title: Elevated serum soluble E-selectin is associated with poor outcome and correlated with serum ALT in biliary atresia.
abstract: OBJECTIVE
  Biliary atresia (BA) is a serious liver disease. Our objective was to investigate possible roles of serum soluble E-selectin (sE-selectin) in BA.
  
  
  METHODS
  During their annual follow-up, the serum levels of sE-selectin were determined by ELISA in 53 postoperative BA patients and 10 healthy children. The patients were categorized into two groups according to their jaundice status. Comparisons of demographic data and serum sE-selectin levels between jaundice-free patients and jaundice patients were performed. Correlation analysis was carried out of serum E-selectin with serum ALT and serum GGT. Data are expressed as mean and SD (ng/mL).
  
  
  RESULTS
  The serum sE-selectin of BA patients was higher than that of controls (114.1 +/- 44.0 vs. 88.7 +/- 22.2; p = 0.01). Further subgroup analysis showed that there was an increase in serum sE-selectin levels of BA patients with jaundice (n = 21) compared to those without jaundice (n = 32) (129.7 +/- 48.6 vs. 103.9 +/- 38.1; p = 0.035). Also, serum E-selectin was positively correlated with serum ALT, a marker for liver injury (Pearson r = 0.355, p = 0.009), but not with serum GGT (Pearson r = 0.223, p = 0.12).
  
  
  CONCLUSIONS
  Elevated serum sE-selectin was associated with a poor outcome of BA. There was a positive correlation between serum sE-selectin and serum ALT. E-selectin probably plays a role in the pathophysiology of liver injury in postoperative BA.
authors.affiliation: Department of Surgery, Chulalongkorn University, Faculty of Medicine, Bangkok, Thailand. vpaisarn@chula.ac.th
authors.forename: P
authors.initials: P
authors.lastname: Vejchapipat
authors.forename: P
authors.initials: P
authors.lastname: Sookpotarom
authors.forename: A
authors.initials: A
authors.lastname: Theamboonlers
authors.forename: S
authors.initials: S
authors.lastname: Chittmittrapap
authors.forename: Y
authors.initials: Y
authors.lastname: Poovorawan
mesh_terms: D000293:Adolescent; D000410:Alanine Transaminase / Q000097:blood; D001656:Biliary Atresia / Q000097:blood* / Q000503:physiopathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D019040:E-Selectin / Q000097:blood*; D005260:Female; D006801:Humans; D007565:Jaundice / Q000097:blood; D008297:Male; D011171:Portoenterostomy, Hepatic; D011184:Postoperative Period; D012995:Solubility; D016896:Treatment Outcome
chemical_list: D019040:E-Selectin; D000410:Alanine Transaminase