This Risk Score is being developed and validated at the Clinical Department for Gastroenterology and Hepatology at the MedUni Wien in cooperation with the University Clinics for Surgery and Radiology / Nuclear Medicine and partners from the industry. The project is also integrated into the new Austrian centre of competence "CBmed", which the MedUni Wien is involved in to 20 percent.
The objective is to find biomarkers for clinical use in order to facilitate a non-invasive evaluation of the risk, i.e. without a liver biopsy. The initial results are extremely promising, according to Michael Trauner, Head of the Department for Gastroenterology and Hepatology (University Clinic for Internal Medicine III): "We can assume that, in the end, there will be a mixture of biomarkers from which a Risk Score can be compiled." This mix will include markers from blood, from the microbiome in the intestine and genetic markers, and markers from imaging processes including the latest applications of Positron-Emission-Tomography (PET).
"As a result, we will be able to estimate the course of the disease better in future, and therefore will be better able to answer the question of ‘how will it develop’ than before, if a liver steatohepatitis already exists", says Trauner. At the same time, within the scope of personalised medicine, it is then also easier to take the correct therapeutic steps in due time.
Around 40 percent of the population are already affected by non-alcoholic steatohepatitis, which can lead to hepatitis (fatty liver hepatitis) and cirrhosis and cancer of the liver.
The disease is strongly connected with diabetes, excess weight or a metabolic syndrome, but also with genetic processes and changes to the intestinal microbiome. Incidentally, the term "non-alcoholic fatty liver disease" was coined by the Viennese hepatologist Heribert Thaler (a pupil of Hans Popper) in the 1960s and later picked up by American researchers.
CBmed - application-orientated research
Thanks to the new Austrian centre of competence "CBmed", which was initiated at the end of January 2015 and in which also researchers of the MedUni Graz are involved, the financial framework conditions and resources for this MedUni Wien project are to be improved. Trauner: "CBmed is a perfect example for the merger of two medical universities in a large-scale project – to their mutual benefit." The MedUni Wien is conducting research in an application-orientated manner within the scope of "CBmed", but also in the subject areas of cancer screening and "circulating tumour cells".
"The MedUni Wien is involved with biomarkers in many of its research topics and has therefore participated in this new centre, which will represent an outstanding connection between fundamental research right up to new treatment strategies and medicines. The integration of research efforts and cooperation with appropriately equipped partners – over and above regional borders – represents an optimum prerequisite for comprehensive and successful research in these fields. We expect the successful identification and validation of new biomarkers as a result of systematic biomarker research. This is key to the development of new personalised treatment concepts and new medicines", explains Franz Wurm, Vice-president for Finance at the MedUni Wien and Chairman of the Supervisory Board CBmed GmbH.