Clinical Gastroenterology Vol.22 No.11(3)

Theme NASH : An Update
Title Biomarkers for the Diagnosis of NASH
Publish Date 2007/10
Author Miwa Kawanaka Center for Liver Disease, Kawasaki Hospital, Kawasaki Medical School
Author Gotaro Yamada Center for Liver Disease, Kawasaki Hospital, Kawasaki Medical School
[ Summary ] Liver biopsies remains the only reliable way to differentiate simple steatosis from non-alcoholic steatohepatitis (NASH). However they provide an invasive test when it is not realistic to perform a liver biopsy in cases of non alcoholic fatty liver disease (NAFLD). It is necessary to rapidly establish a novel biomarker for the diagnosis of NASH. High transaminase levels, insulin resistance, high hs-CRP levels, hypoadiponectinemia, hyperleptinemia, and high oxdative markers are suggested as markers for NASH rather than simple steatosis. In addition, the presence of metabolic syndromes suggested a high risk of NASH in NAFLD patients.
back