Characteristics of Urine Organic Acid Metabolites in Nonalcoholic Fatty Liver Disease Assessed Using Magnetic Resonance Imaging with Elastography in Korean Adults
The liver is an essential organ that manufactures energy through various metabolic pathways; thus, exploring the intermediate metabolites in nonalcoholic fatty liver disease (NAFLD) may help discover novel parameters in hepatic steatosis or fibrosis. The present study aimed to investigate the traits...
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MDPI AG
2022-05-01
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Series: | Diagnostics |
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Online Access: | https://www.mdpi.com/2075-4418/12/5/1199 |
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author | Ji-Hee Haam Yun Kyong Lee Eunkyung Suh Young-Sang Kim |
author_facet | Ji-Hee Haam Yun Kyong Lee Eunkyung Suh Young-Sang Kim |
author_sort | Ji-Hee Haam |
collection | DOAJ |
description | The liver is an essential organ that manufactures energy through various metabolic pathways; thus, exploring the intermediate metabolites in nonalcoholic fatty liver disease (NAFLD) may help discover novel parameters in hepatic steatosis or fibrosis. The present study aimed to investigate the traits of urine organic acid metabolites in participants with hepatic steatosis and fibrosis in nonalcoholic Korean adults. Hepatic steatosis and fibrosis, in 68 men and 65 women, were evaluated using quantification by proton density fat fraction with magnetic resonance (MR) imaging and MR elastography, respectively. Urine metabolites were obtained using a high-performance liquid chromatography–mass spectrometry analysis. The candidate metabolites were included in the logistic regression models for hepatic steatosis and fibrosis. The association between high p-hydroxyphenyllactate levels and hepatic steatosis was not independent of body mass index and Homeostatic Model Assessment-insulin resistance. High ethylmalonate, β-hydroxybutyrate, and sulfate levels were significantly related to a low probability of hepatic fibrosis, independent of covariates. In conclusion, urine metabolites were not related to hepatic steatosis independent of obesity and insulin resistance, while several metabolites were specifically associated with hepatic fibrosis. Further study is required to verify the diagnostic value of the metabolites in a population with wide-spectrum NAFLD. |
first_indexed | 2024-03-10T03:02:55Z |
format | Article |
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institution | Directory Open Access Journal |
issn | 2075-4418 |
language | English |
last_indexed | 2024-03-10T03:02:55Z |
publishDate | 2022-05-01 |
publisher | MDPI AG |
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spelling | doaj.art-6f13f76e5fb94b6093862152b5d3e7272023-11-23T10:40:47ZengMDPI AGDiagnostics2075-44182022-05-01125119910.3390/diagnostics12051199Characteristics of Urine Organic Acid Metabolites in Nonalcoholic Fatty Liver Disease Assessed Using Magnetic Resonance Imaging with Elastography in Korean AdultsJi-Hee Haam0Yun Kyong Lee1Eunkyung Suh2Young-Sang Kim3Chaum Life Center, CHA University, Seoul 06062, KoreaChaum Life Center, CHA University, Seoul 06062, KoreaChaum Life Center, CHA University, Seoul 06062, KoreaDepartment of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam 13496, KoreaThe liver is an essential organ that manufactures energy through various metabolic pathways; thus, exploring the intermediate metabolites in nonalcoholic fatty liver disease (NAFLD) may help discover novel parameters in hepatic steatosis or fibrosis. The present study aimed to investigate the traits of urine organic acid metabolites in participants with hepatic steatosis and fibrosis in nonalcoholic Korean adults. Hepatic steatosis and fibrosis, in 68 men and 65 women, were evaluated using quantification by proton density fat fraction with magnetic resonance (MR) imaging and MR elastography, respectively. Urine metabolites were obtained using a high-performance liquid chromatography–mass spectrometry analysis. The candidate metabolites were included in the logistic regression models for hepatic steatosis and fibrosis. The association between high p-hydroxyphenyllactate levels and hepatic steatosis was not independent of body mass index and Homeostatic Model Assessment-insulin resistance. High ethylmalonate, β-hydroxybutyrate, and sulfate levels were significantly related to a low probability of hepatic fibrosis, independent of covariates. In conclusion, urine metabolites were not related to hepatic steatosis independent of obesity and insulin resistance, while several metabolites were specifically associated with hepatic fibrosis. Further study is required to verify the diagnostic value of the metabolites in a population with wide-spectrum NAFLD.https://www.mdpi.com/2075-4418/12/5/1199hepatic steatosishepatic fibrosisnonalcoholic fatty liver diseaseurine organic acidmetabolomics |
spellingShingle | Ji-Hee Haam Yun Kyong Lee Eunkyung Suh Young-Sang Kim Characteristics of Urine Organic Acid Metabolites in Nonalcoholic Fatty Liver Disease Assessed Using Magnetic Resonance Imaging with Elastography in Korean Adults Diagnostics hepatic steatosis hepatic fibrosis nonalcoholic fatty liver disease urine organic acid metabolomics |
title | Characteristics of Urine Organic Acid Metabolites in Nonalcoholic Fatty Liver Disease Assessed Using Magnetic Resonance Imaging with Elastography in Korean Adults |
title_full | Characteristics of Urine Organic Acid Metabolites in Nonalcoholic Fatty Liver Disease Assessed Using Magnetic Resonance Imaging with Elastography in Korean Adults |
title_fullStr | Characteristics of Urine Organic Acid Metabolites in Nonalcoholic Fatty Liver Disease Assessed Using Magnetic Resonance Imaging with Elastography in Korean Adults |
title_full_unstemmed | Characteristics of Urine Organic Acid Metabolites in Nonalcoholic Fatty Liver Disease Assessed Using Magnetic Resonance Imaging with Elastography in Korean Adults |
title_short | Characteristics of Urine Organic Acid Metabolites in Nonalcoholic Fatty Liver Disease Assessed Using Magnetic Resonance Imaging with Elastography in Korean Adults |
title_sort | characteristics of urine organic acid metabolites in nonalcoholic fatty liver disease assessed using magnetic resonance imaging with elastography in korean adults |
topic | hepatic steatosis hepatic fibrosis nonalcoholic fatty liver disease urine organic acid metabolomics |
url | https://www.mdpi.com/2075-4418/12/5/1199 |
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