Testosterone deficiency and non-alcoholic fatty liver disease in men with type 2 diabetes mellitus
BACKGROUND: Current studies investigated diseases associated with testosterone (T) deficiency; however, data on the combination of non-alcoholic fatty liver disease (NAFLD) with hypogonadism and diabetes mellitus (DM) in men are extremely limited. AIMS: To evaluate the effects of hypogonadism on the...
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| Format: | Article |
| Language: | English |
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Endocrinology Research Centre
2019-12-01
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| Series: | Сахарный диабет |
| Subjects: | |
| Online Access: | https://www.dia-endojournals.ru/jour/article/view/10232 |
| _version_ | 1797255175987003392 |
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| author | Irina A. Khripun Sergey V. Vorobyev Yanina Allahverdieva |
| author_facet | Irina A. Khripun Sergey V. Vorobyev Yanina Allahverdieva |
| author_sort | Irina A. Khripun |
| collection | DOAJ |
| description | BACKGROUND: Current studies investigated diseases associated with testosterone (T) deficiency; however, data on the combination of non-alcoholic fatty liver disease (NAFLD) with hypogonadism and diabetes mellitus (DM) in men are extremely limited. AIMS: To evaluate the effects of hypogonadism on the formation and progression of NAFLD in men with type 2 DM. METHODS: The study included 90 men with type 2 DM [age 54 (49–57) years]. Patients underwent clinical examinations, biochemical analysis (alanine aminotransferase (ALT), aspartate aminotransferase, gamma-glutamyl transpeptidase (GGTP), fasting glucose, immunoreactive insulin, HOMA index, HbA1c, lipid profile), immune enzyme analysis (luteinising hormone, total T, sex hormone binding globulin, resistin, adiponectin, leptin) and magnetic resonance imaging with liver fat fraction determination were performed. Patients were divided into two groups: 1–32 eugonadal patients and 2–58 men with newly diagnosed hypogonadism. RESULTS: Increased insulin resistance, hyperinsulinemia, hypertriglyceridemia were observed in men with hypogonadism compared to eugonadal patients. Along with biochemical signs of impaired liver function, such as an increase in liver enzyme concentrations of ALT by 24.5% (p = 0.02), GGTP by 60.5% (p = 0.001), de Rytis coefficient by 60.4% (p = 0.047), of men in the 2nd group, the liver fat fraction also increased, which together indicates NAFLD progression. The proton density of the liver fat fraction according to MRI was 4.12 [2.25–5.30] % in the 1st group and 10.30 [7.78; 14.44] % in the 2nd group (p=0.001). This was accompanied by an increase in fat production of resistin by 2 times and leptin by 12 times (p <0.001) in patients of group 2 compared to 1. CONCLUSIONS: The combination of type 2 DM with hypogonadism in men leads not only to deterioration of carbohydrate and lipid metabolism but also to disturbance of liver function: increased ALT, GGTP concentrations and liver fat. Increased secretion of leptin and resistin in the adipose tissue is assumed to be a pathogenetically associated with the development of carbohydrate and lipid metabolism disorders, NAFLD and T deficiency. |
| first_indexed | 2024-03-08T15:19:43Z |
| format | Article |
| id | doaj.art-dec8d163fa594190bd6648a631d7058a |
| institution | Directory Open Access Journal |
| issn | 2072-0351 2072-0378 |
| language | English |
| last_indexed | 2024-04-24T22:01:41Z |
| publishDate | 2019-12-01 |
| publisher | Endocrinology Research Centre |
| record_format | Article |
| series | Сахарный диабет |
| spelling | doaj.art-dec8d163fa594190bd6648a631d7058a2024-03-20T11:48:02ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782019-12-0122654254910.14341/DM1023210470Testosterone deficiency and non-alcoholic fatty liver disease in men with type 2 diabetes mellitusIrina A. Khripun0Sergey V. Vorobyev1Yanina Allahverdieva2Rostov State Medical UniversityRostov State Medical UniversityRostov State Medical UniversityBACKGROUND: Current studies investigated diseases associated with testosterone (T) deficiency; however, data on the combination of non-alcoholic fatty liver disease (NAFLD) with hypogonadism and diabetes mellitus (DM) in men are extremely limited. AIMS: To evaluate the effects of hypogonadism on the formation and progression of NAFLD in men with type 2 DM. METHODS: The study included 90 men with type 2 DM [age 54 (49–57) years]. Patients underwent clinical examinations, biochemical analysis (alanine aminotransferase (ALT), aspartate aminotransferase, gamma-glutamyl transpeptidase (GGTP), fasting glucose, immunoreactive insulin, HOMA index, HbA1c, lipid profile), immune enzyme analysis (luteinising hormone, total T, sex hormone binding globulin, resistin, adiponectin, leptin) and magnetic resonance imaging with liver fat fraction determination were performed. Patients were divided into two groups: 1–32 eugonadal patients and 2–58 men with newly diagnosed hypogonadism. RESULTS: Increased insulin resistance, hyperinsulinemia, hypertriglyceridemia were observed in men with hypogonadism compared to eugonadal patients. Along with biochemical signs of impaired liver function, such as an increase in liver enzyme concentrations of ALT by 24.5% (p = 0.02), GGTP by 60.5% (p = 0.001), de Rytis coefficient by 60.4% (p = 0.047), of men in the 2nd group, the liver fat fraction also increased, which together indicates NAFLD progression. The proton density of the liver fat fraction according to MRI was 4.12 [2.25–5.30] % in the 1st group and 10.30 [7.78; 14.44] % in the 2nd group (p=0.001). This was accompanied by an increase in fat production of resistin by 2 times and leptin by 12 times (p <0.001) in patients of group 2 compared to 1. CONCLUSIONS: The combination of type 2 DM with hypogonadism in men leads not only to deterioration of carbohydrate and lipid metabolism but also to disturbance of liver function: increased ALT, GGTP concentrations and liver fat. Increased secretion of leptin and resistin in the adipose tissue is assumed to be a pathogenetically associated with the development of carbohydrate and lipid metabolism disorders, NAFLD and T deficiency.https://www.dia-endojournals.ru/jour/article/view/10232hypogonadismtestosteronediabetes mellitusnonalcoholic fatty liver diseaseliverandrogen deficiency |
| spellingShingle | Irina A. Khripun Sergey V. Vorobyev Yanina Allahverdieva Testosterone deficiency and non-alcoholic fatty liver disease in men with type 2 diabetes mellitus Сахарный диабет hypogonadism testosterone diabetes mellitus nonalcoholic fatty liver disease liver androgen deficiency |
| title | Testosterone deficiency and non-alcoholic fatty liver disease in men with type 2 diabetes mellitus |
| title_full | Testosterone deficiency and non-alcoholic fatty liver disease in men with type 2 diabetes mellitus |
| title_fullStr | Testosterone deficiency and non-alcoholic fatty liver disease in men with type 2 diabetes mellitus |
| title_full_unstemmed | Testosterone deficiency and non-alcoholic fatty liver disease in men with type 2 diabetes mellitus |
| title_short | Testosterone deficiency and non-alcoholic fatty liver disease in men with type 2 diabetes mellitus |
| title_sort | testosterone deficiency and non alcoholic fatty liver disease in men with type 2 diabetes mellitus |
| topic | hypogonadism testosterone diabetes mellitus nonalcoholic fatty liver disease liver androgen deficiency |
| url | https://www.dia-endojournals.ru/jour/article/view/10232 |
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