PMID- 29854715 OWN - NLM STAT- MEDLINE DCOM- 20190211 LR - 20220410 IS - 2291-2797 (Electronic) IS - 2291-2789 (Print) IS - 2291-2789 (Linking) VI - 2018 DP - 2018 TI - Predictive Role of Interleukin-18 in Liver Steatosis in Obese Children. PG - 3870454 LID - 10.1155/2018/3870454 [doi] LID - 3870454 AB - INTRODUCTION: Interleukin-18 (IL-18) is a proinflammatory cytokine associated with metabolic syndrome (MS). Nonalcoholic fatty liver disease (NAFLD) can be recognized as a feature of MS. MATERIAL AND METHODS: Serum IL-18 concentration was evaluated in serum of 108 obese children, determined with ELISA, and referred to degree of liver steatosis in USG or total intrahepatic lipid content assessed by magnetic resonance proton spectroscopy ((1)HMRS). RESULTS: Fatty liver was confirmed in 89 children with USG and in 72 with (1)HMRS. IL-18 concentration demonstrated significantly higher values in patients than in controls. Significant correlations between IL-18 and ALT, GGT, triglycerides, hsCRP, and the degree of liver steatosis were demonstrated. NAFLD children had significantly higher level of IL-18, ALT, GGT, HOMA-IR, waist circumference, and total lipids content in (1)HMRS than other obese children. IL-18 level was also significantly higher in obese children with advanced liver steatosis. Measurement of serum IL-18 showed ability to differentiate children with fatty liver from those without steatosis. CONCLUSION: Elevated serum IL-18 concentration and its correlation with hepatocyte injury, systemic inflammation, and degree of liver steatosis support role in NAFLD pathomechanism. IL-18 can be considered to play a role in predicting advanced liver steatosis and fatty liver in obese children. FAU - Flisiak-Jackiewicz, Marta AU - Flisiak-Jackiewicz M AUID- ORCID: 0000-0001-5157-8708 AD - Department of Pediatrics, Gastroenterology and Allergology, Medical University of Bialystok, Bialystok, Poland. FAU - Bobrus-Chociej, Anna AU - Bobrus-Chociej A AD - Department of Pediatrics, Gastroenterology and Allergology, Medical University of Bialystok, Bialystok, Poland. FAU - Tarasow, Eugeniusz AU - Tarasow E AD - Department of Radiology, Medical University of Bialystok, Bialystok, Poland. FAU - Wojtkowska, Malgorzata AU - Wojtkowska M AD - Department of Radiology, University Children Hospital, Bialystok, Poland. FAU - Bialokoz-Kalinowska, Irena AU - Bialokoz-Kalinowska I AD - Lomza State University of Applied Sciences, Lomza, Poland. FAU - Lebensztejn, Dariusz Marek AU - Lebensztejn DM AD - Department of Pediatrics, Gastroenterology and Allergology, Medical University of Bialystok, Bialystok, Poland. LA - eng PT - Journal Article DEP - 20180426 PL - Egypt TA - Can J Gastroenterol Hepatol JT - Canadian journal of gastroenterology & hepatology JID - 101623613 RN - 0 (Interleukin-18) RN - 0 (Triglycerides) RN - 9007-41-4 (C-Reactive Protein) RN - EC 2.3.2.2 (gamma-Glutamyltransferase) RN - EC 2.6.1.2 (Alanine Transaminase) SB - IM MH - Adolescent MH - Alanine Transaminase/metabolism MH - C-Reactive Protein/metabolism MH - Case-Control Studies MH - Child MH - Female MH - Humans MH - Insulin Resistance MH - Interleukin-18/*blood/metabolism MH - Male MH - Non-alcoholic Fatty Liver Disease/*blood/complications/*diagnosis MH - Pediatric Obesity/*blood/complications MH - Predictive Value of Tests MH - Proton Magnetic Resonance Spectroscopy MH - Triglycerides/blood MH - Ultrasonography MH - Waist Circumference MH - gamma-Glutamyltransferase/metabolism PMC - PMC5944203 EDAT- 2018/06/02 06:00 MHDA- 2019/02/12 06:00 PMCR- 2018/04/26 CRDT- 2018/06/02 06:00 PHST- 2018/02/03 00:00 [received] PHST- 2018/04/05 00:00 [accepted] PHST- 2018/06/02 06:00 [entrez] PHST- 2018/06/02 06:00 [pubmed] PHST- 2019/02/12 06:00 [medline] PHST- 2018/04/26 00:00 [pmc-release] AID - 10.1155/2018/3870454 [doi] PST - epublish SO - Can J Gastroenterol Hepatol. 2018 Apr 26;2018:3870454. doi: 10.1155/2018/3870454. eCollection 2018.