The relationship between homoarginine and liver biomarkers: a combination of epidemiological and clinical studies

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Ali Aghdassi - , Ernst-Moritz-Arndt-Universität Greifswald (Autor:in)
  • Edzard Schwedhelm - , Universität Hamburg, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK) (Autor:in)
  • Dorothee Atzler - , Universität Hamburg, Ludwig-Maximilians-Universität München (LMU), Deutsches Zentrum für Herz-Kreislaufforschung (DZHK) (Autor:in)
  • Matthias Nauck - , Ludwig-Maximilians-Universität München (LMU), Ernst-Moritz-Arndt-Universität Greifswald (Autor:in)
  • Jens Peter Kühn - , Institut und Poliklinik für diagnostische und interventionelle Radiologie (Autor:in)
  • Marie Luise Kromrey - , Universitätsklinikum Greifswald (Autor:in)
  • Henry Völzke - , Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), Ernst-Moritz-Arndt-Universität Greifswald (Autor:in)
  • Stephan B. Felix - , Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), Ernst-Moritz-Arndt-Universität Greifswald (Autor:in)
  • Marcus Dörr - , Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), Ernst-Moritz-Arndt-Universität Greifswald (Autor:in)
  • Till Ittermann - , Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), Ernst-Moritz-Arndt-Universität Greifswald (Autor:in)
  • Martin Bahls - , Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), Ernst-Moritz-Arndt-Universität Greifswald (Autor:in)

Abstract

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.

Details

OriginalspracheEnglisch
Aufsatznummer5230
FachzeitschriftScientific reports
Jahrgang13
Ausgabenummer1
PublikationsstatusVeröffentlicht - Dez. 2023
Peer-Review-StatusJa

Externe IDs

PubMed 36997574
ORCID /0000-0003-3258-930X/work/172085826

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Severity of Illness Index, Albumins, Alanine Transaminase, gamma-Glutamyltransferase, Humans, End Stage Liver Disease, Liver, Homoarginine/pharmacology, Biomarkers, Male, Female, Alkaline Phosphatase

Bibliotheksschlagworte