瘦素、脂联素和抵抗素在肝纤维化中的研究进展

HBV-related chronic liver disease and insulin resistance

The liver is the major organ regulating glucose metabolism. When liver injury occurs, glucose metabolism disturbance and insulin resistance (IR) may develop, which can even cause the development of hepatogenic diabetes. The correlation between viral hepatitis, liver cirrhosis and diabetes has become a hot research topic in recent years. This paper reviews the progress in research of hepatitis B virus (HBV) infection and early predictors of diabetes. We give a brief introduction to the concept of IR and its causes, and discuss the relationship of HBV infection, HBV and HCV coinfection, and hepatitis associated cirrhosis with IR. We also describe the possible mechanisms for IR in HBV infected people. Besides, we discuss the impact of IR on prognosis of HBV related chronic liver diseases, mainly fatty, liver fibrosis, and liver cancer. The clinical treatment of patients with HBV infection and IR is also discussed.

Role of resistin in the development of insulin resistance and hepatic fibrosis in nonalcoholic fatty liver disease

AIM: To investigate the role of resistin in the development of insulin resistin (IR) and hepatic fibrosis in nonalcoholic fatty liver disease (NAFLD)．

METHODS: Thirty male Wistar rats were randomly divided into control group (n = 15) and model group (n = 15). The control group was fed a normal diet, while the model group was given a high fat diet to induce NAFLD. Five rats in each group were killed at 15, 18 and 21 wk. Serum levels of FBG, FINS, type Ⅲ procollagen (PC Ⅲ), hyaluronic acid (HA), type Ⅳ collagen (C Ⅳ) and laminin (LN) were measured. Insulin resistance was calculated by homeostasis model assessment (HOMA-IR). Liver tissue samples were collected and the degree of hepatic fibrosis was graded by hematoxylin-eosin (HE) staining, VG staining and electron microscopy. RT-PCR was used to determine the expression level of resistin mRNA.

RESULTS: The degree of hepatic fibrosis increased with the time of feeding the high fat diet. Compared to the control group, the levels of HOMA-IR, PC Ⅲ, LN, C Ⅳ, HA and resistin significantly increased, which was particularly prominent at week 21 (33.74 μg/L ± 10.41 μg/L, 2.96 μg/L ± 0.76 μg/L, 4.14 μg/L ± 1.07 μg/L, 19.07 μg/L ± 2.78 μg/L, 848.87 μg/L ± 204.04 μg/L, 0.99 μg/L ± 0.10 μg/L, all P < 0.05 or 0.01). Resistin expression was positively correlated with the levels of HOMA-IR, PCIII, LN, C Ⅳ, and HA (r = 0.77, 0.80, 0.68, 0.67, 0.76, all P < 0.05 or 0.01)．

CONCLUSION: Resistin may induce IR and promote the formation of hepatic fibrosis in NAFLD.