Background/aims: Non-alcoholic fatty liver disease (NAFLD) is strongly associated with many predictors of cardiovascular disease such as hypercholesterolemia, hypertriglyceridemia, insulin resistance, central obesity and the metabolic syndrome. Activation of renin-angiotensin-aldosterone system (RAAS) has been proved in patients with NAFLD. Blood urea nitrogen (BUN) elevation is a high risk factor and biomarker of RAAS activation of heart failure and coronary heart disease. The aim of the current study was to investigate BUN in patients with NAFLD.
Methodology: BUN and creatinine (Cr) values of 85 patients with NAFLD and of 30 age- and gender-matched healthy individuals were compared prospectively. Liver/spleen ratios of computed tomography (CT) values were used to determine fatty liver and to evaluate fatty deposition. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were employed to estimate inflammation. We analyzed the correlation between BUN and fatty deposition or inflammation.
Results: NAFLD patients had significantly higher BUN compared to the control cases (5.0353±1.1271 vs. 4.1263±1.0095 mmol/L; t=3.898, p<0.001). However, there was no difference in Cr (84.0941±14.4062 vs. 79.4667±16.7120 μmol/L; t=1.45, p=0.15). BUN was negatively correlated with liver/spleen ratio of CT values (r=0.009, p=0.1974), ALT (r=-0.012, p=0.941) and AST (r=-0.009, p=0.592).
Conclusions: We have shown for the first time in the literature, that patients with NAFLD have higher BUN. It may have prognostic value in NAFLD patients indicating a possible cardiovascular disease (CVD) risk increase.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Ketogenesis supports hepatic polyunsaturated fatty acid homeostasis via fatty acid elongation.
Sci Adv
January 2025
Division of Molecular Medicine, Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Ketogenesis is a dynamic metabolic conduit supporting hepatic fat oxidation particularly when carbohydrates are in short supply. Ketone bodies may be recycled into anabolic substrates, but a physiological role for this process has not been identified. Here, we use mass spectrometry-based C-isotope tracing and shotgun lipidomics to establish a link between hepatic ketogenesis and lipid anabolism.
View Article and Find Full Text PDFAdipokines regulate the development and progression of MASLD through organellar oxidative stress.
Hepatol Commun
February 2025
Central laboratory, Endocrine and Metabolic Diseases Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China.
The prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD), which is increasingly being recognized as a leading cause of chronic liver pathology globally, is increasing. The pathophysiological underpinnings of its progression, which is currently under active investigation, involve oxidative stress. Human adipose tissue, an integral endocrine organ, secretes an array of adipokines that are modulated by dietary patterns and lifestyle choices.
View Article and Find Full Text PDFDietary fat quantity and composition influence hepatic lipid metabolism and metabolic disease risk in humans.
Dis Model Mech
January 2025
Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford OX3 7LE, UK.
The excessive accumulation of intrahepatic triglyceride (IHTG) in the liver is a risk factor for metabolic diseases, including type 2 diabetes and cardiovascular disease. IHTG can excessively accumulate owing to imbalances in the delivery, synthesis, storage and disposal of fat to, in and from the liver. Although obesity is strongly associated with IHTG accumulation, emerging evidence suggests that the composition of dietary fat, in addition to its quantity, plays a role in mediating IHTG accumulation.
View Article and Find Full Text PDFNon-enhanced abbreviated MRI as a periodic surveillance protocol for colorectal liver metastases compared with contrast-enhanced CT: a prospective observational study.
Int J Surg
January 2025
Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Background: Adopting appropriate noninvasive radiological method is crucial for periodic surveillance of liver metastases in colorectal cancer (CRC) patients after surgery, which is closely related to clinical management and prognosis. This study aimed to prospectively enroll stage II-III CRC patients for the surveillance of liver metastases, and compare the diagnostic performance of contrast-enhanced CT (CE-CT) and non-enhanced abbreviated MRI (NE-AMRI) during this process.
Methods: 587 CRC patients undergoing radical resection of the primary tumor were evaluated by 1 to 3 rounds of surveillance tests, consisting of abdominal CE-CT and contrast-enhanced MRI (CE-MRI) within 7 days at 6-month intervals.
Flaxseed powder supplementation in non-alcoholic fatty liver disease: a randomized controlled clinical trial.
Food Funct
January 2025
Lianshui People's Hospital Affiliated to Kangda College of Nanjing Medical University, Huai'an, Jiangsu, 223400, China.
: Non-alcoholic fatty liver disease (NAFLD) has become a growing public health problem worldwide, and dietary interventions have important potential in the prevention and treatment of NAFLD. Moreover, previous animal studies have shown that flaxseed has a good improvement effect in animal NAFLD models. : Assess whether flaxseed powder could improve the liver lipid content in patients with NAFLD.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!