Cytokeratin-18 increase as a signal for early liver cell changes in high-fat diet-induced obesity before overt steatohepatitis - Summary - MDSpire

Cytokeratin-18 increase as a signal for early liver cell changes in high-fat diet-induced obesity before overt steatohepatitis

  • By

  • Özlem Özdemir

  • Çağrı Akalın

  • Fuat Ekiz

  • Pınar Naile Öğüten

  • Orhan Baş

  • Ahmet Bayrak

  • Yeliz Kaşko Arıcı

  • July 8, 2026

  • 0 min

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Objective:

To evaluate the metabolic parameters, CK-18 levels, and liver histopathology in high-fat diet-induced obesity in rats.

Approach:
  • Study Design: Rats were fed either a normal-fat diet (NFD) or a high-fat diet (HFD) for eight weeks.
  • Assessments: Body weights, metabolic-liver parameters, and CK-18 levels were assessed at study end. Liver histopathological changes and NAFLD activity score were examined.
Key Findings:
  • HFD group showed increased final body weight (335.8 ± 20.2 g vs 291.5 ± 6.25 g; p<0.001).
  • Increased glucose (186.4 ± 46.9 mg/dL vs 130.0 ± 16.2 mg/dL; p=0.011), insulin (4.30 ± 0.70 IU/L vs 2.23 ± 0.82 IU/L; p<0.001), HOMA-IR (2.03 ± 0.79 vs 0.73 ± 0.34; p=0.003), ALT (72.34 ± 12.35 U/L vs 55.43 ± 5.75 U/L; p=0.009), and CK-18 (1.46 ± 0.18 ng/mL vs 0.88 ± 0.18 ng/mL; p<0.001) levels were observed.
  • Decreased AST/ALT ratio in HFD group (1.16 ± 0.09 vs 1.32 ± 0.14; p=0.020).
  • All HFD specimens showed ballooning (8/8) and half showed steatosis (4/8).
  • CK-18 values tended to co-occur with higher ALT levels and ballooning formation within the HFD group.
Interpretation:

HFD-induced obesity was associated with increased CK-18 and hepatocellular changes, particularly ballooning, without overt steatohepatitis.

Limitations:
  • Study conducted on rats, which may not fully represent human physiology.
  • Limited duration of the study (eight weeks) may not capture long-term effects.
Conclusion:

CK-18 levels were elevated in the HFD group, indicating potential hepatocellular injury in obesity.

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