Liraglutide significantly decreased circulating
NEFA in the fasting state, low-dose and high-dose insulin states. Liraglutide significantly reduced the insulin concentration required to V2-maximally suppress circulating NEFA. Liraglutide KU-57788 mw significantly decreased adipose tissue lipolysis, as demonstrated by a reduction in interstitial fluid glycerol concentrations. Furthermore, Liraglutide significantly improved serum markers of adipose inflammation, namely leptin, adiponectin, and CCL-2. In addition, Liraglutide decreased de novo lipogenesis in-vivo, as measured by incorporation of deuterated 2H20 into palmitate, versus placebo. Endorsing our clinical observations, in-vitro experiments using both the Huh-7 human hepatoma cell line and primary cultures of human hepatocytes showed decreased de novo lipogenesis, measured by 14C-acetate incorporation into cellular lipid following treatment with GLP-1 (exendin-4 10nM, 100nM). Conclusions: Liraglutide significantly
learn more reduces metabolic dysfunction, hepatic lipogenesis, hepatic/adipose insulin resistance and adipose inflammation in patients with NASH. It is possible that GLP-1 analogue therapy may represent a novel treatment for patients with NASH, although the safety and histological efficacy await the completion of the 48week LEAN trial. Disclosures: Matthew J. Armstrong – Grant/Research Support: Novo Nordisk Ltd Stephen Gough – Advisory Committees or Review Panels: Novo Nordisk, Eli Lilly, Sanofi Aventis, Takeda, GSK; Grant/Research Support: Novo Nordisk, Eli Lilly, Takeda; Speaking and Teaching: Novo Nordisk, Eli Lilly, Sanofi Aventis, GSK Philip N. Newsome – Grant/Research Support: Novo Nordisk The following people have nothing to disclose: Diana Hull, Kathy Guo, Darren Barton, Jonathan M. Hazlehurst, Maryam Nasiri, Laura L. Gathercole, Jinglei Yu, Piers
Gaunt, Jeremy W. Tomlinson Background&Aims: Nonalcoholic fatty liver disease (NAFLD) and cholelithiasis are among the most frequent diseases of gastrointestinal diseases. Recently, it was reported that cholelithiasis is approximately two times more often (20%) than normal in patients with NAFLD. However, to date no study showed a casual relationship and gallbladder kinetics in patients with NAFLD. In this study we aimed to evaluate the gallbladder kinetics and probable 上海皓元 relationship with NAFLD. Material and Methods: A total of 50 patients diagnosed histopathologically with NAFLD and 38 healthy controls were included in the study. After an 8 hour overnight fasting the measurements of gallbladder were performed and after standard food ingestion the measurements were repeated at 45. minutes. Results: Fasting gallbladder wall thickness (1.12±0.38 and 1.48±0.46 mm respectively, p<0.001), volume (21.73±11.1 and 27.86±8.4 ml respectively, p=0.006) and postprandial residual volume (10.73±5.7 and 1 7.84±8.1 8 respectively, p<0.001)of patients with NAFLD was significantly higher than controls, whereas gallbladder ejection fraction (48±19.15 and 36.8±19.