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C Alkim

Practical Predictors of Fibrosis in Non-alcoholic Fatty Liver Disease: Immunoglobulin-A and HOMA-IR

Non-alcoholic fatty liver disease (NAFLD) is the most prevalent liver disease and advanced fibrosis is the most important predictor of mortality in NAFLD. In this study, homeostasis model of insulin resistance (HOMA-IR) and serum immunoglobulin (Ig) A levels are found as the independent predictors of hepatic fibrosis. Early estimation of fibrosis in NAFLD patients by using clinical parameters such as HOMA-IR and serum IgA that can be easily assessed during daily routine can lead to a strategy to choose the most appropriate candidate for liver biopsy and can increase the yield and decrease unnecessary biopsies with associated costs and morbidity.


Objective: Elevated immunoglobulin (Ig)-A levels and its relationship with fibrosis in alcoholic liver disease (ALD) were known. Non-alcoholic fatty liver disease (NAFLD) shows similar histology and pathophysiology with ALD. The potential relationship of serum Ig (IgA, IgG, and IgM) levels and other routinely used biochemical tests with the histological stage of liver damage in biopsy-proven NAFLD patients was investigated here.

08 Aug, 2018
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e-Published: 14 Feb, 2019


Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

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