Non Alcoholic Fatty Liver Disease is Associated with Increased GHBP and Reduced GH/IGF-I Levels

Luca Miele, Angelina Barini, Alessandra Fusco, Alessandra Forgione, Laura Riccardi, Consuelo Cefalo, Antonio Bianchi, Antonella Giampietro, Raffaele Landolfi, Laura De Marinis Grasso, A D'Uonnolo, V Cimino, Alessandro Grieco

Risultato della ricerca: Contributo in rivistaArticolo in rivista

35 Citazioni (Scopus)

Abstract

Introduction:  Non-alcoholic fatty liver disease (NAFLD) has been described in adult GH deficiency syndrome. Furthermore, chronic liver disease can be associated with significant changes in levels of IGF-I, GH-binding protein (GHBP), IGF-binding proteins (IGFBPs) and acid-labile subunit (ALS). However, the effect of liver steatosis on the GHBP production has not been investigated yet. Aim of the study:  to explore if GH secretion and/or levels of IGF-I, IGFBP-3, ALS and GHBP could be altered in obese patients in relation to the presence of liver steatosis. Materials and methods:  A total of 115 obese patients (BMI> 30) were enrolled in the protocol (65 patients with liver steatosis and 50 age- and BMI-matched controls). In all patients the following parameters were studied: serum levels of glucose, insulin, the HOMA index, IGF-I, GHBP, IGFBP-3, ALS and GH after GHRH and arginine stimulation test. Results:  As expected, subjects with NAFLD had blood glucose, insulin, HOMA-R significantly higher than controls, indicating a more severe insulin-resistance state in NAFLD. Furthermore, patients with NAFLD had higher levels of GHBP and IGFBP-3 and lower GH peak and IGF-I levels as compared to controls. No difference was found in ALS levels between the groups. In a multivariate analysis, GHBP was positively associated with hepatic steatosis while IGF-1 was negatively associated with hepatic steatosis. Conclusions:  This study demonstrates that in NAFLD patients the GHBP levels are increased and that the GH/IGF-I axis is significantly altered probably leading to reduced IGF-I bioavailability at tissue level.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaClinical Endocrinology
DOI
Stato di pubblicazionePubblicato - 2011

Keywords

  • GH
  • GHBP
  • IGFBP-3
  • NAFLD
  • Obesity

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