Correlation Between NLRP3 Inflammasome and GP73 Levels and Hepatitis B Cirrhosis with Esophageal Varices Rupture
Download PDF

Keywords

Hepatitis B cirrhosis
Esophageal varices
NLRP3 inflammasome
GP73
Correlation

DOI

10.26689/par.v7i3.4905

Submitted : 2023-04-30
Accepted : 2023-05-15
Published : 2023-05-30

Abstract

Objective: To investigate the correlation between NOD-like receptor family protein 3 (NLRP3) inflammasome and Golgi protein 73 (GP73) levels and hepatitis B cirrhosis with esophageal varices (EV) rupture. Methods: The subjects of this study were 145 patients with hepatitis B cirrhosis and varices who were treated in our hospital in recent years. Endoscopic examination was performed on the patients. The patients were divided into two groups according to whether there was EV rupture: rupture group and non-rupture group. The correlation between plasma NLRP3 and GP73 levels and hepatitis B cirrhosis with EV rupture was analyzed. Results: Through observation, comparing the levels of NLRP3 and GP73 between the two groups, the levels of NLRP3 and GP73 were significantly higher in the rupture group than in the non-rupture group (P < 0.05). Logistic regression analysis showed that NLRP3 and GP73 levels and Child-Pugh classification were related risk factors of hepatitis B cirrhosis with EV rupture. Conclusion: NLRP3 inflammasome and GP73 levels are closely related to hepatitis B cirrhosis with EV rupture. The corresponding evaluation aids in predicting EV rupture and bleeding in patients with hepatitis B cirrhosis.

References

Xu H, Zhu C, Yang K, et al., 2022, Advances in the Treatment of NLRP3 Inflammasome-Associated Digestive System Diseases with Traditional Chinese and Western Medicine. Modern Journal of Integrated Traditional Chinese and Western Medicine, 31(15): 2176–2180.

Liu W, Ma S, Huang G, et al., 2022, Changes of Serum TIMP-1, MMP-2 and GP73 Levels in Patients with Hepatitis B Cirrhosis Treated with Entecavir. Liver, 27(05): 536–539.

Zhao H, 2022, Based on the NLRP3 Inflammasome Pathway and Intestinal Flora Analysis of the Improvement Effect of Lycopene on Non-Alcoholic Fatty Liver in Mice, thesis, Qingdao University.

Liu H, 2022, Elaidic Acid Activates NLRP3 Inflammasome to Induce Rat Liver Kupffer Cells and the Mechanism of Liver Injury in SD Rats, thesis, Jilin University.

Cui X, 2022, Correlation Between NLRP3 Inflammasome and GP73 Levels and Hepatitis B Cirrhosis with Rupture of Esophageal Varices. Chinese Convalescent Medicine, 31(04): 354–357.

Yang L, Peng W, Zhang H, et al., 2021, Correlation Analysis of Serum NLRP3 Inflammasome, IL-18, IL-1? Levels with Liver Cirrhosis and Liver Cancer. PLA Medicine Journal, 33(05): 24–28.

Xu X, Ding H, Li W, et al., 2019, Guidelines for the Diagnosis and Treatment of Liver Cirrhosis. Journal of Clinical Hepatobiliary Diseases, 11: 2408–2425.

Heo JY, Kim BK, Park JY, et al., 2019, Multicenter Retrospective Risk Assessment of Esophageal Variceal Bleeding in Patients with Cirrhosis: An Acoustic Radiation Force Impulse Elastography-Based Prediction Model. Gut Liver, 13(2): 206–214. https://doi.org/10.5009/gnl18292

Fan Q, 2021, S100A11 Participates in Nonalcoholic Steatohepatitis and Its Potential Drug Screening Target by Activating NLRP3 Inflammasome, thesis, Yunnan University of Traditional Chinese Medicine.

Wang S, Qing D, 2020, Inflammasome Activation and Pyroptosis and Its Research Progress in Alcoholic Liver Disease. Journal of Central South University (Medical Science), 45(08): 999–1004.

Xie X, 2020, HBx Activates Autophagy and Inhibits NLRP3 Inflammasome Function in Liver Cancer Cells, thesis, Fujian Medical University.

Xiang G, Fan J, Ye Z, et al., 2019, Expression of NLRP3 Inflammasome and Its Upstream Activation Protein GSDMD in Primary Biliary Cirrhosis. International Journal of Laboratory Medicine, 40(17): 2049–2052 + 2057.

Li X, 2019, Research on the Mechanism of P2X7 Receptor Regulating Alcoholic Steatohepatitis Based on NLRP3 Inflammasome, thesis, Yanbian University.

Xie W, 2019, Research on the Mechanism of Liver Cell Inflammation and Pyroptosis Caused by HBx Activation of NLRP3 Inflammasome Under Oxidative Stress Environment, thesis, Fujian Medical University.

Chen H, Liu S, 2019, Detection of Serum IL-10 and GP73 Levels in Patients with Acute-on-Chronic Hepatitis B Liver Failure and Their Clinical Significance. Journal of Practical Hepatology, 22(01): 73–76.

Zhang W, Tao C, Li Y, 2016, Changes of Serum Golgi Protein 73 Level in Patients with Hepatitis B and Its Clinical Significance. Laboratory Medicine and Clinic, 13(23): 3325–3328.

Mao X, 2013, Serum GP73 Expression Level and Its Clinical Significance in Patients with Hepatitis B Virus-Related Chronic Liver Disease, thesis, Chongqing Medical University.