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Published on: December 31, 2017
Role of Procalcitonin As an Inflammatory Marker in a Sample of Egyptian Children with Simple Obesity
Ghada M El Kassas1, Manal A Shehata1, Maged A El Wakeel1
1Department of Child Health, National Research Centre, Cairo, Egypt.
Insights
Serum procalcitonin (PCT) may serve as a key biomarker for detecting chronic low-grade inflammation in obese children and adolescents. Elevated PCT levels correlate with increased adiposity and insulin resistance, highlighting its diagnostic potential.
Area of Science:
- Pediatrics
- Endocrinology
- Inflammation Research
Background:
- Obesity is a complex condition linked to metabolic dysfunction and chronic inflammation.
- Procalcitonin (PCT), traditionally an infection marker, shows emerging potential in assessing chronic low-grade inflammation.
Purpose of the Study:
- To investigate the utility of serum PCT as an inflammatory biomarker in diagnosing obesity-related chronic low-grade inflammation.
- To evaluate the association between PCT levels and obesity markers in pediatric populations.
Main Methods:
- A case-control study involving 50 obese and 35 normal-weight children (aged 5-15 years).
- Measurements included anthropometric parameters, lipid profile, glucose, insulin, high-sensitivity C-reactive protein (Hs-CRP), and serum PCT.
- Serum PCT levels were quantified using enzyme-linked immunosorbent assay (ELISA).
Main Results:
- Obese children exhibited significantly higher serum PCT, total cholesterol, triglycerides, LDL-c, glucose, and Hs-CRP compared to controls.
- PCT demonstrated a significant positive correlation with BMI z-score, insulin, HOMA-IR, Hs-CRP, total cholesterol, and triglycerides in the obese group.
Conclusions:
- Increased serum PCT concentrations are strongly associated with adiposity measures, Hs-CRP, and insulin resistance.
- Serum PCT shows promise as a valuable biomarker for identifying obesity-related chronic low-grade inflammation in children and adolescents.
Background:
Obesity is a multifactorial disease, associated with metabolic disorders and chronic low-grade inflammation. Procalcitonin (PCT) is well known as a biomarker of infection, and systemic inflammation. Recently, it has potential as a marker for chronic low-grade inflammation.
Aim:
This study aims to evaluate the role of serum PCT as an inflammatory biomarker in the diagnosis of obesity-related low-grade inflammation.
Method:
In this case-control study, 50 obese and 35 normal weight children and adolescents aged 5-15 years were enrolled. Anthropometric parameters were measured in all subjects. Blood samples were collected for measurement of lipid profile, blood glucose, insulin, high sensitivity-CRP (Hs-CRP) and serum procalcitonin. Serum (PCT) levels were assessed using enzyme-linked immunosorbent assay.
Results:
Obese participants had higher concentrations of serum PCT, total cholesterol, triglycerides, LDL-c, glucose and Hs-CRP than control group. On correlation analysis, procalcitonin had significant positive correlation with (BMI) z-score (P = 0.02), insulin (P = 0.00), insulin resistance (HOMA-IR) (P = 0.006), Hs-CRP (P = 0.02), total cholesterol (P = 0.04) and triglycerides (P = 0.00) in obese group.
Conclusion:
The increased serum procalcitonin concentrations were closely related to measures of adiposity, Hs-CRP and insulin resistance, suggesting that PCT may be an excellent biomarker for obesity-related chronic low-grade inflammation in children and adolescents.
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