Mac-2 binding protein glycosylation isomer is a potential biomarker to predict portal hypertension and bacterial infection in cirrhotic patients

Mac-2-binding protein glycosylation isomer (M2BPGi) is a novel plasma biomarker for liver fibrosis, but less is known about its role in portal hypertension. We aimed to evaluate the association between M2BPGi and hepatic venous pressure gradient (HVPG) and to investigate its predictive value on prog...

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Veröffentlicht in:PloS one 2021-10, Vol.16 (10), p.e0258589-e0258589
Hauptverfasser: Wu, Pei-Shan, Hsieh, Yun-Cheng, Lee, Kuei-Chuan, Huang, Yi-Hsiang, Hou, Ming-Chih, Lin, Han-Chieh
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Lin, Han-Chieh
description Mac-2-binding protein glycosylation isomer (M2BPGi) is a novel plasma biomarker for liver fibrosis, but less is known about its role in portal hypertension. We aimed to evaluate the association between M2BPGi and hepatic venous pressure gradient (HVPG) and to investigate its predictive value on prognosis of cirrhotic patients. Forty-eight cirrhotic patients who underwent HVPG measurement in Taipei Veterans General hospital were retrospectively enrolled. The Spearman's correlation test was used to analyze the correlation between plasma M2BPGi levels and HVPG and other parameters. Cox proportional hazards regression models were used to identify predictors for clinical outcomes. Plasma M2BPGi levels were higher in cirrhotic patients than healthy subjects and significantly correlated with HVPG levels (r.sub.s = 0.45, p = 0.001). On multivariate Cox regression analysis, higher plasma M2BPGi levels [[greater than or equal to] 6 cut-off index (C.O.I)] did not predict mortality within five years for cirrhotic patients and the result was similar in patients without hepatocellular carcinoma. Interestingly, M2BPGi [greater than or equal to] 6 C.O.I was a potential predictor of bacterial infection within five years [Hazar ratio (HR) = 4.51, p = 0.003]. However, M2BPGi failed to predict occurrence of other cirrhosis-related complications, including variceal bleeding, ascites formation, spontaneous bacterial peritonitis, hepatorenal syndrome and hepatic encephalopathy. Plasma M2BPGi levels positively correlated with HVPG and higher serum M2BPGi levels might have a potential role in predicting development of bacterial infection for cirrhotic patients with portal hypertension.
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We aimed to evaluate the association between M2BPGi and hepatic venous pressure gradient (HVPG) and to investigate its predictive value on prognosis of cirrhotic patients. Forty-eight cirrhotic patients who underwent HVPG measurement in Taipei Veterans General hospital were retrospectively enrolled. The Spearman's correlation test was used to analyze the correlation between plasma M2BPGi levels and HVPG and other parameters. Cox proportional hazards regression models were used to identify predictors for clinical outcomes. Plasma M2BPGi levels were higher in cirrhotic patients than healthy subjects and significantly correlated with HVPG levels (r.sub.s = 0.45, p = 0.001). On multivariate Cox regression analysis, higher plasma M2BPGi levels [[greater than or equal to] 6 cut-off index (C.O.I)] did not predict mortality within five years for cirrhotic patients and the result was similar in patients without hepatocellular carcinoma. Interestingly, M2BPGi [greater than or equal to] 6 C.O.I was a potential predictor of bacterial infection within five years [Hazar ratio (HR) = 4.51, p = 0.003]. However, M2BPGi failed to predict occurrence of other cirrhosis-related complications, including variceal bleeding, ascites formation, spontaneous bacterial peritonitis, hepatorenal syndrome and hepatic encephalopathy. 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We aimed to evaluate the association between M2BPGi and hepatic venous pressure gradient (HVPG) and to investigate its predictive value on prognosis of cirrhotic patients. Forty-eight cirrhotic patients who underwent HVPG measurement in Taipei Veterans General hospital were retrospectively enrolled. The Spearman's correlation test was used to analyze the correlation between plasma M2BPGi levels and HVPG and other parameters. Cox proportional hazards regression models were used to identify predictors for clinical outcomes. Plasma M2BPGi levels were higher in cirrhotic patients than healthy subjects and significantly correlated with HVPG levels (r.sub.s = 0.45, p = 0.001). On multivariate Cox regression analysis, higher plasma M2BPGi levels [[greater than or equal to] 6 cut-off index (C.O.I)] did not predict mortality within five years for cirrhotic patients and the result was similar in patients without hepatocellular carcinoma. Interestingly, M2BPGi [greater than or equal to] 6 C.O.I was a potential predictor of bacterial infection within five years [Hazar ratio (HR) = 4.51, p = 0.003]. However, M2BPGi failed to predict occurrence of other cirrhosis-related complications, including variceal bleeding, ascites formation, spontaneous bacterial peritonitis, hepatorenal syndrome and hepatic encephalopathy. Plasma M2BPGi levels positively correlated with HVPG and higher serum M2BPGi levels might have a potential role in predicting development of bacterial infection for cirrhotic patients with portal hypertension.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34648567</pmid><doi>10.1371/journal.pone.0258589</doi><tpages>e0258589</tpages><orcidid>https://orcid.org/0000-0003-4318-5511</orcidid><oa>free_for_read</oa></addata></record>
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subjects Analysis
Ascites
Bacteria
Bacterial diseases
Bacterial infections
Beta blockers
Biological markers
Biology and Life Sciences
Biomarkers
Catheters
Cirrhosis
Clinical outcomes
Complications
Complications and side effects
Correlation
Cytokines
Diagnosis
Encephalopathy
Enzymes
Fibrosis
Gastroenterology
Glycosylation
Hazard identification
Hemodynamics
Hepatic encephalopathy
Hepatitis
Hepatocellular carcinoma
Hepatology
Hospitals
Hypertension
Infections
Intubation
Laboratories
Liver
Liver cancer
Liver cirrhosis
Liver diseases
Medicine
Medicine and Health Sciences
Parameter identification
Patients
Peritonitis
Physical Sciences
Plasma
Portal hypertension
Pressure gradients
Proteins
Pulmonary arteries
Regression analysis
Regression models
Research and Analysis Methods
Risk factors
Statistical analysis
Veins & arteries
title Mac-2 binding protein glycosylation isomer is a potential biomarker to predict portal hypertension and bacterial infection in cirrhotic patients
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