking group and 1.56 (P=0.045) in the hazardous drinking group. Conclusion: Plasma zonulin concentrations were elevated among obese men. A significant association was found between zonulin concentrations and severity of fatty liver. Keywords: zonulin, intestinal permeability, fatty liver, obesityhttps://www.dovepress.com/plasma-concentrations-of-zonulin-are-elevated-in-obese-men-with-fatty--peer-reviewed-article-DMSOZonulinIntestinal permeabilityFatty liverObesity |
| spellingShingle | Kim AS Ko HJ Plasma concentrations of zonulin are elevated in obese men with fatty liver disease Diabetes, Metabolic Syndrome and Obesity Zonulin Intestinal permeability Fatty liver Obesity |
| title | Plasma concentrations of zonulin are elevated in obese men with fatty liver disease |
| title_full | Plasma concentrations of zonulin are elevated in obese men with fatty liver disease |
| title_fullStr | Plasma concentrations of zonulin are elevated in obese men with fatty liver disease |
| title_full_unstemmed | Plasma concentrations of zonulin are elevated in obese men with fatty liver disease |
| title_short | Plasma concentrations of zonulin are elevated in obese men with fatty liver disease |
| title_sort | plasma concentrations of zonulin are elevated in obese men with fatty liver disease |
| topic | Zonulin Intestinal permeability Fatty liver Obesity |
| url | https://www.dovepress.com/plasma-concentrations-of-zonulin-are-elevated-in-obese-men-with-fatty--peer-reviewed-article-DMSO |
| work_keys_str_mv | AT kimas plasmaconcentrationsofzonulinareelevatedinobesemenwithfattyliverdisease AT kohj plasmaconcentrationsofzonulinareelevatedinobesemenwithfattyliverdisease |