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Serum collagen type VI and XIV and hyaluronic acid as early indicators for altered connective tissue turnover in alcoholic liver disease.
Stickel, F; Urbaschek, R; Schuppan, D; Poeschl, G; Oesterling, C; Conradt, C; McCuskey, R S; Simanowski, U A; Seitz, H K.
Afiliación
  • Stickel F; I. Department of Medicine, University of Erlangen-Nurnberg, Erlangen, Germany.
Dig Dis Sci ; 46(9): 2025-32, 2001 Sep.
Article en En | MEDLINE | ID: mdl-11575459
Hepatic fibrosis in alcoholic liver disease often heralds progression to cirrhosis and, therefore, noninvasive parameters are required for early diagnosis and follow-up. Collagens VI and XIV, procollagen-III-N-propeptide, hyaluronic acid, and active transforming growth factor-beta1 (TGF-beta1) were measured in healthy volunteers, patients with alcoholic cirrhosis, and heavy drinkers without cirrhosis. Noncirrhotic alcoholics were assigned to two groups with either normal aspartate aminotransferase or levels > or = 2 normal. Collagens VI and XIV were elevated in all alcoholic patients compared to controls (P < 0.0001, all instances). Procollagen-III-N-propeptide and hyaluronic acid levels were higher in alcoholic patients with elevated liver enzymes and in cirrhotics as compared to controls. Procollagen-III-N-propeptide revealed a significant correlation with serum levels of TGF-beta1 (P < 0.0001). Collagens VI, and XIV, procollagen-III-N-propeptide, and hyaluronic acid appear to be sensitive markers indicating fibrotic transformation in alcoholics. The correlation between procollagen-III-N-propeptide and TGF-beta1 emphasizes its role in hepatic fibrogenesis.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colágeno / Tejido Conectivo / Ácido Hialurónico / Hepatopatías Alcohólicas Tipo de estudio: Diagnostic_studies / Screening_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Dig Dis Sci Año: 2001 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colágeno / Tejido Conectivo / Ácido Hialurónico / Hepatopatías Alcohólicas Tipo de estudio: Diagnostic_studies / Screening_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Dig Dis Sci Año: 2001 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos