Longitudinal Effects of MRI-Measured Hepatic Steatosis on Biomarkers of Glucose Homeostasis and Hepatic Apoptosis in Obese Youth

• Published in: Diabetes care Vol. 36; no. 1; pp. 130 - 136
• Main Authors: KIM, Grace, GIANNINI, Cosimo, CAPRIO, Sonia, PLERPONT, Bridget, FELDSTEIN, Ariel E, SANTORO, Nicola, KURSAWE, Romy, SHAW, Melissa, DURAN, Elvira, GOLDBERG, Rachel, DZIURA, James
• Format: Journal Article
• Language: English
• Published: Alexandria, VA American Diabetes Association 01.01.2013
• Subjects: Adolescent; Apoptosis; Apoptosis - physiology; Biological and medical sciences; Biomarkers - metabolism; Child; Children & youth; Development and progression; Dextrose; Diabetes. Impaired glucose tolerance; Diet; Endocrine pancreas. Apud cells (diseases); Endocrinopathies; Fatty Liver - metabolism; Fatty Liver - pathology; Female; Glucose; Glucose - metabolism; Glucose tolerance tests; Homeostasis; Humans; Liver - metabolism; Liver cirrhosis; Magnetic resonance imaging; Magnetic Resonance Imaging - methods; Male; Medical sciences; Metabolic diseases; Miscellaneous; Multivariate Analysis; NMR; Nuclear magnetic resonance; Obesity; Obesity in adolescence; Original Research; Public health. Hygiene; Public health. Hygiene-occupational medicine; Teenagers; Young Adult; Youth; Human; Obesity; Nutrition; Digestive system; Liver; Nutrition disorder; Biological marker; Hepatic disease; Metabolic diseases; Nuclear magnetic resonance imaging; Fatty liver; Adolescent; Medical imagery; Digestive diseases; Endocrinology; Nutritional status; Glycemia; Apoptosis
• ISSN: 0149-5992; 1935-5548
• DOI: 10.2337/dc12-0277

We used fast-gradient magnetic resonance imaging (MRI) to determine the longitudinal associations between the hepatic fat content (HFF), glucose homeostasis, and a biomarker of hepatocellular apoptosis in obese youth. Baseline and longitudinal liver and abdominal MRI were performed with an oral glucose tolerance test in 76 obese youth followed for an average of 1.9 years. Cytokeratin-18 (CK-18) was measured at baseline and follow-up as a biomarker of hepatic apoptosis. The relationship between baseline HFF and metabolic parameters and circulating levels of CK-18 at follow-up were assessed using a bivariate correlation. At baseline, 38% had hepatic steatosis based on %HFF ≥5.5% with alterations in indices of insulin sensitivity and secretion. At follow-up, BMI increased in both groups and baseline %HFF correlated strongly with the follow-up %HFF (r = 0.81, P < 0.001). Over time, markers of insulin sensitivity and 2-h glucose improved significantly in the group without fatty liver, in contrast with the persistence of the insulin resistance and associated correlates in the fatty liver group. Baseline HFF correlated with 2-h glucose (r = 0.38, P = 0.001), whole-body insulin sensitivity (r = -0.405, P = 0.001), adiponectin (r = -0.44, P < 0.001), CK-18 levels, (r = 0.63, P < 0.001), and disposition index (r = -0.272, P = 0.021) at follow-up. In a multivariate analysis, we showed that baseline HFF is an independent predictor of 2-h glucose and whole-body insulin sensitivity. In obese youth, the phenotype of MRI-measured hepatic steatosis is persistent. Baseline HFF strongly modulates longitudinally 2-h blood glucose, biomarkers of insulin resistance, and hepatocellular apoptosis.