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Adipocyte-fatty acid binding protein and non-alcoholic fatty liver disease in the elderly

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Abstract

Background

Adipocyte-fatty acid binding protein (A-FABP) is an intracellular lipid transporter that mediates metabolically triggered inflammation, and it is associated with insulin resistance, atherogenic dyslipidemia, and cardiovascular risk.

Aims

The aim of this study was to evaluate A-FABP behavior in elderly people, and especially its association with liver steatosis at abdominal ultrasound.

Method

Cross-sectional study of two cohort of individuals with and without steatosis, with assessment of several clinical and laboratory variables. Prospective evaluation of liver steatosis remodeling after six years of follow-up. One hundred and fifty-six subjects aged over 65 years were enrolled.

Results

Serum A-FABP positively correlated with body fat percentage, total cholesterol, serum triglycerides and erythrocyte sedimentation rate. Unlike expected, high A-FABP levels were associated with absence of liver steatosis, while there was no evidence of association with steatosis grade changes after 6 years of follow-up.

Conclusion

Among individuals aging more than 65 years included in the study, A-FABP was inversely associated with liver steatosis. It can be argued, that still uncovered mechanisms modify A-FABP behavior in elderly people, especially its association with multifactorial diseases.

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Acknowledgments

The authors would like to acknowledge the technical contributions of Raffaela Chianese and Franca Ferri. The study was supported by grants from Fondazione Cassa di Risparmio di Bologna and Regione Emilia Romagna, Piani per la Salute.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Correspondence to Marco Masetti or Giampaolo Bianchi.

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Masetti, M., Bianchi, G., Gianotti, G. et al. Adipocyte-fatty acid binding protein and non-alcoholic fatty liver disease in the elderly. Aging Clin Exp Res 26, 241–247 (2014). https://doi.org/10.1007/s40520-013-0156-0

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  • DOI: https://doi.org/10.1007/s40520-013-0156-0

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