PMID- 30105830 OWN - NLM STAT- MEDLINE DCOM- 20191010 LR - 20191010 IS - 1097-4644 (Electronic) IS - 0730-2312 (Linking) VI - 119 IP - 11 DP - 2018 Nov TI - Study on the relationship between insulin growth factor 1 and liver fibrosis in patients with chronic hepatitis C with type 2 diabetes mellitus. PG - 9513-9518 LID - 10.1002/jcb.27267 [doi] AB - OBJECTIVE: To investigate the correlation between serum protein level of insulin growth factor 1 (IGF-1) and the degree of liver fibrosis in patients with chronic hepatitis C (CHC) combined with type 2 diabetes mellitus (T2DM). METHODS: The cases are divided into four groups. Then serum levels of IFG-1, alanine aminotransferase (ALT), aspartate aminotransferase (AST), hepatitis C virus (HCV) RNA, and HCV genotypes were detected simultaneously in patients with hepatitis C, liver stiffness measurement (LSM) was measured by transient elastography, and aspartate aminotransferase platelet ratio (APRI) score was determined. RESULTS: There was no significant difference between CHC with T2DM group and CHC group in diabetes family history (P > 0.05), but the difference between the two groups were significantly lower than that of T2DM group ( P < 0.05). The levels of fasting insulin and homeostatic model assessment of insulin resistance (HOMA-IR) in CHC group with T2DM group were significantly higher than those in the other two groups ( P < 0.05), while the IGF-1 RNA and the serum protein level in the two groups were significantly lower than those in the CHC group, and were lower than those in the control group ( P < 0.05). The level of serum IGF-1 was negatively correlated with HOMA-IR, LSM, and APRI score in CHC with T2DM group ( r = -0.71, -0.75, and -0.69; P < 0.01). CONCLUSION: The degree of hepatic fibrosis in patients with CHC combined with T2DM was higher than that in non-T2DM patients with CHC, which was mainly related to insulin resistance (IR) induced by 1b genotype HCV infection. IR can lead to impaired synthesis of IGF-1, and the degree of damage has a corresponding relationship with hepatic fibrosis. CI - (c) 2018 Wiley Periodicals, Inc. FAU - Cao, Li-Hua AU - Cao LH AD - Liver Disease Center, The Third Hospital of Qinhuangdao City, Qinhuangdao, China. FAU - Lu, Feng-Min AU - Lu FM AD - Department of Microbiology and Infectious Disease Center, Peking University Health Science Center, Beijing, China. FAU - Lu, Xiao-Jie AU - Lu XJ AUID- ORCID: 0000-0001-5167-3772 AD - Liver Transplantation Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Zhu, Li-Yao AU - Zhu LY AD - Department of Hepatology, The Fourth People's Hospital of Huai'an, Huai'an, China. LA - eng PT - Journal Article DEP - 20180813 PL - United States TA - J Cell Biochem JT - Journal of cellular biochemistry JID - 8205768 RN - 0 (Insulin) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - EC 2.6.1.1 (Aspartate Aminotransferases) RN - EC 2.6.1.2 (Alanine Transaminase) SB - IM MH - Adult MH - Aged MH - Alanine Transaminase/metabolism MH - Aspartate Aminotransferases/metabolism MH - Diabetes Mellitus, Type 2/*blood/*metabolism MH - Elasticity Imaging Techniques MH - Female MH - Genotype MH - Hepatitis C, Chronic/*blood/*metabolism MH - Humans MH - Insulin/blood/metabolism MH - Insulin-Like Growth Factor I/*metabolism MH - Lipid Metabolism/physiology MH - Liver Cirrhosis/metabolism MH - Male MH - Middle Aged OTO - NOTNLM OT - chronic hepatitis C OT - insulin growth factor 1 OT - insulin resistance OT - liver fibrosis OT - type 2 diabetes mellitus EDAT- 2018/08/15 06:00 MHDA- 2019/10/11 06:00 CRDT- 2018/08/15 06:00 PHST- 2018/01/28 00:00 [received] PHST- 2018/06/22 00:00 [accepted] PHST- 2018/08/15 06:00 [pubmed] PHST- 2019/10/11 06:00 [medline] PHST- 2018/08/15 06:00 [entrez] AID - 10.1002/jcb.27267 [doi] PST - ppublish SO - J Cell Biochem. 2018 Nov;119(11):9513-9518. doi: 10.1002/jcb.27267. Epub 2018 Aug 13.