Serum Mac-2 binding protein glycosylation isomer predicts grade F4 liver fibrosis in patients with biliary atresia

Background and Aim Mac-2 Binding Protein Glycosylation Isomer (M2BPGi) is a novel fibrosis marker. We examined the ability of M2BPGi to predict liver fibrosis in patients with biliary atresia. Methods Sixty-four patients who underwent living donor liver transplantation (LDLT) were included [median a...

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Veröffentlicht in:Journal of gastroenterology 2017-02, Vol.52 (2), p.245-252
Hauptverfasser: Yamada, Naoya, Sanada, Yukihiro, Tashiro, Masahisa, Hirata, Yuta, Okada, Noriki, Ihara, Yoshiyuki, Urahashi, Taizen, Mizuta, Koichi
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container_issue 2
container_start_page 245
container_title Journal of gastroenterology
container_volume 52
creator Yamada, Naoya
Sanada, Yukihiro
Tashiro, Masahisa
Hirata, Yuta
Okada, Noriki
Ihara, Yoshiyuki
Urahashi, Taizen
Mizuta, Koichi
description Background and Aim Mac-2 Binding Protein Glycosylation Isomer (M2BPGi) is a novel fibrosis marker. We examined the ability of M2BPGi to predict liver fibrosis in patients with biliary atresia. Methods Sixty-four patients who underwent living donor liver transplantation (LDLT) were included [median age, 1.1 years (range 0.4–16.0), male 16 patients (25.0 %)]. We examined M2BPGi levels in serum obtained the day before LDLT, and we compared the value of the preoperative M2BPGi levels with the histological evaluation of fibrosis using the METAVIR fibrosis score. Subsequently, we assessed the ability of M2BPGi levels to predict fibrosis. Results The median M2BPGi level in patients with BA was 6.02 (range, 0.36–20.0), and 0, 1, 1, 11, and 51 patients had METAVIR fibrosis scores of F0, F1, F2, F3, and F4, respectively. In patients with F4 fibrosis, the median M2BPGi level was 6.88 (quartile; 5.235, 12.10), significantly higher than that in patients with F3 fibrosis who had a median level of 2.42 (quartile; 1.93, 2.895, p  
doi_str_mv 10.1007/s00535-016-1235-8
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We examined the ability of M2BPGi to predict liver fibrosis in patients with biliary atresia. Methods Sixty-four patients who underwent living donor liver transplantation (LDLT) were included [median age, 1.1 years (range 0.4–16.0), male 16 patients (25.0 %)]. We examined M2BPGi levels in serum obtained the day before LDLT, and we compared the value of the preoperative M2BPGi levels with the histological evaluation of fibrosis using the METAVIR fibrosis score. Subsequently, we assessed the ability of M2BPGi levels to predict fibrosis. Results The median M2BPGi level in patients with BA was 6.02 (range, 0.36–20.0), and 0, 1, 1, 11, and 51 patients had METAVIR fibrosis scores of F0, F1, F2, F3, and F4, respectively. In patients with F4 fibrosis, the median M2BPGi level was 6.88 (quartile; 5.235, 12.10), significantly higher than that in patients with F3 fibrosis who had a median level of 2.42 (quartile; 1.93, 2.895, p  &lt; 0.01). Area under the curve analysis for the ability of M2BPGi level to predict grade fibrosis was 0.917, with a specificity and sensitivity of 0.923 and 0.941, respectively. In comparison with other fibrosis markers such as hyaluronic acid, procollagen-III-peptide, type IV collagen 7 s, and aspartate aminotransferase platelet ratio index, M2BPGi showed the strongest ability to predict grade F4 fibrosis. Conclusion M2BPGi is a novel fibrosis marker for evaluating the status of the liver in patients with BA, especially when predicting grade F4 fibrosis.</description><identifier>ISSN: 0944-1174</identifier><identifier>EISSN: 1435-5922</identifier><identifier>DOI: 10.1007/s00535-016-1235-8</identifier><identifier>PMID: 27349650</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Abdominal Surgery ; Adolescent ; Analysis ; Antigens, Neoplasm - blood ; Aspartate ; Aspartate Aminotransferases - blood ; Biliary atresia ; Biliary Atresia - blood ; Biliary Atresia - complications ; Biliary Tract ; Biomarkers - blood ; Child ; Child, Preschool ; Collagen ; Colorectal Surgery ; Donation of organs, tissues, etc ; Female ; Fibrosis ; Gastroenterology ; Hepatology ; Humans ; Hyaluronic acid ; Infant ; Liver ; Liver Cirrhosis - blood ; Liver Cirrhosis - diagnosis ; Liver Cirrhosis - etiology ; Liver diseases ; Liver Transplantation ; Living Donors ; Male ; Medical research ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Membrane Glycoproteins - blood ; Original Article—Liver ; Pancreas ; Protein binding ; Sensitivity and Specificity ; Surgical Oncology ; Transplantation of organs, tissues, etc</subject><ispartof>Journal of gastroenterology, 2017-02, Vol.52 (2), p.245-252</ispartof><rights>Japanese Society of Gastroenterology 2016</rights><rights>COPYRIGHT 2017 Springer</rights><rights>Journal of Gastroenterology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-7c39b201f860e03dd552b59b0f6eee29d9fc98291b1da5a74c6f2ed770cbdc163</citedby><cites>FETCH-LOGICAL-c496t-7c39b201f860e03dd552b59b0f6eee29d9fc98291b1da5a74c6f2ed770cbdc163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00535-016-1235-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00535-016-1235-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27349650$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamada, Naoya</creatorcontrib><creatorcontrib>Sanada, Yukihiro</creatorcontrib><creatorcontrib>Tashiro, Masahisa</creatorcontrib><creatorcontrib>Hirata, Yuta</creatorcontrib><creatorcontrib>Okada, Noriki</creatorcontrib><creatorcontrib>Ihara, Yoshiyuki</creatorcontrib><creatorcontrib>Urahashi, Taizen</creatorcontrib><creatorcontrib>Mizuta, Koichi</creatorcontrib><title>Serum Mac-2 binding protein glycosylation isomer predicts grade F4 liver fibrosis in patients with biliary atresia</title><title>Journal of gastroenterology</title><addtitle>J Gastroenterol</addtitle><addtitle>J Gastroenterol</addtitle><description>Background and Aim Mac-2 Binding Protein Glycosylation Isomer (M2BPGi) is a novel fibrosis marker. We examined the ability of M2BPGi to predict liver fibrosis in patients with biliary atresia. Methods Sixty-four patients who underwent living donor liver transplantation (LDLT) were included [median age, 1.1 years (range 0.4–16.0), male 16 patients (25.0 %)]. We examined M2BPGi levels in serum obtained the day before LDLT, and we compared the value of the preoperative M2BPGi levels with the histological evaluation of fibrosis using the METAVIR fibrosis score. Subsequently, we assessed the ability of M2BPGi levels to predict fibrosis. Results The median M2BPGi level in patients with BA was 6.02 (range, 0.36–20.0), and 0, 1, 1, 11, and 51 patients had METAVIR fibrosis scores of F0, F1, F2, F3, and F4, respectively. In patients with F4 fibrosis, the median M2BPGi level was 6.88 (quartile; 5.235, 12.10), significantly higher than that in patients with F3 fibrosis who had a median level of 2.42 (quartile; 1.93, 2.895, p  &lt; 0.01). Area under the curve analysis for the ability of M2BPGi level to predict grade fibrosis was 0.917, with a specificity and sensitivity of 0.923 and 0.941, respectively. In comparison with other fibrosis markers such as hyaluronic acid, procollagen-III-peptide, type IV collagen 7 s, and aspartate aminotransferase platelet ratio index, M2BPGi showed the strongest ability to predict grade F4 fibrosis. 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Public Health</topic><topic>Medicine, Experimental</topic><topic>Membrane Glycoproteins - blood</topic><topic>Original Article—Liver</topic><topic>Pancreas</topic><topic>Protein binding</topic><topic>Sensitivity and Specificity</topic><topic>Surgical Oncology</topic><topic>Transplantation of organs, tissues, etc</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamada, Naoya</creatorcontrib><creatorcontrib>Sanada, Yukihiro</creatorcontrib><creatorcontrib>Tashiro, Masahisa</creatorcontrib><creatorcontrib>Hirata, Yuta</creatorcontrib><creatorcontrib>Okada, Noriki</creatorcontrib><creatorcontrib>Ihara, Yoshiyuki</creatorcontrib><creatorcontrib>Urahashi, Taizen</creatorcontrib><creatorcontrib>Mizuta, Koichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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We examined the ability of M2BPGi to predict liver fibrosis in patients with biliary atresia. Methods Sixty-four patients who underwent living donor liver transplantation (LDLT) were included [median age, 1.1 years (range 0.4–16.0), male 16 patients (25.0 %)]. We examined M2BPGi levels in serum obtained the day before LDLT, and we compared the value of the preoperative M2BPGi levels with the histological evaluation of fibrosis using the METAVIR fibrosis score. Subsequently, we assessed the ability of M2BPGi levels to predict fibrosis. Results The median M2BPGi level in patients with BA was 6.02 (range, 0.36–20.0), and 0, 1, 1, 11, and 51 patients had METAVIR fibrosis scores of F0, F1, F2, F3, and F4, respectively. In patients with F4 fibrosis, the median M2BPGi level was 6.88 (quartile; 5.235, 12.10), significantly higher than that in patients with F3 fibrosis who had a median level of 2.42 (quartile; 1.93, 2.895, p  &lt; 0.01). Area under the curve analysis for the ability of M2BPGi level to predict grade fibrosis was 0.917, with a specificity and sensitivity of 0.923 and 0.941, respectively. In comparison with other fibrosis markers such as hyaluronic acid, procollagen-III-peptide, type IV collagen 7 s, and aspartate aminotransferase platelet ratio index, M2BPGi showed the strongest ability to predict grade F4 fibrosis. Conclusion M2BPGi is a novel fibrosis marker for evaluating the status of the liver in patients with BA, especially when predicting grade F4 fibrosis.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>27349650</pmid><doi>10.1007/s00535-016-1235-8</doi><tpages>8</tpages></addata></record>
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subjects Abdominal Surgery
Adolescent
Analysis
Antigens, Neoplasm - blood
Aspartate
Aspartate Aminotransferases - blood
Biliary atresia
Biliary Atresia - blood
Biliary Atresia - complications
Biliary Tract
Biomarkers - blood
Child
Child, Preschool
Collagen
Colorectal Surgery
Donation of organs, tissues, etc
Female
Fibrosis
Gastroenterology
Hepatology
Humans
Hyaluronic acid
Infant
Liver
Liver Cirrhosis - blood
Liver Cirrhosis - diagnosis
Liver Cirrhosis - etiology
Liver diseases
Liver Transplantation
Living Donors
Male
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Membrane Glycoproteins - blood
Original Article—Liver
Pancreas
Protein binding
Sensitivity and Specificity
Surgical Oncology
Transplantation of organs, tissues, etc
title Serum Mac-2 binding protein glycosylation isomer predicts grade F4 liver fibrosis in patients with biliary atresia
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