Cargando…

Correlation of Angiogenesis and Inflammation with Post-Operative Complications in Patients with Fatty Liver Disease Undergoing Liver Resection

Background: Hepatic steatosis has been identified as an independent risk factor for post-operative complications. The aim of our research was to assess how inflammation and neoangiogenesis associated with different stages of hepatic steatosis are related to post-operative complications in patients w...

Descripción completa

Detalles Bibliográficos
Autores principales: GHEORGHE CONSTANTINESCU, ELENA CODRUŢA, IONESCU, MIHAELA, PIRICI, DANIEL, BIRCEANU, ADELINA, STROESCU, CEZAR, COPCĂ, NARCIS, ŞURLIN, VALERIU, BURTEA, DANIELA ELENA, SĂFTOIU, ADRIAN
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical University Publishing House Craiova 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987481/
https://www.ncbi.nlm.nih.gov/pubmed/35444818
http://dx.doi.org/10.12865/CHSJ.47.04.08
_version_ 1784682752308674560
author GHEORGHE CONSTANTINESCU, ELENA CODRUŢA
IONESCU, MIHAELA
PIRICI, DANIEL
BIRCEANU, ADELINA
STROESCU, CEZAR
COPCĂ, NARCIS
ŞURLIN, VALERIU
BURTEA, DANIELA ELENA
SĂFTOIU, ADRIAN
author_facet GHEORGHE CONSTANTINESCU, ELENA CODRUŢA
IONESCU, MIHAELA
PIRICI, DANIEL
BIRCEANU, ADELINA
STROESCU, CEZAR
COPCĂ, NARCIS
ŞURLIN, VALERIU
BURTEA, DANIELA ELENA
SĂFTOIU, ADRIAN
author_sort GHEORGHE CONSTANTINESCU, ELENA CODRUŢA
collection PubMed
description Background: Hepatic steatosis has been identified as an independent risk factor for post-operative complications. The aim of our research was to assess how inflammation and neoangiogenesis associated with different stages of hepatic steatosis are related to post-operative complications in patients who undergo hepatic resection. Methods: Our study included 19 patients with hepatic steatosis undergoing liver resection for primary or secondary tumors. For every patient we performed immunostaining using a panel of 5 primary antibodies (CD3, CD20, CD68, CD31, CD34) to highlight inflammation and neoangiogensis in the non-tumoral hepatic parenchyma. Results: Taking into consideration the number of vessels as well as the signal area and integrated optical density (IOD) forCD3, CD20, CD68, and also the degree of steatosis, the univariate analysis with a log-rank (Mantel-Cox) test revealed that patients with higher values of CD31 and CD34 had a higher rate of post-operative complications on a 30-day follow-up period. Also, we used a Mann-Whitney U and Kruskal-Wallis H tests for group distributions. We noticed thatCD34 was significantly increased in patients diagnosed with steatosis compared to the control group and there was a statistically significant difference between CD31 median values of S0 (27.6) and S1 (55.8) grades. Conclusion: Patients with steatosis that presented higher values of CD31 and CD34 had a higher rate of post-operative complications. Further studies should assess the value of pre-operative evaluation of angiogenesis in patients with liver steatosis submitted to liver surgery.
format Online
Article
Text
id pubmed-8987481
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Medical University Publishing House Craiova
record_format MEDLINE/PubMed
spelling pubmed-89874812022-04-19 Correlation of Angiogenesis and Inflammation with Post-Operative Complications in Patients with Fatty Liver Disease Undergoing Liver Resection GHEORGHE CONSTANTINESCU, ELENA CODRUŢA IONESCU, MIHAELA PIRICI, DANIEL BIRCEANU, ADELINA STROESCU, CEZAR COPCĂ, NARCIS ŞURLIN, VALERIU BURTEA, DANIELA ELENA SĂFTOIU, ADRIAN Curr Health Sci J Original Paper Background: Hepatic steatosis has been identified as an independent risk factor for post-operative complications. The aim of our research was to assess how inflammation and neoangiogenesis associated with different stages of hepatic steatosis are related to post-operative complications in patients who undergo hepatic resection. Methods: Our study included 19 patients with hepatic steatosis undergoing liver resection for primary or secondary tumors. For every patient we performed immunostaining using a panel of 5 primary antibodies (CD3, CD20, CD68, CD31, CD34) to highlight inflammation and neoangiogensis in the non-tumoral hepatic parenchyma. Results: Taking into consideration the number of vessels as well as the signal area and integrated optical density (IOD) forCD3, CD20, CD68, and also the degree of steatosis, the univariate analysis with a log-rank (Mantel-Cox) test revealed that patients with higher values of CD31 and CD34 had a higher rate of post-operative complications on a 30-day follow-up period. Also, we used a Mann-Whitney U and Kruskal-Wallis H tests for group distributions. We noticed thatCD34 was significantly increased in patients diagnosed with steatosis compared to the control group and there was a statistically significant difference between CD31 median values of S0 (27.6) and S1 (55.8) grades. Conclusion: Patients with steatosis that presented higher values of CD31 and CD34 had a higher rate of post-operative complications. Further studies should assess the value of pre-operative evaluation of angiogenesis in patients with liver steatosis submitted to liver surgery. Medical University Publishing House Craiova 2021 2021-12-31 /pmc/articles/PMC8987481/ /pubmed/35444818 http://dx.doi.org/10.12865/CHSJ.47.04.08 Text en Copyright © 2014, Medical University Publishing House Craiova https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Public License, which permits unrestricted use, adaptation, distribution and reproduction in any medium, non-commercially, provided the new creations are licensed under identical terms as the original work and the original work is properly cited.
spellingShingle Original Paper
GHEORGHE CONSTANTINESCU, ELENA CODRUŢA
IONESCU, MIHAELA
PIRICI, DANIEL
BIRCEANU, ADELINA
STROESCU, CEZAR
COPCĂ, NARCIS
ŞURLIN, VALERIU
BURTEA, DANIELA ELENA
SĂFTOIU, ADRIAN
Correlation of Angiogenesis and Inflammation with Post-Operative Complications in Patients with Fatty Liver Disease Undergoing Liver Resection
title Correlation of Angiogenesis and Inflammation with Post-Operative Complications in Patients with Fatty Liver Disease Undergoing Liver Resection
title_full Correlation of Angiogenesis and Inflammation with Post-Operative Complications in Patients with Fatty Liver Disease Undergoing Liver Resection
title_fullStr Correlation of Angiogenesis and Inflammation with Post-Operative Complications in Patients with Fatty Liver Disease Undergoing Liver Resection
title_full_unstemmed Correlation of Angiogenesis and Inflammation with Post-Operative Complications in Patients with Fatty Liver Disease Undergoing Liver Resection
title_short Correlation of Angiogenesis and Inflammation with Post-Operative Complications in Patients with Fatty Liver Disease Undergoing Liver Resection
title_sort correlation of angiogenesis and inflammation with post-operative complications in patients with fatty liver disease undergoing liver resection
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987481/
https://www.ncbi.nlm.nih.gov/pubmed/35444818
http://dx.doi.org/10.12865/CHSJ.47.04.08
work_keys_str_mv AT gheorgheconstantinescuelenacodruta correlationofangiogenesisandinflammationwithpostoperativecomplicationsinpatientswithfattyliverdiseaseundergoingliverresection
AT ionescumihaela correlationofangiogenesisandinflammationwithpostoperativecomplicationsinpatientswithfattyliverdiseaseundergoingliverresection
AT piricidaniel correlationofangiogenesisandinflammationwithpostoperativecomplicationsinpatientswithfattyliverdiseaseundergoingliverresection
AT birceanuadelina correlationofangiogenesisandinflammationwithpostoperativecomplicationsinpatientswithfattyliverdiseaseundergoingliverresection
AT stroescucezar correlationofangiogenesisandinflammationwithpostoperativecomplicationsinpatientswithfattyliverdiseaseundergoingliverresection
AT copcanarcis correlationofangiogenesisandinflammationwithpostoperativecomplicationsinpatientswithfattyliverdiseaseundergoingliverresection
AT surlinvaleriu correlationofangiogenesisandinflammationwithpostoperativecomplicationsinpatientswithfattyliverdiseaseundergoingliverresection
AT burteadanielaelena correlationofangiogenesisandinflammationwithpostoperativecomplicationsinpatientswithfattyliverdiseaseundergoingliverresection
AT saftoiuadrian correlationofangiogenesisandinflammationwithpostoperativecomplicationsinpatientswithfattyliverdiseaseundergoingliverresection