Concentrations of adipokines in children before and after hematopoietic stem cell transplantation

Szymon Skoczen1, Przemyslaw J Tomasik2, Kamil Fijorek3

  • 1a Department of Clinical Immunology, Chair of Clinical Immunology and Transplantation , Institute of Pediatrics, Jagiellonian University Medical College , Krakow , Poland.

Insights

Adipokines like leptin and adiponectin may indicate disease severity and inflammation in pediatric hematopoietic stem cell transplantation (HSCT). These adipokines might also predict metabolic complications following HSCT.

Area of Science:

  • Endocrinology
  • Hematology
  • Metabolic Research

Background:

  • Adipokines regulate crucial physiological processes including metabolism, inflammation, and cell growth.
  • Pediatric hematopoietic stem cell transplantation (HSCT) can lead to significant metabolic complications.
  • Understanding adipokine profiles in HSCT is essential for managing patient outcomes.

Purpose of the Study:

  • To measure plasma concentrations of adiponectin, apelin, leptin, and resistin, and soluble leptin receptor in pediatric HSCT patients.
  • To evaluate gene expression of these peptides using microarray analysis.
  • To correlate adipokine levels with metabolic parameters and inflammation markers pre- and post-HSCT.

Main Methods:

  • Plasma adipokine levels (adiponectin, apelin, leptin, resistin, soluble leptin receptor) measured before and after oral glucose tolerance test.
  • Gene expression analysis via microarray.
  • Measurement of fasting glucose, insulin, lipids, and hsCRP in pediatric HSCT patients (n=38) and healthy controls (n=26).
  • Longitudinal assessment at pre-HSCT and 6 months post-HSCT.

Main Results:

  • Pediatric HSCT patients exhibited an atherogenic lipid profile and low-grade systemic inflammation.
  • Leptin, adiponectin, and resistin levels were associated with disease burden and inflammation.
  • Observed changes in adipokine concentrations and gene expression warrant further investigation.

Conclusions:

  • Adipokines, including leptin, adiponectin, and resistin, may serve as valuable biomarkers for disease burden and inflammation in pediatric HSCT.
  • Adipokine dysregulation could play a role in the metabolic complications following HSCT.
  • Further research is needed to determine if adipokine changes influence engraftment and cell line reconstitution.

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