Obesity

Higher plasma dicarbonyl levels are associated with liver fibrosis in obese individuals

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

This study shows the potential role of dicarbonyl stress, particularly MGO, in liver fibrosis among obese individuals, highlighting its significance as an independent contributor to liver damage and a potential therapeutic target.

Study context

Population
Severely obese individuals due to undergo bariatric surgery (BARIA cohort subset); 22% T2D, 77% females, median age 47 (IQR: 39–54 years), BMI 39 (IQR: 36–41 kg/m²)
Participants
264 participants
Outcome
Association of plasma dicarbonyls (MGO, GO, 3-DG; UPLC-MS/MS) with liver fibrosis by biopsy scoring and FIB-4 Index
Methodological detailssubset of the BARIA cohort
  • Subset of the BARIA cohort

Main finding

As reported in the abstract

Association of plasma dicarbonyls with liver fibrosis

Methylglyoxal (MGO) vs FIB-4 Index, rho

0.21

p < 0.01

Glyoxal (GO) vs FIB-4 Index, rho

0.29

p < 0.01

3DG vs FIB-4 Index, rho

0.25

p < 0.05

Observational data: associations, not effects.

Further findings

OutcomeValues
MGO levels by T2D statusT2D median 288 (range 257–334) nmol/L · No T2D median 238 (range 212–279) nmol/L
MGO levels by sexMales median 267 (range 236–301) nmol/L · Females median 245 (range 214–288) nmol/L

MGO levels by T2D status

MGO significantly higher with T2D; similar results for GO and 3DG

MGO levels by sex

MGO higher in males; similar results for GO and 3DG

Steatosis and inflammation histology scores

No significant associations of MGO, GO or 3DG with steatosis or inflammation scores after adjustment

Original publication

Higher plasma dicarbonyl levels are associated with liver fibrosis in obese individuals. Diabetes Obes Metab. Published 29 July 2025. doi:10.1111/dom.16643

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