NASH-related increases in plasma bile acid levels depend on insulin resistance

Autor: Grzych, Guillaume, Chavez-Talavera, Oscar, Descat, Amandine, Thuillier, Dorothee, Verrijken, An, Kouach, Mostafa, Legry, Vanessa, Verkindt, Helene, Raverdy, Violeta, Legendre, Benjamin, Caiazzo, Robert, Van Gaal, Luc, Goossens, Jean-Francois, Paumelle, Rejane, Francque, Sven, Pattou, Francois, Haas, Joel T., Tailleux, Anne, Staels, Bart
Přispěvatelé: Récepteurs Nucléaires, Maladies Métaboliques et Cardiovasculaires - U1011 (RNMCD), Institut Pasteur de Lille, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 (GRITA), Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Recherche translationnelle sur le diabète - U 1190 (RTD), University of Antwerp (UA), Antwerp University Hospital [Edegem] (UZA), ANR-16-RHUS-0006,PreciNASH,PreciNASH(2016), ANR-10-LABX-0046,EGID,EGID Diabetes Pole(2010), European Project: 694717,H2020-EU.1.1. - EXCELLENT SCIENCE - European Research Council (ERC) ,ImmunoBile(2016), European Project: 32591,HEPADIP, European Project: 305707,EC:FP7:HEALTH,FP7-HEALTH-2012-INNOVATION-1,RESOLVE(2013), Derudas, Marie-Hélène, PreciNASH - - PreciNASH2016 - ANR-16-RHUS-0006 - RHUS - VALID, EGID Diabetes Pole - - EGID2010 - ANR-10-LABX-0046 - LABX - VALID, Bile acid, immune-metabolism, lipid and glucose homeostasis - ImmunoBile - - H2020-EU.1.1. - EXCELLENT SCIENCE - European Research Council (ERC) 2016-09-01 - 2021-08-31 - 694717 - VALID, Hepatic and adipose tissue and functions in the metabolic syndrome - HEPADIP - 32591 - OLD, A systems biology approach to RESOLVE the molecular pathology of two hallmarks of patients with metabolic syndrome and its co-morbidities, hypertriglyceridemia and low HDL-cholesterol - RESOLVE - - EC:FP7:HEALTH2013-01-01 - 2017-12-31 - 305707 - VALID, Récepteurs Nucléaires, Maladies Métaboliques et Cardiovasculaires (RNMCD - U1011), Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP)-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille
Jazyk: angličtina
Rok vydání: 2021
Předmět:
GHDCA
glycolithocholic acid
taurohyodeoxycholic acid
OGTT
oral glucose tolerance test

GUDCA
glycoursodeoxycholic acid

TCDCA
FXR
farnesoid-X-receptor

UDCA
ADA
American Diabetes Association

IR
insulin resistance

GCA
glycocholic acid

THDCA
taurohyodeoxycholic acid

HCA
T2D
LCA
lithocholic acid

HCA
hyocholic acid

DCA
TCDCA
taurochenodeoxycholic acid

GCDCA
glycochenodeoxycholic acid

LCA
NASH
GCDCA
GHCA
glycohyocholic acid

TCA
cholic acid
[SDV] Life Sciences [q-bio]
FPG
glycoursodeoxycholic acid
FXR
deoxycholic acid
glycocholic acid
non-alcoholic steatohepatitis
TDCA
taurodeoxycholic acid

HbA1c
NASH
non-alcoholic steatohepatitis

T2D
type 2 diabetes

Translational study
oral glucose tolerance test
digestive system
BA
UDCA
ursodeoxycholic acid

HDCA
glycochenodeoxycholic acid
TUDCA
tauroursodeoxycholic acid

NAFLD
OGTT
taurochenodeoxycholic acid
NAFL
non-alcoholic fatty liver

GCA
FPG
fasting plasma glycaemia

GDCA
glycodeoxycholic acid

GLCA
glycolithocholic acid

C4
bile acids
glycodeoxycholic acid
nutritional and metabolic diseases
HOMA2
homeostatic model assessment 2

hyocholic acid
digestive system diseases
farnesoid-X-receptor
DCA
deoxycholic acid

GUDCA
IR
TLCA
taurolithocholic acid

American Diabetes Association
CDCA
Human medicine
ABOS
Biological Atlas of Severe Obesity

HDCA
hyodeoxycholic acid

[SDV]Life Sciences [q-bio]
HOMA2
taurodeoxycholic acid
taurolithocholic acid
C4
7alpha-hydroxy-4-cholesten-3-one

insulin resistance
Biological Atlas of Severe Obesity
taurohyocholic acid
MAFLD
metabolic associated fatty liver disease

CA
cholic acid

CA
THCA
GHDCA
glycohyodeoxycholic acid

Diabetes
TLCA
glycohyocholic acid
ursodeoxycholic acid
TUDCA
TDCA
fasting plasma glycaemia
lithocholic acid
NAFL
BA
bile acids

chenodeoxycholic acid
non-alcoholic fatty liver
type 2 diabetes
ABOS
Research Article
NAFLD
non-alcoholic fatty liver disease

TCA
taurocholic acid

MAFLD
taurocholic acid
CDCA
chenodeoxycholic acid

metabolic associated fatty liver disease
glycated haemoglobin
homeostatic model assessment 2
Obesity
lcsh:RC799-869
tauroursodeoxycholic acid
7alpha-hydroxy-4-cholesten-3-one
non-alcoholic fatty liver disease
THDCA
hyodeoxycholic acid
ADA
GDCA
lcsh:Diseases of the digestive system. Gastroenterology
HbA1c
glycated haemoglobin

GHCA
glycohyodeoxycholic acid
THCA
taurohyocholic acid

GLCA
Zdroj: JHEP Reports Innovation in Hepatology
JHEP Reports Innovation in Hepatology, 2021, 3 (2), pp.100222. ⟨10.1016/j.jhepr.2020.100222⟩
JHEP Reports Innovation in Hepatology, Elsevier, 2021, 3 (2), pp.100222. ⟨10.1016/j.jhepr.2020.100222⟩
JHEP Reports
JHEP Reports, Vol 3, Iss 2, Pp 100222-(2021)
ISSN: 2589-5559
DOI: 10.1016/j.jhepr.2020.100222⟩
Popis: Background & Aims Plasma bile acids (BAs) have been extensively studied as pathophysiological actors in non-alcoholic steatohepatitis (NASH). However, results from clinical studies are often complicated by the association of NASH with type 2 diabetes (T2D), obesity, and insulin resistance (IR). Here, we sought to dissect the relationship between NASH, T2D, and plasma BA levels in a large patient cohort. Methods Four groups of patients from the Biological Atlas of Severe Obesity (ABOS) cohort (Clinical Trials number NCT01129297) were included based on the presence or absence of histologically evaluated NASH with or without coincident T2D. Patients were matched for BMI, homeostatic model assessment 2 (HOMA2)-assessed IR, glycated haemoglobin, age, and gender. To study the effect of IR and BMI on the association of plasma BA and NASH, patients from the HEPADIP study were included. In both cohorts, fasting plasma BA concentrations were measured. Results Plasma BA concentrations were higher in NASH compared with No-NASH patients both in T2D and NoT2D patients from the ABOS cohort. As we previously reported that plasma BA levels were unaltered in NASH patients of the HEPADIP cohort, we assessed the impact of BMI and IR on the association of NASH and BA on the combined BA datasets. Our results revealed that NASH-associated increases in plasma total cholic acid (CA) concentrations depend on the degree of HOMA2-assessed systemic IR, but not on β-cell function nor on BMI. Conclusions Plasma BA concentrations are elevated only in those NASH patients exhibiting pronounced IR. Lay summary Non-alcoholic steatohepatitis (NASH) is a progressive liver disease that frequently occurs in patients with obesity and type 2 diabetes. Reliable markers for the diagnosis of NASH are needed. Plasma bile acids have been proposed as NASH biomarkers. Herein, we found that plasma bile acids are only elevated in patients with NASH when significant insulin resistance is present, limiting their utility as NASH markers.
Graphical abstract
Highlights • Bile acids have been studied as pathophysiological actors and biomarkers in NASH. • Plasma BAs have been reported to be higher in NASH vs. No-NASH patients. • Plasma BAs are altered in patients with T2D, IR, and obesity, risk factors for NASH. • Thus, the independent association between plasma BA increases and NASH is unclear. • NASH-associated increases in plasma BA depend on the degree of insulin sensitivity.
Databáze: OpenAIRE