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Circulating Hsp90 Isoform Levels in Overweight and Obese Children and the Relation to Nonalcoholic Fatty Liver
Anca Bălănescu1,2, Iustina Stan1,2, Ioana Codreanu1,2
1Pediatrics Chair, University of Medicine and Pharmacy "Carol Davila", 37 Dionisie Lupu Street, Bucharest, Romania.
Insights
Heat shock protein 90 (Hsp90) beta levels are elevated in obese children, potentially serving as a biomarker for nonalcoholic fatty liver disease (NAFLD). Analyzing Hsp90 isoforms separately offers better diagnostic accuracy for NAFLD in pediatric obesity.
Area of Science:
- Pediatric Endocrinology
- Hepatology
- Biomarker Discovery
Background:
- Childhood obesity is a growing health concern with associated comorbidities like nonalcoholic fatty liver disease (NAFLD).
- Heat shock protein 90 (Hsp90) isoforms have been implicated as potential biomarkers for NAFLD in prior proteomic studies.
- This study investigates Hsp90 alpha (Hsp90α) and Hsp90 beta (Hsp90β) in overweight and obese children.
Purpose of the Study:
- To analyze circulating levels of Hsp90α and Hsp90β in overweight and obese children.
- To evaluate Hsp90α and Hsp90β as potential biomarkers for NAFLD in this pediatric population.
Main Methods:
- Serum samples were collected from 68 overweight/obese children and 10 age/gender-matched controls.
- Enzyme-linked immunosorbent assay (ELISA) was used to quantify Hsp90α and Hsp90β levels.
Main Results:
- Serum Hsp90β and total Hsp90 levels were significantly higher in overweight and obese children compared to controls.
- Hsp90α levels did not differ between obese children and controls.
- Hsp90 isoforms showed differential expression in NAFLD patients, with higher Hsp90β and lower Hsp90α in those with NAFLD.
- The Hsp90α to Hsp90β ratio demonstrated superior accuracy for NAFLD diagnosis.
Conclusions:
- Hsp90 isoforms serve as confirmed biomarkers for NAFLD in overweight and obese children.
- Separate analysis of Hsp90α and Hsp90β provides greater diagnostic discriminatory power for NAFLD than total Hsp90 measurement in this cohort.
Background:
Obesity prevalence is increasing in children. It is associated with various comorbidities including nonalcoholic fatty liver disease (NAFLD). Hsp90 isoforms were identified in previous proteomic studies as potential biomarkers for NAFLD. The aim of the study was to analyze circulating levels of Hsp90α and Hsp90β in overweight and obese children. In addition, Hsp90α and Hsp90β were evaluated as biomarkers for NAFLD in overweight and obese children.
Methods:
68 overweight and obese children and ten age- and gender-matched controls were recruited. Hsp90α and Hsp90β levels were analyzed from serum in both controls and overweight and obese children by ELISA.
Results:
Serum Hsp90β and total Hsp90 levels were statistically significantly higher in overweight and obese children compared to controls. On the contrary, there was no difference in Hsp90α levels between overweight and obese children and healthy controls. Hsp90 isoforms had different expression in NAFLD patients. Hsp90β levels were higher in overweight and obese NAFLD patients while Hsp90α levels were lower. Hsp90α to Hsp90β ratio had better accuracy for NAFLD diagnosis in obese and overweight patients compared to individual biomarkers.
Conclusion:
Hsp90 isoforms were confirmed on an independent cohort as biomarkers for NAFLD in overweight and obese children. In these patients, it seems to be more useful to separately analyze Hsp90 isoforms rather than total Hsp90 as the isoforms have greater discriminative capacity.
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