World Journal of Nutrition and Health
ISSN (Print): 2379-7819 ISSN (Online): 2379-7827 Website: https://www.sciepub.com/journal/jnh Editor-in-chief: Srinivas NAMMI
Open Access
Journal Browser
Go
World Journal of Nutrition and Health. 2014, 2(2), 24-27
DOI: 10.12691/jnh-2-2-3
Open AccessArticle

A Study of Biochemical and Hematological Markers in Alcoholic Liver Cirrhosis

Neelesh Deshpande1, Sabitha Kandi2, Manohar Muddeshwar1, Rajkumar Das1 and K V Ramana3,

1Department of Biochemistry ,Government Medical College, Nagpur, India

2Department of Biochemistry, Chalmeda Anandarao Institute of Medical Sciences, Karimnagar, India

3Department of Microbiology, Prathima Institute of Medical Sciences, Karimnagar, India

Pub. Date: July 21, 2014

Cite this paper:
Neelesh Deshpande, Sabitha Kandi, Manohar Muddeshwar, Rajkumar Das and K V Ramana. A Study of Biochemical and Hematological Markers in Alcoholic Liver Cirrhosis. World Journal of Nutrition and Health. 2014; 2(2):24-27. doi: 10.12691/jnh-2-2-3

Abstract

Progressive fibrosis and cirrhosis, clinically presenting as end-stage liver disease are common outcomes in alcoholic Liver disease (ALD) patients. A variety of laboratory tests are available to assist in the progression and diagnosis of cirrhosis to end stage liver disease. The aim of this study is to identify potential novel biomarkers for progression of cirrhosis to end-stage liver cirrhosis. The biomarkers evaluated in this study included liver function indicators including serum ferritin, prothrombin time, albumin, total bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyltransferase (GGT), renal parameters (urea and creatinine) and red blood cell counts, hemoglobin and blood glucose. The study included two groups based on severity of cirrhosis of liver; categorized as compensated and decompensated liver cirrhotic patients based on child Pugh criteria. All decompensated cirrhotic patients in the study group had significantly elevated biomarkers levels (P<0.001) than those with compensated cirrhotic patients and control group who were not suffering from liver cirrhosis. Thus these results suggest that elevated and altered liver and hematological biomarkers are associated with pathogenesis and progression of liver cirrhosis.

Keywords:
alcohol Biochemical marker haematological markers γ-Glutamyltransferase Aminotransferases

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  B. Usharani, R. Vennila and N. Nalini Biochemical changes in Alcoholics – A case control study, B. Usharani, R. Vennila and N. Nalini. Biochemical changes in Alcoholics – A case control study. 2012, 3 (1): 201-205.
 
[2]  Felver ME, Merzey E and Herlong HF. Plasma tumor necrosis factor, a predicts decreased long term survival in severe alcoholic hepatitis. Alcohol Clin. Exp Res. 1990; 31: 117-134.
 
[3]  Tuma DJ. Serial review: Alcohol, oxidative stress and cell injury free. Radi. Biol. Med. 2002; 32: 303-308.
 
[4]  Kasper DL, Fauci AS, Longo DL., Braunwald E., Hauser SL., Jameson JL.Harrison’s Priciples of Internal Medicine 16th Edition., 2005, 2: 1808-1855.
 
[5]  Kimber R.J Rusaki Z., Blunden R.W., Iron deficency and iron overload: Serum ferritin and serum iron in clinical medicine. Pathology., 1983, 15, 497-503.
 
[6]  Kanai L. Mukherjee, Medical Labortory Technology-A procedure manual for routine Diagnostic Test Vol. 1, 32004.
 
[7]  Tietz N.W (Ed) Textbook of clinical chemistry, B. Saunders(1986) P. 1388.
 
[8]  Pearlman,P.C. and Lee, R.T. Detection and measurement of total bilirubin in serum, with use of surfactants as solubilizing agents.clin. Chem. (1974), 20: 447-53.
 
[9]  Bergmeyer, H.U., Horder, M, Rej R. Approved recommendation (1985) on IFCC method for the measurement of calalytic concentration of enzymes. Part 3. IFCC Method for ALanine Aminotransferase. J. Clin. Chem. Clin. Biochemistry. 1986; 24: 4481-489.
 
[10]  Tiffany, T.O, Jansen, J. M., Burtis,. C. A., Direct Enzymatic Determination of Urea in Plasma and Urine clin Chem, (1976); 22, 1614-1617.
 
[11]  Larson K.,Determination of serum creatinine. Clin. Chem Acta. (1972); 41, 209.
 
[12]  Doumas B.T., Arends R.L., Pinto P.C in standard Methods of clinical Chemistry (1972) Vol. 7, P. 175-189, Academic Press Chicago.
 
[13]  Szaaz G. A Kinetic photometric method for the measurement of serum gamma-glutamyl transpeptidase. Clin. Chem. 1976; 15: 124-36.
 
[14]  SK Das, P Nayak and D.M.Vasudevan, Biochemical markers for alcohol consumption, Indian Journal of clinical biochemistry. (2003), 18 (2) 111-118.
 
[15]  Agnieszka Szuster-ciesielska, Jadwiga Danlluk, Martya Kandefer-Szerszen. Oxidative stress in the blood of patients with alcohol-related liver. Med Sci Monit, (2002); 8 (6): CR 419-424.
 
[16]  Seren Ozenirler, Banu Sancak and Ugur Coskun. Serum and ascitic fluid superoxide dismutase and malondialdehyde levels in patients with cirrhosis. Biomarker Insights, (2008); 3: 141-145.
 
[17]  M Minemura, K Tajiri, Y Shimizu.Systemic abnormilities in liver disease..World J Gastroenterol. (2009), 15 (24): 2960-2974.
 
[18]  SQ Siler, RA Neese, MP Christiansen and MK Hellerstein. The inhibition of glucogenesis following alcohol in humans. Am. J. Physiol. 275 (Endocrinol Metab. 38)1998: E897-E907.
 
[19]  SK Das and D.M.Vasudevan. Biochemical markers for alcohol consumption, Indian Journal of clinical biochemistry. (2005) 20 (1) 35-42.
 
[20]  Iqbal T, Diab A, Ward DG, Brookes MJ, Tselepis C, Murray J, Elias E. Is iron overload in alcohol-related cirrhosis mediated by hepcidin? World J Gastroenterol. (2009); 15 (46): 5864-6.