PMID- 26823042 OWN - NLM STAT- MEDLINE DCOM- 20180117 LR - 20220317 IS - 2210-741X (Electronic) IS - 2210-7401 (Linking) VI - 40 IP - 4 DP - 2016 Sep TI - Alterations in serum levels of fetuin A and selenoprotein P in chronic hepatitis C patients with concomitant type 2 diabetes: A case-control study. PG - 465-70 LID - S2210-7401(15)00294-6 [pii] LID - 10.1016/j.clinre.2015.12.003 [doi] AB - BACKGROUND: Insulin resistance (IR) and type 2 diabetes mellitus (T2DM) are serious extrahepatic manifestations of chronic hepatitis C virus (HCV) infection. However, the mechanism underlying the IR in chronic HCV is obscure. Hepatokines are group of liver-derived protein, which affect the glucose and lipid metabolism in several tissues. Fetuin A (also known as human alpha2-HS-glycoprotein) is one of the hepatokines, which was recognized as a natural inhibitor of the insulin receptor tyrosine kinase in liver and skeletal muscle. Additionally, selenoprotein P has emerged as an important hepatokine, which primarily acts as selenium transporter and has been reported to be implicated in glucose homeostasis in human. OBJECTIVE: The aim of the current case-control study was to investigate the serum levels of both fetuin A and selenoprotein P in chronic hepatitis C patients with or without T2DM and to correlate their levels with other biochemical parameters of insulin resistance. MAIN FINDINGS: Our results showed that, serum fetuin A levels increased significantly in HCV patients compared with controls (P<0.01) and surplus increase was found in HCV with concomitant T2DM (P>0.001). However, selenoprotein P levels significantly elevated only in patients with both HCV and T2DM (P<0.05) compared with the healthy subjects. Both fetuin A and selenoprotein P were positively correlated with fasting blood glucose. Yet, only fetuin A was significantly correlated to the HOMA-IR (r=0.28; P=0.03). CONCLUSIONS: These results indicate crucial roles played by fetuin A and selenoprotein P in the IR caused by HCV and that both hepatokines may be targets for the development of therapies to treat or inhibit insulin resistance associated to HCV. However, further studies on large scale should be conducted to confirm our findings. CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved. FAU - Ali, Sahar A AU - Ali SA AD - Department of Biochemistry and Molecular Biology, Faculty of Pharmacy, Helwan University, Ain Helwan, Helwan, 11795 Cairo, Egypt. FAU - Nassif, Walaa M H AU - Nassif WM AD - Department of Biochemistry and Molecular Biology, Faculty of Pharmacy, Helwan University, Ain Helwan, Helwan, 11795 Cairo, Egypt. FAU - Abdelaziz, Dalia H A AU - Abdelaziz DH AD - Department of Biochemistry and Molecular Biology, Faculty of Pharmacy, Helwan University, Ain Helwan, Helwan, 11795 Cairo, Egypt. Electronic address: dalia_abdelaziz@pharm.helwan.edu.eg. LA - eng PT - Journal Article DEP - 20160125 PL - France TA - Clin Res Hepatol Gastroenterol JT - Clinics and research in hepatology and gastroenterology JID - 101553659 RN - 0 (Blood Glucose) RN - 0 (Selenoprotein P) RN - 0 (alpha-2-HS-Glycoprotein) RN - EC 2.6.1.1 (Aspartate Aminotransferases) RN - EC 2.6.1.2 (Alanine Transaminase) SB - IM MH - Adult MH - Alanine Transaminase/blood MH - Aspartate Aminotransferases/blood MH - Blood Glucose/analysis MH - Body Mass Index MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Hepatitis C, Chronic/*blood MH - Humans MH - Male MH - Selenoprotein P/*blood MH - alpha-2-HS-Glycoprotein/*analysis EDAT- 2016/01/30 06:00 MHDA- 2018/01/18 06:00 CRDT- 2016/01/30 06:00 PHST- 2015/09/07 00:00 [received] PHST- 2015/11/23 00:00 [revised] PHST- 2015/12/15 00:00 [accepted] PHST- 2016/01/30 06:00 [entrez] PHST- 2016/01/30 06:00 [pubmed] PHST- 2018/01/18 06:00 [medline] AID - S2210-7401(15)00294-6 [pii] AID - 10.1016/j.clinre.2015.12.003 [doi] PST - ppublish SO - Clin Res Hepatol Gastroenterol. 2016 Sep;40(4):465-70. doi: 10.1016/j.clinre.2015.12.003. Epub 2016 Jan 25.