title: Levels of serum hyaluronic acid, TNF-alpha and IL-8 in patients with nonalcoholic steatohepatitis.
abstract: OBJECTIVE
  Nonalcoholic steatohepatitis (NASH) is a common cause of liver disease that comprises a wide spectrum of liver damage, ranging from simple steatosis to steatohepatitis. The aim of this study is to investigate serum hyaluronic acid (HA), TNF-alpha, IL-8 levels in patients with non-alcoholic steatohepatitis and to assess their potential value as a noninvasive marker for the severity of histopathology.
  
  
  METHODS
  Twenty-eight patients with biopsy-proven NASH, 14 patients with cirrhosis and 15 healthy controls were studied. Histopathological findings were graded and staged. HA, IL-8, TNF-levels were determined using by ELISA test
  
  
  RESULTS
  Serum HA levels in patients with NASH were significantly higher than in the healthy control group (P < 0.05). However, the levels in patients with cirrhosis were markedly higher than in patients with NASH and healthy controls (P < 0.001). Serum TNF-alpha levels were significantly higher in patients with NASH and cirrhosis than in healthy controls (P < 0.05). Serum IL-8 levels in patients with NASH (P < 0.001) and cirrhosis (P < 0.05) were significantly higher than in the healthy control group. There was no correlation between serum HA and IL-8, TNF-alpha, ALT and AST levels. Serum HA level in patients with NASH was 187.26 +/- 139.21 and 143.49 +/- 93.14 in stage in stage 2-3 and in stage 0-1, respectively, but the difference was not significant (P > 0.05).
  
  
  CONCLUSIONS
  In conclusion, serum HA, IL-8 and TNF-alpha levels increased in patients with NASH. Their relation with the severity of histopathology is not significant. Serum HA levels may be a useful marker to monitor the conversion from fibrosis to cirrhosis. Further studies are needed on this topic.
authors.affiliation: Division of Gastroenterology, Firat University, Elazig, Turkey. ihalilb@hotmail.com
authors.forename: Ibrahim Halil
authors.initials: IH
authors.lastname: Bahcecioglu
authors.forename: Mehmet
authors.initials: M
authors.lastname: Yalniz
authors.forename: Huseyin
authors.initials: H
authors.lastname: Ataseven
authors.forename: Necip
authors.initials: N
authors.lastname: Ilhan
authors.forename: Ibrahim Hanifi
authors.initials: IH
authors.lastname: Ozercan
authors.forename: Dilara
authors.initials: D
authors.lastname: Seckin
authors.forename: Kazim
authors.initials: K
authors.lastname: Sahin
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005234:Fatty Liver / Q000097:blood*; D005260:Female; D006505:Hepatitis / Q000097:blood*; D006801:Humans; D006820:Hyaluronic Acid / Q000097:blood*; D016209:Interleukin-8 / Q000032:analysis*; D008103:Liver Cirrhosis / Q000097:blood; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014409:Tumor Necrosis Factor-alpha / Q000032:analysis*
chemical_list: D016209:Interleukin-8; D014409:Tumor Necrosis Factor-alpha; D006820:Hyaluronic Acid