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ORIGINAL PAPER
Oxidative stress markers are increased in non-alcoholic fatty liver disease patients with high serum alanine aminotransferase levels
 
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1
Department of Medical Biochemistry, Institute of Health Sciences, Gazi University, Ankara, Turkey
 
2
Department of Medical Biochemistry, Medical Faculty, Ufuk University, Ankara, Turkey
 
3
Division of Gastroenterology, Department of Internal Medicine, Istanbul Medipol University, Istanbul, Turkey
 
4
Department of Biochemistry, Faculty of Pharmacy, Zonguldak Bulent Ecevit University, Zonguldak, Turkey
 
 
Submission date: 2019-08-29
 
 
Final revision date: 2019-10-22
 
 
Acceptance date: 2019-11-14
 
 
Publication date: 2019-12-30
 
 
Medical Studies 2019;35(4):283-287
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Non-alcoholic fatty liver disease (NAFLD) is a pathological disease that causes chronic damage in the liver without alcohol consumption.

Aim of the research:
To determine oxidative stress and inflammation statuses (NAFLD) with increased alanine aminotransferase (ALT).

Material and methods:
Oxidative stress (malondialdehyde (MDA), advanced oxidation protein products (AOPP), inflammation (serum tumour necrosis factor-α (TNF-α)), interleukin-6 (IL-6), and hyaluronic acid (HA) were measured by the ELISA method or manually. A total of 133 non-obese and non-diabetic individuals were included. Patients diagnosed with NAFLD with normal ALT levels were included in group 1 (n = 53), and those with high ALT levels were included in group 2 (n = 35). The control group included individuals without any known systemic disease (n = 45).

Results:
We found that the serum MDA levels were significantly elevated in group 2 in comparison to the control group (p < 0.05). However, there were no significant changes in the serum AOPP levels in any group (p > 0.05). The serum TNF-α and IL-6 levels of group 1 and group 2 were higher than those in the control group (p < 0.05). The serum HA levels in group 2 increased significantly in comparison to the other groups (p < 0.05).

Conclusions:
HA and MDA were enhanced with high ALT levels and with elevated TNF-α and IL-6 levels without high ALT levels in NAFLD.
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