Histopathological Association of Non-alcoholic Fatty Liver Disease With Coronary Artery Atherosclerosis Grade

Background: The association between the severity of coronary atherosclerosis and histopathologic findings in patients with non-alcoholic fatty liver disease (NAFLD) is not entirely understood. Considering the gold standard method, this study evaluates the histopathologic association between the seve...

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Main Authors: Behnaz Gholami, Manouchehr Khoshbaten‬, Hamidreza Eftekhari, Saiedeh Razi Soofiyani, Morteza Ghojazadeh‬‬‬‬‬‬‬‬, Maryam Zaare Nahandi, Amir Vahedi, Ali Ostadi, Ahad Banag‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬ozar Mohammadi, Artin Kamali Sabeti, Ali BanagozarMohammadi, Bahram SamadiRad, Alireza Najafi Booket
Format: Article
Language:English
Published: Shaheed Beheshti University of Medical Sciences 2024-02-01
Series:International Journal of Medical Toxicology and Forensic Medicine
Subjects:
Online Access:https://journals.sbmu.ac.ir/ijmtfm/article/view/42742
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author Behnaz Gholami
Manouchehr Khoshbaten‬
Hamidreza Eftekhari
Saiedeh Razi Soofiyani
Morteza Ghojazadeh‬‬‬‬‬‬‬‬
Maryam Zaare Nahandi
Amir Vahedi
Ali Ostadi
Ahad Banag‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬ozar Mohammadi
Artin Kamali Sabeti
Ali BanagozarMohammadi
Bahram SamadiRad
Alireza Najafi Booket
author_facet Behnaz Gholami
Manouchehr Khoshbaten‬
Hamidreza Eftekhari
Saiedeh Razi Soofiyani
Morteza Ghojazadeh‬‬‬‬‬‬‬‬
Maryam Zaare Nahandi
Amir Vahedi
Ali Ostadi
Ahad Banag‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬ozar Mohammadi
Artin Kamali Sabeti
Ali BanagozarMohammadi
Bahram SamadiRad
Alireza Najafi Booket
author_sort Behnaz Gholami
collection DOAJ
description Background: The association between the severity of coronary atherosclerosis and histopathologic findings in patients with non-alcoholic fatty liver disease (NAFLD) is not entirely understood. Considering the gold standard method, this study evaluates the histopathologic association between the severity of NAFLD and the grades of coronary atherosclerosis. Methods: In this descriptive-analytical study, data from 205 cadavers who were referred to an Iranian (Tabriz) forensic medicine organization between 2015 and 2017 and underwent simultaneous liver and coronary artery biopsies were examined. Finally, 168 cases were entered based on the inclusion criteria. First, pathological slides of these cadavers were extracted from the forensic medicine archive and re-examined. Then, the selected cases’ blocks were extracted from the tissue block bank, and again, after preparing a new slide, they were stained with trichrome for accurate estimation of liver fibrosis. Results: The assessment of NAFLD histological status in the studied cases revealed that 75.6% of the cases were classified as severity I, 18.4% as severity II, and 6% as severity III. Most cases with coronary atherosclerosis were classified as American Heart Association staging (AHA), type V (19.6%), and normal (19.6%). There was no statistically significant relationship between the severity of simple steatosis, steatohepatitis, and NAFLD, with coronary atherosclerosis. In subjects with higher severity of coronary atherosclerosis, the liver fibrosis rate is also higher, but no statistically significant difference was observed. Conclusion: The present study revealed no significant histopathological association between NAFLD and coronary artery atherosclerosis grade.
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spelling doaj.art-7b2d4a9b92f842f496759551548e633f2024-02-11T06:42:27ZengShaheed Beheshti University of Medical SciencesInternational Journal of Medical Toxicology and Forensic Medicine2251-87622251-87702024-02-01141427424274210.32598/ijmtfm.v14i1.4274231304Histopathological Association of Non-alcoholic Fatty Liver Disease With Coronary Artery Atherosclerosis GradeBehnaz Gholami0https://orcid.org/0000-0002-5895-2042Manouchehr Khoshbaten‬1https://orcid.org/0000-0001-7054-5274Hamidreza Eftekhari2https://orcid.org/0000-0002-8791-6892Saiedeh Razi Soofiyani3https://orcid.org/0000-0002-4623-3024Morteza Ghojazadeh‬‬‬‬‬‬‬‬4https://orcid.org/0000-0002-9946-9452Maryam Zaare Nahandi5https://orcid.org/0000-0002-5210-5088Amir Vahedi6Ali Ostadi7https://orcid.org/0000-0001-9868-0080Ahad Banag‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬ozar Mohammadi8https://orcid.org/0000-0002-2786-340XArtin Kamali Sabeti9Ali BanagozarMohammadi10https://orcid.org/0000-0002-5255-5804Bahram SamadiRad11https://orcid.org/0000-0002-7770-4298Alireza Najafi Booket12Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.Department of Pathology, Legal Medicine Center of East Azerbaijan, Tabriz, Iran.Department of Molecular Medicine, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.Evidence-Based Medicine Research Center, Iranian EBM Center, Tabriz University of Medical Sciences, Tabriz, Iran.Kidney Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. Department of Pathology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.Department of Forensic Medicine, Legal Medicine Research Center, Legal Medicine Center of East Azerbaijan, Tabriz, Iran. Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.Department of Forensic Medicine, Legal Medicine Research Center, Legal Medicine Center of East Azerbaijan, Tabriz, Iran. Department of Pathology, Legal Medicine Center of East Azerbaijan, Tabriz, Iran.Background: The association between the severity of coronary atherosclerosis and histopathologic findings in patients with non-alcoholic fatty liver disease (NAFLD) is not entirely understood. Considering the gold standard method, this study evaluates the histopathologic association between the severity of NAFLD and the grades of coronary atherosclerosis. Methods: In this descriptive-analytical study, data from 205 cadavers who were referred to an Iranian (Tabriz) forensic medicine organization between 2015 and 2017 and underwent simultaneous liver and coronary artery biopsies were examined. Finally, 168 cases were entered based on the inclusion criteria. First, pathological slides of these cadavers were extracted from the forensic medicine archive and re-examined. Then, the selected cases’ blocks were extracted from the tissue block bank, and again, after preparing a new slide, they were stained with trichrome for accurate estimation of liver fibrosis. Results: The assessment of NAFLD histological status in the studied cases revealed that 75.6% of the cases were classified as severity I, 18.4% as severity II, and 6% as severity III. Most cases with coronary atherosclerosis were classified as American Heart Association staging (AHA), type V (19.6%), and normal (19.6%). There was no statistically significant relationship between the severity of simple steatosis, steatohepatitis, and NAFLD, with coronary atherosclerosis. In subjects with higher severity of coronary atherosclerosis, the liver fibrosis rate is also higher, but no statistically significant difference was observed. Conclusion: The present study revealed no significant histopathological association between NAFLD and coronary artery atherosclerosis grade.https://journals.sbmu.ac.ir/ijmtfm/article/view/42742non-alcoholic fatty liver diseasenafldcoronary atherosclerosishistologycardiovascular diseases
spellingShingle Behnaz Gholami
Manouchehr Khoshbaten‬
Hamidreza Eftekhari
Saiedeh Razi Soofiyani
Morteza Ghojazadeh‬‬‬‬‬‬‬‬
Maryam Zaare Nahandi
Amir Vahedi
Ali Ostadi
Ahad Banag‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬ozar Mohammadi
Artin Kamali Sabeti
Ali BanagozarMohammadi
Bahram SamadiRad
Alireza Najafi Booket
Histopathological Association of Non-alcoholic Fatty Liver Disease With Coronary Artery Atherosclerosis Grade
International Journal of Medical Toxicology and Forensic Medicine
non-alcoholic fatty liver disease
nafld
coronary atherosclerosis
histology
cardiovascular diseases
title Histopathological Association of Non-alcoholic Fatty Liver Disease With Coronary Artery Atherosclerosis Grade
title_full Histopathological Association of Non-alcoholic Fatty Liver Disease With Coronary Artery Atherosclerosis Grade
title_fullStr Histopathological Association of Non-alcoholic Fatty Liver Disease With Coronary Artery Atherosclerosis Grade
title_full_unstemmed Histopathological Association of Non-alcoholic Fatty Liver Disease With Coronary Artery Atherosclerosis Grade
title_short Histopathological Association of Non-alcoholic Fatty Liver Disease With Coronary Artery Atherosclerosis Grade
title_sort histopathological association of non alcoholic fatty liver disease with coronary artery atherosclerosis grade
topic non-alcoholic fatty liver disease
nafld
coronary atherosclerosis
histology
cardiovascular diseases
url https://journals.sbmu.ac.ir/ijmtfm/article/view/42742
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