ArticleTranslational gastroenterology and hepatology2026
Exploratory analysis of serum FGF-21 and CK-18 as biomarkers for ultrasound-detected MASLD in type 2 diabetes mellitus: a UAE multicenter study.
Article in Translational gastroenterology and hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common chronic liver disease worldwide, particularly among individuals with type 2 diabetes mellitus (T2DM). This exploratory multicenter study evaluated the association and diagnostic performance of the serum biomarkers cytokeratin 18 fragment M30 (CK-18 M30) and fibroblast growth factor 21 (FGF-21) in T2DM patients with and without ultrasound-detected MASLD. Methods: A multicenter case-control observational study was conducted on a total of 125 T2DM patients in the United Arab Emirates (UAE). Two groups of T2DM patients, MASLD and non-MASLD, were recruited for investigation of different serum biomarkers. An overnight fasting blood sample was collected for investigation of two biomarkers, including CK-18 M30 and FGF-21. Results: The study included 125 participants (mean age 55.9±8.9 years; 52.8% female). A subset of 66 participants was analyzed for serum biomarkers (FGF-21 and CK-18). Overall, 50.4% were obese (body mass index >30 kg/m Conclusions: Dyslipidemia and uncontrolled HbA1c were significantly associated with MASLD in T2DM patients. FGF-21 levels were higher in MASLD patients; however, its diagnostic performance was modest, and it was not independently associated with MASLD after multivariate adjustment.
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