Table 1.
Cirrhosis without HE (n = 24) | Cirrhosis with HE (n = 36) | |
---|---|---|
Age | 54 ± 6 | 56 ± 4 |
Sex (male/female) | 20/4 | 30/6 |
Body mass index | 28.9 ± 4.4 | 29.0 ± 6.7 |
Ascites, % patients | 2 | 16 |
Child-Turcotte-Pugh score | 6 ± 4 | 9 ± 5* |
MELD score | 10.4 ± 4.1 | 17.3 ± 6.8* |
Venous ammonia | 32.8 ± 12.6 | 48.8 ± 27.5* |
IL-1β, pg/ml | 14.3 ± 58.7 | 6.2 ± 12.1 |
IL-2, pg/ml | 15.0 ± 62.3 | 24.4 ± 68.6 |
Interferon-γ, pg/ml | 10.1 ± 33.1 | 15.9 ± 54.5 |
TNF-α, pg/ml | 13.9 ± 43.2 | 7.4 ± 8.2 |
IL-4, pg/ml | 16.3 ± 55.5 | 25.3 ± 94.5 |
IL-6, pg/ml | 12.2 ± 32.5 | 40.6 ± 63.3* |
IL-10, pg/ml | 10.4 ± 28.3 | 4.88 ± 5.89 |
ADMA, μm/ml | 0.38 ± 0.13 | 0.558 ± 0.20* |
S100b protein, pg/ml | 34.7 ± 27.4 | 57.1 ± 49.4* |
Endotoxin, EU/ml | 0.06 ± 0.01 | 0.32 ± 0.26* |
Neuron-specific enolase, pg/ml | 7,461 ± 4,288 | 6,793 ± 3,424 |
IL-23, pg/ml | 519 ± 1,137 | 1,130 ± 3,289 |
IL-17, pg/ml | 5.9 ± 16.9 | 17.8 ± 60.4 |
sVCAM-1, pg/ml | 1,488,817 ± 664,793 | 1,683,186 ± 794,252 |
sICAM-1, pg/ml | 319,844 ± 268,066 | 304,680 ± 214,037 |
Number connection-A, s | 35.0 ± 14.7 | 60.3 ± 41.4* |
Number connection-B, s | 95.9 ± 49.2 | 170 ± 123* |
Digit symbol, raw score | 57.7 ± 12.0 | 37.4 ± 15.8* |
Block design, raw score | 30.1 ± 14.9 | 18.7 ± 16.7* |
Lures, number incorrect | 10.5 ± 7.7 | 16.4 ± 10.3* |
Targets, % correct | 95.3 ± 8.7 | 88.1 ± 13.7* |
Serial dotting, s | 64.6 ± 18.7 | 89.3 ± 34.9* |
Line tracing time, s | 95.0 ± 37.7 | 122.5 ± 56.9* |
Line tracing errors, number | 28.2 ± 20.4 | 54.0 ± 39.1* |
Values are means ± SD,
P < 0.05. As expected, patients with hepatic encephalopathy (HE) have a worse model for end-stage liver disease (MELD) score andcognitive performance and higher venous ammonia, endotoxin, IL-6, asymmetric dimethyl arginine (ADMA), and S100b protein compared with patients without HE. A high score in Digit symbol, Block design, and Targets indicates good cognitive performance whereas a high score in the remaining cognitive tests suggests poor performance. sICAM-1, soluble intravascular adhesion molecule; sVCAM-1, soluble vascular adhesion molecule.