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Published on: January 18, 2019
[Serum adiponectin and resistin level in children with idiopathic nephrotic syndrome]
Anna Medyńska1, Katarzyna Kiliś-Pstrusińska, Anna Galar
1Department of Pediatric Nephrology of Medical University of Wroclaw.
Insights
Children with idiopathic nephrotic syndrome (INS) show elevated serum resistin and adiponectin levels, suggesting these adipokines may influence the disease. Further research is needed to confirm their role in INS pathogenesis.
Area of Science:
- Endocrinology
- Pediatric Nephrology
- Immunology
Context:
- Adipose tissue functions as an endocrine organ, releasing adipokines.
- Adipokines play a role in modulating inflammatory responses.
- Idiopathic nephrotic syndrome (INS) is a kidney disorder primarily affecting children.
Purpose:
- To evaluate serum resistin and adiponectin levels in children diagnosed with idiopathic nephrotic syndrome (INS).
Summary:
- Serum resistin and adiponectin levels were significantly increased in children with INS (both relapse and remission) compared to healthy controls.
- While resistin levels trended lower in remission, no statistically significant difference was found between relapse and remission phases.
- Positive correlations were observed between resistin and cholesterol/proteinuria, and a negative correlation with serum albumin.
Impact:
- Findings suggest that elevated resistin and adiponectin may be involved in the pathogenesis of childhood INS.
- These results highlight potential biomarkers for INS and warrant further investigation in larger cohorts.
- Understanding the role of adipokines in INS could lead to novel therapeutic strategies.
Unlabelled:
The adipose tissue was recognized as an active endocrine organ. The adipopkines seem to play an important role in the modulation of inflammatory response and have a pleiotropic function. The aim of this study was to evaluate serum resistin and adiponectin level in children with idiopathic nephrotic syndrome (INS).
Materials And Methods:
39 children with INS aged 2.5-17 year (mean 9.35 +/- 5.6), 15 children in relapse, 24 in remission and 8 healthy were included into the study. Serum total protein, albumin, cholesterol, daily proteinuria and BMI were measured in children with INS. Serum resistin and adiponectin levels were determined by ELISA.
Results:
Increased resistin and adiponectin levels were observed during relapse and remission of INS, compared to controls. No significant difference between adipocytokines in relapse and remission INS was found. Serum resistin level decreased in remission of INS, compared to relapse, but the value did not reach statistical significance. Between resistin and cholesterol, resistin and proteinuria positive correlation was found. Negative correlation between resistin and serum albumin was observed.
Conclusion:
Increased serum level of resistin and adiponectin was observed in children with relapse of INS or in early phase of remission. These finding suggests that they may play a role in the pathogenesis of INS in children. It requires further investigation based on a broad study.
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