Acute Phase Serum Leptin, Adiponectin, Interleukin-6, and Visfatin Are Altered in Chinese Children With Febrile

Jie-Ru Chen1,2, Mei-Fang Jin1, Ling Tang2

  • 1Division of Brain Science, Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, China.

Insights

Higher levels of adiponectin and interleukin-6 (IL-6) are associated with febrile seizures (FS) in children. These adipokines may serve as biomarkers for early FS diagnosis and management.

Area of Science:

  • Biochemistry
  • Pediatric Neurology
  • Endocrinology

Background:

  • Adipokines, such as leptin, visfatin, adiponectin, and IL-6, are implicated in the pathophysiology of epilepsy and febrile seizures (FS).
  • Understanding the role of these adipokines in FS prognosis is crucial for developing effective diagnostic and therapeutic strategies.

Purpose of the Study:

  • To investigate the association between plasma adipokine levels (leptin, visfatin, adiponectin, IL-6) and the prognosis of FS in children.
  • To identify potential biomarkers for early detection and management of FS.

Main Methods:

  • A prospective cross-sectional study involving 55 children with FS, 42 febrile children without seizures (FC), and 48 healthy children (HC).
  • Serum levels of leptin, visfatin, adiponectin, and IL-6 were measured during the acute phase.
  • Logistic regression analysis was used to determine correlations with clinical indicators.

Main Results:

  • Serum adiponectin and IL-6 levels were significantly elevated in the FS group compared to FC and HC groups (p < 0.05).
  • High concentrations of adiponectin and IL-6 were significantly associated with FS occurrence.
  • Leptin and visfatin levels were lower in FS and FC groups than in controls, with no significant difference between FS and FC groups.

Conclusions:

  • Elevated plasma IL-6 and adiponectin levels may serve as additional biomarkers for early treatment or follow-up in children with FS.
  • These findings contribute to understanding the role of adipokines in FS pathogenesis and prognosis.