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Published on: April 4, 2012
Decreased Circulating Levels of Spexin in Obese Children
Seema Kumar1, Jobayer Hossain1, Nicole Nader1
1Division of Pediatric Endocrinology, Department of Pediatric and Adolescent Medicine (S.K., S.S.), Mayo Clinic, Rochester, Minnesota 55905; Biostatistics Core (J.H.), Nemours Biomedical Research, Wilmington, Delaware 19803; Park Nicollet Health Services (N.N.), St Louis, Minnesota 55416; University of Illinois (R.A.), College of Medicine, Peoria, Illinois 61603; and Nemours Children's Specialty Care, Division of Biomedical Research (P.B.B.), Jacksonville, Florida; and Mayo Clinic College of Medicine, Jacksonville, Florida 32207.
Insights
Spexin levels are lower in obese children, suggesting a role in childhood obesity. This novel peptide may help differentiate between normal-weight and obese children.
Area of Science:
- Pediatric Endocrinology
- Metabolic Research
- Obesity Studies
Background:
- Spexin is a novel peptide linked to energy homeostasis in adults and animals.
- Its role in childhood obesity and related metabolic factors is largely unknown.
Purpose of the Study:
- To investigate the potential role of Spexin in obese children.
- To explore associations between Spexin levels and cardiometabolic risk factors in pediatric obesity.
Main Methods:
- Cross-sectional study of 69 children (51 obese, 18 normal weight).
- Spexin, leptin, adiponectin, IL-6, hs-CRP, glucose, and insulin were measured.
- Statistical analyses included Mann-Whitney U test, correlations, logistic regression, and cluster analysis.
Main Results:
- Obese children had significantly lower Spexin levels compared to normal-weight children (P = .024).
- Spexin levels did not correlate with other measured adipokines, insulin, or glucose.
- Cluster analysis accurately distinguished between normal-weight and obese groups based on Spexin concentration.
Conclusions:
- Lower circulating Spexin levels in obese children suggest a potential role in pediatric obesity.
- Spexin concentration can discriminate between obese and normal-weight children.
- Further research is needed to clarify the clinical significance of these findings.
Context:
Spexin is a novel peptide that is implicated in obesity and related energy homeostasis in animals and adult humans. Little is known about its role in children.
Objective:
The aim of the current study was to determine the potential role of Spexin in obese children and explore its relationships with various cardiometabolic risk factors.
Design And Participants:
This was a cross-sectional study composed of 69 children (51 obese and 18 normal weight; age 15.3 ± 0.26 y).
Outcome Measures:
Spexin was measured using a specific enzyme-linked immunosorbent assay. Leptin, total and high-molecular-weight adiponectin, IL-6, high-sensitivity C-reactive protein, glucose, and insulin were also measured. Mann-Whitney U test, Pearson and Spearman rank correlations, logistic regression, and cluster analysis were used for the analysis and interpretation of the data.
Results:
Spexin levels were significantly lower in obese vs normal-weight children, median(IQR) (0.33 ng/mL [0.27-0.44] vs 0.42 ng/mL [0.33-0.55]; P = .024), but did not correlate with other adipokines and/or insulin and glucose levels. Ordinal categorical variables of Spexin showed a strictly reverse association of obesity with the level of Spexin. Cluster analysis of Spexin and body mass index z score resulted in splitting the participants into normal-weight and obese-weight groups with high accuracy.
Conclusions:
Lower circulating levels of Spexin in obese children compared with their normal-weight counterparts and the ability to discriminate obese and normal-weight groups based on Spexin concentration enabled us to suggest a potential role for this novel peptide in childhood obesity. The clinical significance of these findings needs additional investigation.
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