The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies
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The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies. / Aghdassi, Ali; Schwedhelm, Edzard; Atzler, Dorothee; Nauck, Matthias; Kühn, Jens-Peter; Kromrey, Marie-Luise; Völzke, Henry; Felix, Stephan B; Dörr, Marcus; Ittermann, Till; Bahls, Martin.
In: SCI REP-UK, Vol. 13, No. 1, 30.03.2023, p. 5230.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies
AU - Aghdassi, Ali
AU - Schwedhelm, Edzard
AU - Atzler, Dorothee
AU - Nauck, Matthias
AU - Kühn, Jens-Peter
AU - Kromrey, Marie-Luise
AU - Völzke, Henry
AU - Felix, Stephan B
AU - Dörr, Marcus
AU - Ittermann, Till
AU - Bahls, Martin
N1 - © 2023. The Author(s).
PY - 2023/3/30
Y1 - 2023/3/30
N2 - Homoarginine (hArg) is a non-essential cationic amino acid which inhibits hepatic alkaline phosphatases to exert inhibitory effects on bile secretion by targeting intrahepatic biliary epithelium. We analyzed (1) the relationship between hArg and liver biomarkers in two large population-based studies and (2) the impact of hArg supplementation on liver biomarkers. We assessed the relationship between alanine transaminase (ALT), aspartate aminotransferase (AST), γ-glutamyltransferase (GGT), alkaline phosphatases (AP), albumin, total bilirubin, cholinesterase, Quick's value, liver fat, and Model for End-stage Liver Disease (MELD) and hArg in appropriately adjusted linear regression models. We analyzed the effect of L-hArg supplemention (125 mg L-hArg daily for 4 weeks) on these liver biomarkers. We included 7638 individuals (men: 3705; premenopausal women: 1866, postmenopausal women: 2067). We found positive associations for hArg and ALT (β 0.38 µkatal/L 95% confidence interval (CI): 0.29; 0.48), AST (β 0.29 µkatal/L 95% CI 0.17; 0.41), GGT (β 0.033 µkatal/L 95% CI 0.014; 0.053), Fib-4 score (β 0.08 95% CI 0.03; 0.13), liver fat content (β 0.016% 95% CI 0.006; 0.026), albumin (β 0.030 g/L 95% CI 0.019; 0.040), and cholinesterase (β 0.003 µkatal/L 95% CI 0.002; 0.004) in males. In premenopausal women hArg was positively related with liver fat content (β 0.047% 95%CI 0.013; 0.080) and inversely with albumin (β - 0.057 g/L 95% CI - 0.073; - 0.041). In postmenopausal women hARG was positively associated with AST (β 0.26 µkatal/L 95% CI 0.11; 0.42). hArg supplementation did not affect liver biomarkers. We summarize that hArg may be a marker of liver dysfunction and should be explored further.
AB - Homoarginine (hArg) is a non-essential cationic amino acid which inhibits hepatic alkaline phosphatases to exert inhibitory effects on bile secretion by targeting intrahepatic biliary epithelium. We analyzed (1) the relationship between hArg and liver biomarkers in two large population-based studies and (2) the impact of hArg supplementation on liver biomarkers. We assessed the relationship between alanine transaminase (ALT), aspartate aminotransferase (AST), γ-glutamyltransferase (GGT), alkaline phosphatases (AP), albumin, total bilirubin, cholinesterase, Quick's value, liver fat, and Model for End-stage Liver Disease (MELD) and hArg in appropriately adjusted linear regression models. We analyzed the effect of L-hArg supplemention (125 mg L-hArg daily for 4 weeks) on these liver biomarkers. We included 7638 individuals (men: 3705; premenopausal women: 1866, postmenopausal women: 2067). We found positive associations for hArg and ALT (β 0.38 µkatal/L 95% confidence interval (CI): 0.29; 0.48), AST (β 0.29 µkatal/L 95% CI 0.17; 0.41), GGT (β 0.033 µkatal/L 95% CI 0.014; 0.053), Fib-4 score (β 0.08 95% CI 0.03; 0.13), liver fat content (β 0.016% 95% CI 0.006; 0.026), albumin (β 0.030 g/L 95% CI 0.019; 0.040), and cholinesterase (β 0.003 µkatal/L 95% CI 0.002; 0.004) in males. In premenopausal women hArg was positively related with liver fat content (β 0.047% 95%CI 0.013; 0.080) and inversely with albumin (β - 0.057 g/L 95% CI - 0.073; - 0.041). In postmenopausal women hARG was positively associated with AST (β 0.26 µkatal/L 95% CI 0.11; 0.42). hArg supplementation did not affect liver biomarkers. We summarize that hArg may be a marker of liver dysfunction and should be explored further.
KW - Male
KW - Humans
KW - Female
KW - Homoarginine/pharmacology
KW - End Stage Liver Disease
KW - Severity of Illness Index
KW - Liver
KW - Biomarkers
KW - Alanine Transaminase
KW - gamma-Glutamyltransferase
KW - Alkaline Phosphatase
KW - Albumins
U2 - 10.1038/s41598-023-32363-4
DO - 10.1038/s41598-023-32363-4
M3 - SCORING: Journal article
C2 - 36997574
VL - 13
SP - 5230
JO - SCI REP-UK
JF - SCI REP-UK
SN - 2045-2322
IS - 1
ER -