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  1. 110 医歯薬学総合研究科 = Graduate School of Biomedical Sciences
  2. 110 学術雑誌論文 = Articles in academic journal

Elevated intestinal fatty acid-binding protein levels as a marker of portal hypertension and gastroesophageal varices in cirrhosis

http://hdl.handle.net/10069/0002003529
http://hdl.handle.net/10069/0002003529
2bf58e9d-a379-4a22-94df-daebab174cbc
名前 / ファイル ライセンス アクション
SR14_25003.pdf SR14_25003.pdf (2.3 MB)
アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2025-12-19
タイトル
タイトル Elevated intestinal fatty acid-binding protein levels as a marker of portal hypertension and gastroesophageal varices in cirrhosis
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Miuma, Satoshi

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en Miuma, Satoshi

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Miyaaki, Hisamitsu

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en Miyaaki, Hisamitsu

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Taura, Naota

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en Taura, Naota

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Kanda, Yasuko

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en Kanda, Yasuko

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Matsuo, Satoshi

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Tajima, Kazuaki

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en Tajima, Kazuaki

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Takahashi, Kosuke

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en Takahashi, Kosuke

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Nakao, Yasuhiko

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Fukushima, Masanori

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en Fukushima, Masanori

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Haraguchi, Masafumi

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en Haraguchi, Masafumi

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Sasaki, Ryu

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Ozawa, Eisuke

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en Ozawa, Eisuke

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Ichikawa, Tatsuki

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Nakao, Kazuhiko

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抄録
内容記述タイプ Abstract
内容記述 We measured intestinal fatty acid-binding protein (I-FABP) levels, a useful marker of small intestinal mucosal injury, in patients with cirrhosis to determine their relationship with liver function and complications. This cross-sectional study included 71 patients with cirrhosis admitted for treatment of cirrhotic complications or hepatocellular carcinoma (cohort A) and 104 patients with cirrhosis who received direct-acting antiviral therapy for HCV (cohort B). I-FABP levels, measured by ELISA, were evaluated relative to hepatic reserve and compared with non-invasive scoring systems for diagnostic performance in cirrhotic complications. The median I-FABP level in both cohorts were significantly elevated in patients with reduced hepatic reserve (CTP grade A/BC cohort A, 2.33/3.17 ng/mL, p = 0.032; cohort B, 2.46/3.64 ng/mL, p = 0.008) and complications with gastroesophageal varices (GEV; GEV (-)/(+) cohort A, 1.66/3.67 ng/mL, p < 0.001; cohort B, 2.32/3.36 ng/mL; p = 0.003). Further, multiple logistic regression analysis identified I-FABP as the only factor contributing to GEV presence in both cohorts, which outperformed non-invasive scoring systems for GEV diagnosis (sensitivity 84.6%; specificity 84.2%; sensitivity 69.6%; specificity 63.8%, respectively). In conclusion, elevated small-intestinal mucosal injury in patients with cirrhosis was related to reduced hepatic reserve and GEV presence. I-FABP levels reflect portal hypertension and may be useful in cirrhosis management.
言語 en
書誌情報 en : Scientific Reports

巻 14, 号 1, p. art. no. 25003, 発行日 2024-10-23
出版者
出版者 Springer Nature
言語 en
ISSN
収録物識別子タイプ EISSN
収録物識別子 2045-2322
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1038/s41598-024-76040-6
権利
権利情報 This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. © The Author(s) 2024
言語 en
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
引用
内容記述タイプ Other
内容記述 Scientific Reports, 14(1), art. no. 25003; 2024
言語 en
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