Serum Elabela Level as a Reliable Biomarker for Predicting of Liver Fibrosis in Iraqi Patients with Chronic Hepatitis C

Background:Elabela is a newly discovered peptide hormone that has been implicated in liver disease. Objective:The main objective of the current work is to assess whether variations in blood Elabela levels among chronic hepatitis C (CHC) patients from Iraq might be used as a biomarker for liver fibro...

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Main Authors: Eham Amer Ali, Ali Abdulateef Hasan Al-Bayati, Alea Farhan Salman
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-07-01
Series:Medical Journal of Babylon
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Online Access:https://journals.lww.com/10.4103/MJBL.MJBL_666_23
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author Eham Amer Ali
Ali Abdulateef Hasan Al-Bayati
Alea Farhan Salman
author_facet Eham Amer Ali
Ali Abdulateef Hasan Al-Bayati
Alea Farhan Salman
author_sort Eham Amer Ali
collection DOAJ
description Background:Elabela is a newly discovered peptide hormone that has been implicated in liver disease. Objective:The main objective of the current work is to assess whether variations in blood Elabela levels among chronic hepatitis C (CHC) patients from Iraq might be used as a biomarker for liver fibrosis. Materials and Methods:A case-control study was conducted in Baghdad, Iraq. The overall sample size (n = 80) that met the inclusion criteria was divided into two groups as follows: 40 patients who were diagnosed with CHC and 40 healthy matched individuals. The aspartate aminotransferase-to-platelet ratio index (APRI) was used to identify the group of patients at risk for liver fibrosis. The routine complete blood count, liver function, and serum Elabela tests were performed. Serum Elabela level was evaluated by using the enzyme-linked immunosorbent assay technique. Results:Serum Elabela was significantly higher in the CHC group (33.89 ± 8.51 ng/mL) than in the control group (18.11 ± 5.27 ng/mL). In addition, the percentage of CHC patients at a high risk of developing fibrosis was 42.5%. Also, the high-risk fibrosis group showed a significantly higher concentration of Elabela and APRI than the other groups (low-risk and control) at P < 0.0001. Alanine aminotransaminase and aspartate aminotransaminase showed a high increase while a low decrease in both Hb and platelet count against the healthy group (P < 0.0001). Conclusion:High serum Elabela level in CHC patients compared to the control group was associated with liver fibrosis and could be used clinically as a reliable biomarker to determine the high-risk patient in need of invasive liver biopsy and hazardous therapeutics.
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spelling doaj-art-d60a29067b594aa5865f0a5dfa1ac8c52024-11-13T08:52:05ZengWolters Kluwer Medknow PublicationsMedical Journal of Babylon1812-156X2312-67602024-07-0121234635210.4103/MJBL.MJBL_666_23Serum Elabela Level as a Reliable Biomarker for Predicting of Liver Fibrosis in Iraqi Patients with Chronic Hepatitis CEham Amer AliAli Abdulateef Hasan Al-BayatiAlea Farhan SalmanBackground:Elabela is a newly discovered peptide hormone that has been implicated in liver disease. Objective:The main objective of the current work is to assess whether variations in blood Elabela levels among chronic hepatitis C (CHC) patients from Iraq might be used as a biomarker for liver fibrosis. Materials and Methods:A case-control study was conducted in Baghdad, Iraq. The overall sample size (n = 80) that met the inclusion criteria was divided into two groups as follows: 40 patients who were diagnosed with CHC and 40 healthy matched individuals. The aspartate aminotransferase-to-platelet ratio index (APRI) was used to identify the group of patients at risk for liver fibrosis. The routine complete blood count, liver function, and serum Elabela tests were performed. Serum Elabela level was evaluated by using the enzyme-linked immunosorbent assay technique. Results:Serum Elabela was significantly higher in the CHC group (33.89 ± 8.51 ng/mL) than in the control group (18.11 ± 5.27 ng/mL). In addition, the percentage of CHC patients at a high risk of developing fibrosis was 42.5%. Also, the high-risk fibrosis group showed a significantly higher concentration of Elabela and APRI than the other groups (low-risk and control) at P < 0.0001. Alanine aminotransaminase and aspartate aminotransaminase showed a high increase while a low decrease in both Hb and platelet count against the healthy group (P < 0.0001). Conclusion:High serum Elabela level in CHC patients compared to the control group was associated with liver fibrosis and could be used clinically as a reliable biomarker to determine the high-risk patient in need of invasive liver biopsy and hazardous therapeutics.https://journals.lww.com/10.4103/MJBL.MJBL_666_23aprichronic hepatitis celabelaliver fibrosis
spellingShingle Eham Amer Ali
Ali Abdulateef Hasan Al-Bayati
Alea Farhan Salman
Serum Elabela Level as a Reliable Biomarker for Predicting of Liver Fibrosis in Iraqi Patients with Chronic Hepatitis C
Medical Journal of Babylon
apri
chronic hepatitis c
elabela
liver fibrosis
title Serum Elabela Level as a Reliable Biomarker for Predicting of Liver Fibrosis in Iraqi Patients with Chronic Hepatitis C
title_full Serum Elabela Level as a Reliable Biomarker for Predicting of Liver Fibrosis in Iraqi Patients with Chronic Hepatitis C
title_fullStr Serum Elabela Level as a Reliable Biomarker for Predicting of Liver Fibrosis in Iraqi Patients with Chronic Hepatitis C
title_full_unstemmed Serum Elabela Level as a Reliable Biomarker for Predicting of Liver Fibrosis in Iraqi Patients with Chronic Hepatitis C
title_short Serum Elabela Level as a Reliable Biomarker for Predicting of Liver Fibrosis in Iraqi Patients with Chronic Hepatitis C
title_sort serum elabela level as a reliable biomarker for predicting of liver fibrosis in iraqi patients with chronic hepatitis c
topic apri
chronic hepatitis c
elabela
liver fibrosis
url https://journals.lww.com/10.4103/MJBL.MJBL_666_23
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