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.
Abstract

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