Relationship between G3BP and R4BP with Some Biochemical Parameters in Iraqi Patients with Nonalcoholic Fatty Liver Disease
Keywords:Galectin 3 binding protein, Retinol 4 binding protein, nonalcoholic fatty liver disease.
nonalcoholic fatty liver disease starts with liver fat accumulation which is a dangerous factor for disease
progression. So, we aimed to determine some biochemical parameters among patients with NAFLD
and healthy individuals. Sixty patients with NAFLD and thirtyhealthy control who were attending
Gastroenterology and Hepatology Teaching Hospital/Baghdad during the period from August /2019 to March
/2020. Which included age, sex, BMI, and abdominal ultrasound result with other medical information. Then
all the biochemical test is done by Autoanalyzer, while serum galectin 3 binding protein andserum retinol
4 binding protein measured using ELISAtechnique.Our study found that obesity (70%) and dyslipidemia
(50%) were more common in patients with NAFLD than other metabolic diseases. NAFLD subjects showa
highly significant elevated (p=0.000) in the mean ± SD of BMI, FBS, HbA1, ALP, triglyceride, VLDL,
GGT, and G3BP comparedto the healthy controls. Also,serum ALT, total bilirubin, cholesterol, and RBP4
were highly significantly elevated (p=0.001) in the mean ± SD of NAFLD when compared tomean± SD of
healthy control.However, it revealed a significant raise (P=0.027) in the mean ± SD of the serum albumin
in the NAFLD patients when compared to the mean ± SD of the healthy control and a significant elevated
(P=0.002)in the mean ± SD of the LDL in the NAFLD patients and healthy control. But showed a significant
decrease (P=0.029) in the mean ± SD of the serum HDL of the NAFLD patient when compared tothe mean
± SD of the healthy control.Finally, we found that the optimal cut-off value for GGT was >25 IU/l with
sensitivity and specificity (93.33% and 70%) respectively and RBP4 has an optimal cut-off value >22.28 ng/
ml with sensitivity and specificity (83.33% and 56.67 %) respectively. Therefore, the optimal cut-off value
was > 9.49 ng/ml for G3BP with sensitivity and specificity (93.33 % and 83.33% ) respectively.
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