O-2 CHARACTERIZATION OF SERUM LEVELS OF BILE ACIDS, EXTRACELLULAR VESICLES AND ITS CARGO IN ALCOHOL-ASSOCIATED LIVER DISEASE

Introduction and Objectives: Alcohol consumption is among the five main factors responsible for the burden of disease and mortality. It is associated with changes in serum bile acids, and in recent years, extracellular vesicles (EV´s) and their Cargo have shown special interest in various lines of r...

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Main Authors: Jorge Arnold, Luis Antonio Díaz, Francisco Idalsoaga, María Ayala Valverde, Gustavo Ayares, Paula Rivera, Nancy Solís, Marco Arrese, Juan Pablo Arab
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Annals of Hepatology
Online Access:http://www.sciencedirect.com/science/article/pii/S1665268123001175
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author Jorge Arnold
Luis Antonio Díaz
Francisco Idalsoaga
María Ayala Valverde
Gustavo Ayares
Paula Rivera
Nancy Solís
Marco Arrese
Juan Pablo Arab
author_facet Jorge Arnold
Luis Antonio Díaz
Francisco Idalsoaga
María Ayala Valverde
Gustavo Ayares
Paula Rivera
Nancy Solís
Marco Arrese
Juan Pablo Arab
author_sort Jorge Arnold
collection DOAJ
description Introduction and Objectives: Alcohol consumption is among the five main factors responsible for the burden of disease and mortality. It is associated with changes in serum bile acids, and in recent years, extracellular vesicles (EV´s) and their Cargo have shown special interest in various lines of research due to their role in intercellular communication. This study aimed to characterize the serum levels of bile acids, changes in their composition, extracellular vesicles and their cargo in alcohol-associated liver disease (ALD). Materials and Methods: Prospective cohort, years 2019-2021. They were divided into four groups; control group, alcohol-associated hepatitis (AH), alcohol-related cirrhosis, and alcohol use disorder (AUD). Measurement of serum bile acids and C4 was performed through Liquid Chromatography /Tandem Mass Spectrometry, serum measurement of FGF19 and the serum concentration of extracellular vesicles through NTA (nanoparticle tracking analysis) and their cargo of bile acids. Results: A greater concentration of total bile acids was measured in the AUD group (1366.28 ng/ml) compared to the control group (552.42 ng/ml) (p = 0.003). The concentration of chenodeoxycholic acid is higher in the group of patients with AH (734.23 ng/ml) (p=0.04). The EV´s concentration is higher in the HA groups (1.292 E^11 ± 6.4E^10 particles/ml) and in AUD (9.9E^10+ 4.9E^ particles/ml) (p=0.005). It was possible to analyze the Cargo of BA in exosomes with proportional differences between the groups. Conclusions: Serum bile acids, both in concentration and composition, are modified in patients with AUD and HA, respectively; both present a higher concentration of exosomes, which could be a hepato-specific, dynamic and potentially prognostic biomarker in subjects with ALD.
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spelling doaj.art-5d8f0d7760034cf084336f74b9bafb192023-03-23T04:34:30ZengElsevierAnnals of Hepatology1665-26812023-03-0128101013O-2 CHARACTERIZATION OF SERUM LEVELS OF BILE ACIDS, EXTRACELLULAR VESICLES AND ITS CARGO IN ALCOHOL-ASSOCIATED LIVER DISEASEJorge Arnold0Luis Antonio Díaz1Francisco Idalsoaga2María Ayala Valverde3Gustavo Ayares4Paula Rivera5Nancy Solís6Marco Arrese7Juan Pablo Arab8Department of Gastroenterology, School of Medicine, Pontifical Catholic University of Chile, Santiago, ChileDepartment of Gastroenterology, School of Medicine, Pontifical Catholic University of Chile, Santiago, ChileDepartment of Gastroenterology, School of Medicine, Pontifical Catholic University of Chile, Santiago, ChileInternal Medicine Service, El Pino Hospital. Critical Patient Unit, Dávila Clinic. Santiago, ChileDepartment of Gastroenterology, School of Medicine, Pontifical Catholic University of Chile, Santiago, ChileDepartment of Gastroenterology, School of Medicine, Pontifical Catholic University of Chile, Santiago, ChileDepartment of Gastroenterology, School of Medicine, Pontifical Catholic University of Chile, Santiago, ChileDepartment of Gastroenterology, School of Medicine, Pontifical Catholic University of Chile, Santiago, ChileDepartment of Gastroenterology, School of Medicine, Pontifical Catholic University of Chile, Santiago, Chile; Division of Gastroenterology, Department of Medicine, Schulich School of Medicine, Western University & London Health Sciences Center, London, Ontario, CanadaIntroduction and Objectives: Alcohol consumption is among the five main factors responsible for the burden of disease and mortality. It is associated with changes in serum bile acids, and in recent years, extracellular vesicles (EV´s) and their Cargo have shown special interest in various lines of research due to their role in intercellular communication. This study aimed to characterize the serum levels of bile acids, changes in their composition, extracellular vesicles and their cargo in alcohol-associated liver disease (ALD). Materials and Methods: Prospective cohort, years 2019-2021. They were divided into four groups; control group, alcohol-associated hepatitis (AH), alcohol-related cirrhosis, and alcohol use disorder (AUD). Measurement of serum bile acids and C4 was performed through Liquid Chromatography /Tandem Mass Spectrometry, serum measurement of FGF19 and the serum concentration of extracellular vesicles through NTA (nanoparticle tracking analysis) and their cargo of bile acids. Results: A greater concentration of total bile acids was measured in the AUD group (1366.28 ng/ml) compared to the control group (552.42 ng/ml) (p = 0.003). The concentration of chenodeoxycholic acid is higher in the group of patients with AH (734.23 ng/ml) (p=0.04). The EV´s concentration is higher in the HA groups (1.292 E^11 ± 6.4E^10 particles/ml) and in AUD (9.9E^10+ 4.9E^ particles/ml) (p=0.005). It was possible to analyze the Cargo of BA in exosomes with proportional differences between the groups. Conclusions: Serum bile acids, both in concentration and composition, are modified in patients with AUD and HA, respectively; both present a higher concentration of exosomes, which could be a hepato-specific, dynamic and potentially prognostic biomarker in subjects with ALD.http://www.sciencedirect.com/science/article/pii/S1665268123001175
spellingShingle Jorge Arnold
Luis Antonio Díaz
Francisco Idalsoaga
María Ayala Valverde
Gustavo Ayares
Paula Rivera
Nancy Solís
Marco Arrese
Juan Pablo Arab
O-2 CHARACTERIZATION OF SERUM LEVELS OF BILE ACIDS, EXTRACELLULAR VESICLES AND ITS CARGO IN ALCOHOL-ASSOCIATED LIVER DISEASE
Annals of Hepatology
title O-2 CHARACTERIZATION OF SERUM LEVELS OF BILE ACIDS, EXTRACELLULAR VESICLES AND ITS CARGO IN ALCOHOL-ASSOCIATED LIVER DISEASE
title_full O-2 CHARACTERIZATION OF SERUM LEVELS OF BILE ACIDS, EXTRACELLULAR VESICLES AND ITS CARGO IN ALCOHOL-ASSOCIATED LIVER DISEASE
title_fullStr O-2 CHARACTERIZATION OF SERUM LEVELS OF BILE ACIDS, EXTRACELLULAR VESICLES AND ITS CARGO IN ALCOHOL-ASSOCIATED LIVER DISEASE
title_full_unstemmed O-2 CHARACTERIZATION OF SERUM LEVELS OF BILE ACIDS, EXTRACELLULAR VESICLES AND ITS CARGO IN ALCOHOL-ASSOCIATED LIVER DISEASE
title_short O-2 CHARACTERIZATION OF SERUM LEVELS OF BILE ACIDS, EXTRACELLULAR VESICLES AND ITS CARGO IN ALCOHOL-ASSOCIATED LIVER DISEASE
title_sort o 2 characterization of serum levels of bile acids extracellular vesicles and its cargo in alcohol associated liver disease
url http://www.sciencedirect.com/science/article/pii/S1665268123001175
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