YKL-40 Is a Protective Biomarker for Fatty Liver in World Trade Center Particulate Matter-Exposed Firefighters
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2014/03/01
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Personal Author:Cho SJ ; Echevarria GC ; Kwon S ; Lee YI ; Nolan A ; Park KY ; Prezant DJ ; Rom, William N. ; Tsukiji J ; Weiden MD
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Description:Background: Serum biomarkers of metabolic syndrome predict abnormal lung function in World Trade Center particulate matter (WTC-PM)-exposed Fire Department of New York (FDNY) rescue workers. In animal models, exposure to ambient PM induces non-alcoholic fatty liver disease (NAFLD), a well-known comorbidity of metabolic syndrome. YKL-40 is an inflammatory biomarker for both liver and lung disease. We tested if YKL-40 is a biomarker for NAFLD in this dust-exposed cohort. Methods: Using a nested case-control design, we studied 131 FDNY personnel who had Computer Tomography performed within 5 years post 9/11. NAFLD was defined by a liver/spleen attenuation ratio of <1. Serum biomarkers, lipid panel and liver function were measured in serum that had been drawn within 6 months of September 11, 2001. YKL-40 and chitotriosidase were assayed by ELISA. We tested biomarker and NAFLD association using logistic regression adjusted for age, BMI, and post-911 lung function. Results: NAFLD was present in 29/131 (22%) of the cohort. In a multivariable model increasing YKL-40 was protective while increasing triglyceride and alkaline phosphatase were risk factors for NAFLD. Conclusions: Increased YKL-40 is a protective biomarker in non-alcoholic fatty liver disease. Further studies may reveal a link between PM-induced lung and liver diseases. [Description provided by NIOSH]
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ISSN:2155-9929
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Volume:5
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Issue:3
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NIOSHTIC Number:nn:20050874
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Citation:J Mol Biomark Diagn 2014 Mar; 5(3):1000174
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Contact Point Address:Michael D. Weiden, Associate Professor of Medicine and Environmental Medicine, New York University School of Medicine, 550 1st Ave, New York, NY 10016
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Email:michael.weiden@med.nyu.edu
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Federal Fiscal Year:2014
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Performing Organization:New York City Fire Department
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Peer Reviewed:True
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Start Date:20110701
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Source Full Name:Journal of Molecular Biomarkers & Diagnosis
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End Date:20170331
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Main Document Checksum:urn:sha-512:a6ae48520b215774432d7e3a45ecd749a89353cbb7752c0fe2f54590456cc7991f65b6ba5839d8237486a47bce0907c5f36a1ac7626557dc466938198c770a62
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