MASLD as a Multisystemic Disease DOI

Chantal Jacqueline Córdova-Gallardo,

Andres Manuel Vargas-Beltran,

Mayra Mejía

et al.

Published: Jan. 1, 2024

Language: Английский

Metabolic Dysfunction‐Associated Steatotic Liver Disease Increases the Risk of Severe Infection: A Population‐Based Cohort Study DOI Open Access

Ming Zhao,

Xinyu Han, Hong Fan

et al.

Liver International, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 18, 2024

ABSTRACT Background and Aims Metabolic dysfunction‐associated steatotic liver disease (MASLD) is linked to various intrahepatic extrahepatic diseases, but its association with severe infectious remains be investigated. Methods We analysed data from the Shanghai Suburban Adult Cohort Biobank, encompassing participants enrolled in 2016 2017 available abdominal ultrasonography data, followed them up until December 2022 (median follow‐up = 5.71 years). categorised into MASLD group those without (non‐SLD). Multivariable‐adjusted Cox regression was used estimate hazard ratios (HR) for infections patients compared non‐SLD group. Cumulative incidences were calculated while accounting competing risks (non‐infection‐related deaths). Mediation analyses performed explore roles of cardiometabolic risk factors between infections. Results Among 33 072 eligible (mean age 56.37 years; 38.20% male), 11 908 (36.01%) diagnosed at baseline. Severe occurred 912 (7.66%) 1258 (5.94%) non‐SLD. The rate per 1000 person‐years higher (13.58) than comparators (10.48) (fully adjusted HR 1.18, 95% CI 1.07–1.30). most frequent respiratory (7.25/1000 person‐years) urinary tract (2.61/1000 person‐years). 5‐year cumulative incidence 6.79% (95% 6.36–7.26) 5.08% 4.79–5.38) comparators. Cardiometabolic factors, including waist circumference, triglycerides HbA1C, partially mediate Conclusions Patients significantly incident Future studies are needed elucidate mechanisms linking

Language: Английский

Citations

1

Effects of COVID-19 on the Liver and Mortality in Patients with SARS-CoV-2 Pneumonia Caused by Delta and Non-Delta Variants: An Analysis in a Single Centre DOI Creative Commons
Monica Muntean, Violeta Briciu, Mihaela Lupșe

et al.

Pharmaceuticals, Journal Year: 2023, Volume and Issue: 17(1), P. 3 - 3

Published: Dec. 19, 2023

The aim of this study was to ascertain patient characteristics, outcomes, and liver injuries in patients infected with different SARS-CoV-2 variants. Data from consecutive adult severe/critical COVID-19 admitted our hospital during the peak month Delta wave were compared ancestral, Alpha, Omicron waves. dataset 551 hospitalized similar Delta/non-Delta At admission discharge, median aminotransferase levels normal or slightly increased. During (172 vs. 379 non-Delta patients), more died (OR 1.69, 95%CI 1.09–2.56) had injury at discharge (alanine aminotransferase, ALT ≥ 2 ULN) 1.97, 1.08–3.54). In-hospital mortality associated age, lung injury, intensive care unit admission, number cardiovascular comorbidities, diabetes, chronic kidney disease, all inflammatory biomarkers. Serious (ALT 5 × significantly in-hospital = 7.9, 2–28.9). drug-induced (DILI) found treated remdesivir, ULN 2.62, 1.22–5.75). Treatment dexamethasone, immunomodulators showed improved survival, OR 0.50 (95%CI 0.33–0.77). Regardless variant treatment options, less than 2% displayed serious which not be a death predictor multivariable analysis.

Language: Английский

Citations

3

Erhöhtes Infektionsrisiko bei nichtalkoholischer Fettlebererkrankung (NAFLD)? DOI

Annika Simon

Zeitschrift für Gastroenterologie, Journal Year: 2024, Volume and Issue: 62(04), P. 449 - 450

Published: April 1, 2024

Obgleich klinische Beobachtungen einen Zusammenhang zwischen einer nichtalkoholischen Fettlebererkrankung (NAFLD) und einem erhöhten Infektionsrisiko nahelegen, mangelt es bislang an größeren Kohortenstudien mit bioptischem NAFLD-Nachweis. Ebrahimi et al. wollten daher eine Wissenslücke schließen stellen nun die Ergebnisse ihrer bevölkerungsbasierten Kohortenstudie schwedischen Erwachsenen vor.

Citations

0

Association Between Metabolic Dysfunction-Associated Steatotic Liver Disease and Increased Risk of Severe Bacterial Infections: A Meta-Analysis DOI
Alessandro Mantovani,

Veronica Fiorio,

Riccardo Morandin

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: July 3, 2024

Abstract Background Previous studies have reported an association between metabolic dysfunction-associated steatotic liver disease (MASLD) and risk of severe bacterial infections. However, the magnitude whether this varies with severity MASLD remains uncertain. We performed a meta-analysis observational to quantify infections requiring hospital admission. Methods systematically searched PubMed, Scopus, Web Science Embase from database inception April 1, 2024, using predefined keywords identify examining amongst individuals without MASLD. was diagnosed biopsy, imaging, or International Classification Diseases codes. Meta-analysis random-effects modelling. Results identified six cross-sectional two prospective aggregate data on ~ 26.6 million individuals. significantly associated higher odds (pooled ratio 1.93, 95%CI 1.44–2.58; I2 = 93%). showed that MAFLD increased developing incident hazard 1.80, 1.62-2.0; 89%). This across MASLD, especially fibrosis 2.42, 1.89–2.29; 92%). These results remained significant after adjusting for age, sex, obesity, diabetes, other potential confounders. Sensitivity analyses did not modify these findings. The funnel plot reveal any publication bias. Conclusions shows

Language: Английский

Citations

0

PD-L1+ Neutrophils mediate Susceptibility during Systemic Inflammatory Response in Non-Alcoholic Fatty Liver Disease DOI Creative Commons
Cleyson da Cruz Oliveira Barros, Alexandre Kanashiro, Gabriel Victor Lucena Silva

et al.

bioRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 18, 2024

Abstract Non-alcoholic fatty liver disease (NAFLD) is a pathological condition affecting individuals worldwide. Patients with NAFLD are more susceptible to systemic inflammation, such as sepsis, which accelerates damage. However, the immunological mechanisms that trigger hyper-inflammatory responses in remain unknown. In present study, we reported short-term HFCD (Choline Deficient High Fat Diet)-fed mice, did not show significative signs of hepatic damage and inflammation first two weeks, mortality after lipopolysaccharide (LPS) challenge. Mechanistically, endotoxemic mice an excessive accumulation NK-producing IFN-γ cells tissue triggering recruitment polarization distinct neutrophil subset, characterized by high PD-L1 expression massive TNFα production. Remarkably, genetic inhibition or pharmacological blockade effectively modulated these neutrophils release, thereby preventing reducing severity host mortality. Thus, results support design novel effective strategies control hyperinflammatory patients HFCDs consequently prevent mortality..

Language: Английский

Citations

0

PD-L1+ Neutrophils mediate Susceptibility during Systemic Inflammatory Response in Non-Alcoholic Fatty Liver Disease DOI Open Access
Cleyson da Cruz Oliveira Barros, Alexandre Kanashiro, Gabriel Victor Lucena Silva

et al.

Published: Dec. 4, 2024

Non-alcoholic fatty liver disease (NAFLD) is a pathological condition affecting individuals worldwide. Patients with NAFLD are more susceptible to systemic inflammation, such as sepsis, which accelerates damage. However, the immunological mechanisms that trigger hyper-inflammatory responses in remain unknown. In present study, we reported short-term HFCD (Choline Deficient High Fat Diet)-fed mice, did not show significative signs of hepatic damage and inflammation first two weeks, mortality after lipopolysaccharide (LPS) challenge. Mechanistically, endotoxemic mice an excessive accumulation NK-producing IFN-γ cells tissue triggering recruitment polarization distinct neutrophil subset, characterized by high PD-L1 expression massive TNFα production. Remarkably, genetic inhibition or pharmacological blockade effectively modulated these neutrophils release, thereby preventing reducing severity host mortality. Thus, results support design novel effective strategies control hyperinflammatory patients HFCDs consequently prevent mortality..

Language: Английский

Citations

0

PD-L1+ Neutrophils mediate Susceptibility during Systemic Inflammatory Response in Non-Alcoholic Fatty Liver Disease DOI Open Access
Cleyson da Cruz Oliveira Barros, Alexandre Kanashiro, Gabriel Victor Lucena Silva

et al.

Published: Dec. 4, 2024

Non-alcoholic fatty liver disease (NAFLD) is a pathological condition affecting individuals worldwide. Patients with NAFLD are more susceptible to systemic inflammation, such as sepsis, which accelerates damage. However, the immunological mechanisms that trigger hyper-inflammatory responses in remain unknown. In present study, we reported short-term HFCD (Choline Deficient High Fat Diet)-fed mice, did not show significative signs of hepatic damage and inflammation first two weeks, mortality after lipopolysaccharide (LPS) challenge. Mechanistically, endotoxemic mice an excessive accumulation NK-producing IFN-γ cells tissue triggering recruitment polarization distinct neutrophil subset, characterized by high PD-L1 expression massive TNFα production. Remarkably, genetic inhibition or pharmacological blockade effectively modulated these neutrophils release, thereby preventing reducing severity host mortality. Thus, results support design novel effective strategies control hyperinflammatory patients HFCDs consequently prevent mortality..

Language: Английский

Citations

0

Response Letter: Association Between MASLD and Increased Risk of Serious Bacterial Infections Requiring Hospital Admission: It's Early Days DOI
Alessandro Mantovani, Giovanni Targher

Liver International, Journal Year: 2024, Volume and Issue: 45(1)

Published: Dec. 17, 2024

The authors have nothing to report.

Language: Английский

Citations

0

MASLD as a Multisystemic Disease DOI

Chantal Jacqueline Córdova-Gallardo,

Andres Manuel Vargas-Beltran,

Mayra Mejía

et al.

Published: Jan. 1, 2024

Language: Английский

Citations

0