PMID- 38015590 OWN - NLM STAT- MEDLINE DCOM- 20231129 LR - 20240212 IS - 2471-254X (Electronic) IS - 2471-254X (Linking) VI - 7 IP - 12 DP - 2023 Dec 1 TI - Altered profiles of circulating cytokines in chronic liver diseases (NAFLD/HCC): Impact of the PNPLA3I148M risk allele. LID - 10.1097/HC9.0000000000000306 [doi] LID - e0306 AB - BACKGROUND: Individuals carrying the risk variant p.I148M of patatin-like phospholipase domain-containing protein 3 (PNPLA3) have a higher susceptibility to fatty liver diseases and associated complications, including HCC, a cancer closely linked to chronic inflammation. Here, we assessed circulating cytokine profiles for patients with chronic liver diseases genotyped for PNPLA3. METHODS: Serum concentrations of 22 cytokines were measured by multiplex sandwich-ELISA. The cohort comprised 123 individuals: 67 patients with NAFLD without cirrhosis (57 steatosis, 10 NASH), 24 patients with NAFLD with cirrhosis, 21 patients with HCC (15 cirrhosis), and 11 healthy controls. Receiver operator characteristic analyses were performed to assess the suitability of the cytokine profiles for the prediction of steatosis, cirrhosis, and HCC. RESULTS: HGF, IL-6, and IL-8 levels were increased in patients, with approximately 2-fold higher levels in patients with cirrhosis versus healthy, while platelet derived growth factor-BB (PDGF-BB) and regulated on activation, normal T cell expressed and secreted (RANTES) showed lower concentrations compared to controls. Migration inhibitory factor and monocyte chemoattractant protein-1 (MCP-1) were found at higher levels in NAFLD samples (maximum: NAFLD-cirrhosis) versus healthy controls and HCC samples. In receiver operator characteristic analyses, migration inhibitory factor, IL-8, IL-6, and monocyte chemoattractant protein-1 yielded high sensitivity scores for predicting noncirrhotic NAFLD (vs. healthy). The top combination to predict cirrhosis was HGF plus PDGF-BB. Migration inhibitory factor performed best to discriminate HCC from NAFLD; the addition of monokine induced gamma (MIG), RANTES, IL-4, macrophage colony-stimulating factor (M-CSF), or IL-17A as second parameters further increased the AUC values (> 0.9). No significant impact of the PNPLA3I148M allele on cytokine levels was observed in this cohort. CONCLUSIONS: Cytokines have biomarker potential in patients with fatty liver, possibly suited for early HCC detection in patients with fatty liver. Patients carrying the PNPLA3 risk allele did not present significantly different levels of circulating cytokines. CI - Copyright (c) 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Association for the Study of Liver Diseases. FAU - Kirchmeyer, Melanie AU - Kirchmeyer M AUID- ORCID: 0009-0007-6588-3261 AD - Department of Life Sciences and Medicine, University of Luxembourg, Luxembourg. FAU - Gaigneaux, Anthoula AU - Gaigneaux A AUID- ORCID: 0000-0003-0465-3773 AD - Department of Life Sciences and Medicine, University of Luxembourg, Luxembourg. FAU - Servais, Florence A AU - Servais FA AD - Department of Life Sciences and Medicine, University of Luxembourg, Luxembourg. FAU - Arslanow, Anita AU - Arslanow A AUID- ORCID: 0000-0002-8231-274 AD - Department of Medicine II, Saarland University Medical Center, Homburg, Germany. AD - Fundacio de Recerca Clinic Barcelona-Institut d'Investigacions Biomediques August Pi i Sunyer, Barcelona, Spain. FAU - Casper, Markus AU - Casper M AUID- ORCID: 0000-0002-1146-288 AD - Department of Medicine II, Saarland University Medical Center, Homburg, Germany. FAU - Krawczyk, Marcin AU - Krawczyk M AUID- ORCID: 0000-0002-0113-0777 AD - Department of Medicine II, Saarland University Medical Center, Homburg, Germany. FAU - Lammert, Frank AU - Lammert F AUID- ORCID: 0000-0003-4450-7201 AD - Department of Medicine II, Saarland University Medical Center, Homburg, Germany. AD - Health Sciences, Hannover Medical School MHH, Hannover, Germany. FAU - Behrmann, Iris AU - Behrmann I AUID- ORCID: 0000-0003-3688-3645 AD - Department of Life Sciences and Medicine, University of Luxembourg, Luxembourg. LA - eng PT - Journal Article DEP - 20231122 PL - United States TA - Hepatol Commun JT - Hepatology communications JID - 101695860 RN - 0 (Cytokines) RN - 0 (Chemokine CCL2) RN - 1B56C968OA (Becaplermin) RN - 0 (Interleukin-6) RN - 0 (Interleukin-8) SB - IM MH - Humans MH - *Non-alcoholic Fatty Liver Disease/genetics MH - Cytokines/genetics MH - Chemokine CCL2/genetics MH - Becaplermin MH - Alleles MH - *Carcinoma, Hepatocellular/genetics MH - Interleukin-6/genetics MH - Interleukin-8/genetics MH - *Liver Neoplasms/genetics MH - Liver Cirrhosis/diagnosis/genetics PMC - PMC10667005 COIS- The authors have no conflicts to report. EDAT- 2023/11/28 12:41 MHDA- 2023/11/29 06:42 PMCR- 2023/11/22 CRDT- 2023/11/28 11:53 PHST- 2023/06/02 00:00 [received] PHST- 2023/09/02 00:00 [accepted] PHST- 2023/11/29 06:42 [medline] PHST- 2023/11/28 12:41 [pubmed] PHST- 2023/11/28 11:53 [entrez] PHST- 2023/11/22 00:00 [pmc-release] AID - 02009842-202312010-00003 [pii] AID - HEP4-23-0473 [pii] AID - 10.1097/HC9.0000000000000306 [doi] PST - epublish SO - Hepatol Commun. 2023 Nov 22;7(12):e0306. doi: 10.1097/HC9.0000000000000306. eCollection 2023 Dec 1.