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Published on: August 7, 2017
Markers of systemic inflammation in children with hyperuricemia
Anna Wasilewska1, Edyta Tenderenda, Katarzyna Taranta-Janusz
1Department of Pediatrics and Nephrology, Medical University of Białystok, Białystok, Poland. annwasil@interia.pl
Insights
Serum monocyte chemoattractant protein-1 (MCP-1) and high-sensitivity C-reactive protein (hs-CRP) are elevated in children with hyperuricemia. Obesity may influence these inflammation markers, warranting further research.
Area of Science:
- Pediatric Endocrinology
- Clinical Chemistry
- Inflammation Research
Background:
- Hyperuricemia is linked to metabolic disturbances in children.
- Inflammation plays a role in the pathogenesis of hyperuricemia and associated conditions.
- Obesity is a growing concern in pediatric populations and is associated with chronic inflammation.
Purpose of the Study:
- To investigate serum concentrations of monocyte chemoattractant protein-1 (MCP-1) and high-sensitivity C-reactive protein (hs-CRP) in children with hyperuricemia.
- To evaluate the association between these inflammation markers and obesity in pediatric hyperuricemia.
Main Methods:
- Study included 52 hyperuricemic children and 27 healthy controls.
- Serum MCP-1 and hs-CRP levels were measured using ELISA and immunonephelometry.
- Body mass index Z-score was used to assess obesity status.
Main Results:
- Hyperuricemic patients exhibited significantly higher serum MCP-1 and hs-CRP levels compared to controls (p < 0.01).
- Obese children, both hyperuricemic and non-obese, showed elevated MCP-1 and hs-CRP levels (p < 0.01).
- hs-CRP showed a positive correlation with body mass index Z-score (r = 0.33, p < 0.05).
Conclusions:
- Serum MCP-1 and hs-CRP are elevated in children with hyperuricemia.
- Obesity appears to be associated with increased inflammation markers in this population.
- Further research is needed to elucidate the precise role of obesity in modulating inflammation markers in pediatric hyperuricemia.
Aim:
The purpose of the study was to investigate serum concentrations of the monocyte chemoattractant protein-1 (MCP-1) and high-sensitivity CRP (hs-CRP) in children with hyperuricemia and to evaluate its association with obesity.
Patients And Methods:
The study involved 52 hyperuricemic patients with mean age of 15.53 ± 1.7 years. Twenty-seven healthy individuals with normal serum uric acid (SUA) level were selected as the control group (C). Serum MCP-1 and hs-CRP were measured by enzyme-linked immunosorbent assay (ELISA) and immunonephelometry, respectively.
Results:
Hyperuricemic patients showed increased sMCP-1 (median: 69.58 pg/mL) and hs-CRP (median: 0.53 mg/L) vs. controls (48.39 pg/mL, 0.24 mg/L; respectively) (p < 0.01). The obese children also presented significantly higher levels of sMCP-1 and hs-CRP (median, 81.69 and 1.18 mg/L, respectively) in comparison with nonobese (median, 59.62 and 0.41 mg/L, respectively; p < 0.01). Only hs-CRP correlated positively with body mass index Z-score (r = 0.33, p < 0.05). Receiver operator characteristic analyses checking the sensitivity and specificity of examined markers for hyperuricemia revealed the higher area under the curve (AUC) for sMCP-1; however, the difference between AUC for sMCP-1 and for hs-CRP was not significant (p > 0.05).
Conclusion:
Serum MCP-1 and hs-CRP are elevated in hyperuricemic patients, but the role of obesity in inflammation markers needs further investigation.
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