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Ginanni Corradini S, Zerbinati C, Maldarelli F, Palmaccio G, Parlati L, Bottaccioli AG, Molinaro A, Poli E, Boaz M, Serviddio G, Mennini G, Corsi A, Bianco P, Rossi M, Iuliano L. Plasma fatty acid lipidome is associated with cirrhosis prognosis and graft damage in liver transplantation. Am J Clin Nutr 2014; 100:600-8. [PMID: 24965302 DOI: 10.3945/ajcn.113.074427] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Knowledge regarding the plasma fatty acid (FA) pattern in patients with liver cirrhosis is fragmentary. OBJECTIVE We evaluated plasma FA lipidome and its association with the prognosis of cirrhosis and severity of liver graft damage after transplantation. DESIGN In this observational study, plasma FA lipidome was investigated in 51 cirrhotic patients before liver transplantation and in 90 age- and sex-matched healthy control subjects. In addition, we studied ischemia-reperfusion damage in the liver of 38 patients for whom a graft biopsy was available at transplantation. With the use of logistic regression, we modeled the presence of cirrhosis, the dichotomized model for end-stage liver disease score below and above the median, and the presence of severe liver graft ischemia-reperfusion damage. RESULTS The FA pattern was markedly altered in cirrhotic patients, who showed, compared with healthy controls, higher monounsaturated FAs, lower n-6 and n-3 polyunsaturated FAs, and undetectable cerotic acid. Plasma di-homo-γ-linolenic acid was independently associated with the presence of cirrhosis (OR: 0.026; 95% CI: 0.004, 0.196; P < 0.0001), severity of its prognosis (OR: 0.041; 95% CI:0.005, 0.376; P = 0.006), postreperfusion graft hepatocellular necrosis (OR: 0.921; 95% CI: 0.851, 0.997; P = 0.043), and sinusoidal congestion (OR: 0.954; 95% CI: 0.912, 0.998; P = 0.039). Associations of di-homo-γ-linolenic acid with the presence of cirrhosis and severity of its prognosis were confirmed also after false discovery rate correction. CONCLUSIONS Cerotic and di-homo-γ-linolenic acids may serve as markers of disease and prognosis in liver cirrhosis. Dietary supplementation with di-homo-γ-linolenic acid could be a reasonable interventional strategy to delay disease progression in liver cirrhosis.
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Affiliation(s)
- Stefano Ginanni Corradini
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Chiara Zerbinati
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Federica Maldarelli
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Giuseppina Palmaccio
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Lucia Parlati
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Anna Giulia Bottaccioli
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Antonio Molinaro
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Edoardo Poli
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Mona Boaz
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Gaetano Serviddio
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Gianluca Mennini
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Alessandro Corsi
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Paolo Bianco
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Massimo Rossi
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
| | - Luigi Iuliano
- From the Department of Clinical Medicine, Gastroenterology Division (SGC, FM, LP, AM, and EP), the Departments of General Surgery "Paride Stefanini" (GM and MR), and the Department of Molecular Medicine (AC and PB), "Sapienza" University of Rome, Rome, Italy; the Department of Medical-Surgical Sciences and Biotechnology, Vascular Biology and Mass Spectrometry Laboratory, "Sapienza" University of Rome, Latina, Italy (CZ, GP, AGB, and LI); the School of Health Sciences, Department of Nutrition, Ariel University, Ariel, Israel (MB); and the Department of Medical Sciences, Università of Foggia, Foggia, Italy (GS)
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