The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies

Abstract Homoarginine (hArg) is a non-essential cationic amino acid which inhibits hepatic alkaline phosphatases to exert inhibitory effects on bile secretion by targeting intrahepatic biliary epithelium. We analyzed (1) the relationship between hArg and liver biomarkers in two large population-base...

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Main Authors: Ali Aghdassi, Edzard Schwedhelm, Dorothee Atzler, Matthias Nauck, Jens-Peter Kühn, Marie-Luise Kromrey, Henry Völzke, Stephan B. Felix, Marcus Dörr, Till Ittermann, Martin Bahls
Format: Article
Language:English
Published: Nature Portfolio 2023-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-32363-4
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author Ali Aghdassi
Edzard Schwedhelm
Dorothee Atzler
Matthias Nauck
Jens-Peter Kühn
Marie-Luise Kromrey
Henry Völzke
Stephan B. Felix
Marcus Dörr
Till Ittermann
Martin Bahls
author_facet Ali Aghdassi
Edzard Schwedhelm
Dorothee Atzler
Matthias Nauck
Jens-Peter Kühn
Marie-Luise Kromrey
Henry Völzke
Stephan B. Felix
Marcus Dörr
Till Ittermann
Martin Bahls
author_sort Ali Aghdassi
collection DOAJ
description Abstract Homoarginine (hArg) is a non-essential cationic amino acid which inhibits hepatic alkaline phosphatases to exert inhibitory effects on bile secretion by targeting intrahepatic biliary epithelium. We analyzed (1) the relationship between hArg and liver biomarkers in two large population-based studies and (2) the impact of hArg supplementation on liver biomarkers. We assessed the relationship between alanine transaminase (ALT), aspartate aminotransferase (AST), γ-glutamyltransferase (GGT), alkaline phosphatases (AP), albumin, total bilirubin, cholinesterase, Quick’s value, liver fat, and Model for End-stage Liver Disease (MELD) and hArg in appropriately adjusted linear regression models. We analyzed the effect of L-hArg supplemention (125 mg L-hArg daily for 4 weeks) on these liver biomarkers. We included 7638 individuals (men: 3705; premenopausal women: 1866, postmenopausal women: 2067). We found positive associations for hArg and ALT (β 0.38 µkatal/L 95% confidence interval (CI): 0.29; 0.48), AST (β 0.29 µkatal/L 95% CI 0.17; 0.41), GGT (β 0.033 µkatal/L 95% CI 0.014; 0.053), Fib-4 score (β 0.08 95% CI 0.03; 0.13), liver fat content (β 0.016% 95% CI 0.006; 0.026), albumin (β 0.030 g/L 95% CI 0.019; 0.040), and cholinesterase (β 0.003 µkatal/L 95% CI 0.002; 0.004) in males. In premenopausal women hArg was positively related with liver fat content (β 0.047% 95%CI 0.013; 0.080) and inversely with albumin (β − 0.057 g/L 95% CI − 0.073; − 0.041). In postmenopausal women hARG was positively associated with AST (β 0.26 µkatal/L 95% CI 0.11; 0.42). hArg supplementation did not affect liver biomarkers. We summarize that hArg may be a marker of liver dysfunction and should be explored further.
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spelling doaj.art-6b6d7a76147d463293a7657a9f6646662023-04-03T05:27:09ZengNature PortfolioScientific Reports2045-23222023-03-011311810.1038/s41598-023-32363-4The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studiesAli Aghdassi0Edzard Schwedhelm1Dorothee Atzler2Matthias Nauck3Jens-Peter Kühn4Marie-Luise Kromrey5Henry Völzke6Stephan B. Felix7Marcus Dörr8Till Ittermann9Martin Bahls10Department of Medicine A – Gastroenterology, Nephrology, Endocrinology and Rheumatology, University Medicine GreifswaldInstitute of Clinical Pharmacology and Toxicology, University Medical Center Hamburg-EppendorfInstitute of Clinical Pharmacology and Toxicology, University Medical Center Hamburg-EppendorfWalther Straub Institute of Pharmacology and Toxicology, Ludwig-Maximilians-UniversitätInstitute and Policlinic for Diagnostic and Interventional Radiology, University Hospital, Carl Gustav Carus UniversityInstitute for Radiology and Neuroradiology, University Medicine GreifswaldDZHK (German Center for Cardiovascular Research), Partner Site GreifswaldDZHK (German Center for Cardiovascular Research), Partner Site GreifswaldDZHK (German Center for Cardiovascular Research), Partner Site GreifswaldDZHK (German Center for Cardiovascular Research), Partner Site GreifswaldDZHK (German Center for Cardiovascular Research), Partner Site GreifswaldAbstract Homoarginine (hArg) is a non-essential cationic amino acid which inhibits hepatic alkaline phosphatases to exert inhibitory effects on bile secretion by targeting intrahepatic biliary epithelium. We analyzed (1) the relationship between hArg and liver biomarkers in two large population-based studies and (2) the impact of hArg supplementation on liver biomarkers. We assessed the relationship between alanine transaminase (ALT), aspartate aminotransferase (AST), γ-glutamyltransferase (GGT), alkaline phosphatases (AP), albumin, total bilirubin, cholinesterase, Quick’s value, liver fat, and Model for End-stage Liver Disease (MELD) and hArg in appropriately adjusted linear regression models. We analyzed the effect of L-hArg supplemention (125 mg L-hArg daily for 4 weeks) on these liver biomarkers. We included 7638 individuals (men: 3705; premenopausal women: 1866, postmenopausal women: 2067). We found positive associations for hArg and ALT (β 0.38 µkatal/L 95% confidence interval (CI): 0.29; 0.48), AST (β 0.29 µkatal/L 95% CI 0.17; 0.41), GGT (β 0.033 µkatal/L 95% CI 0.014; 0.053), Fib-4 score (β 0.08 95% CI 0.03; 0.13), liver fat content (β 0.016% 95% CI 0.006; 0.026), albumin (β 0.030 g/L 95% CI 0.019; 0.040), and cholinesterase (β 0.003 µkatal/L 95% CI 0.002; 0.004) in males. In premenopausal women hArg was positively related with liver fat content (β 0.047% 95%CI 0.013; 0.080) and inversely with albumin (β − 0.057 g/L 95% CI − 0.073; − 0.041). In postmenopausal women hARG was positively associated with AST (β 0.26 µkatal/L 95% CI 0.11; 0.42). hArg supplementation did not affect liver biomarkers. We summarize that hArg may be a marker of liver dysfunction and should be explored further.https://doi.org/10.1038/s41598-023-32363-4
spellingShingle Ali Aghdassi
Edzard Schwedhelm
Dorothee Atzler
Matthias Nauck
Jens-Peter Kühn
Marie-Luise Kromrey
Henry Völzke
Stephan B. Felix
Marcus Dörr
Till Ittermann
Martin Bahls
The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies
Scientific Reports
title The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies
title_full The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies
title_fullStr The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies
title_full_unstemmed The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies
title_short The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies
title_sort relationship between homoarginine and liver biomarkers a combination of epidemiological and clinical studies
url https://doi.org/10.1038/s41598-023-32363-4
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