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The genetic background and vitamin D supplementation can affect irisin levels in Prader-Willi syndrome
M F Faienza1, G Brunetti2, G Grugni3
1Department of Biomedical Sciences and Human Oncology, Section of Pediatrics, University of Bari 'A. Moro', Bari, Italy.
Insights
Irisin levels in Prader-Willi syndrome (PWS) patients are not different from controls, but are lower in those with the DEL15 genetic background. Vitamin D supplementation may also influence irisin levels in PWS.
Area of Science:
- Endocrinology
- Genetics
- Metabolic Disorders
Background:
- Prader-Willi syndrome (PWS) presents with obesity, cognitive, behavioral, and bone issues.
- Irisin, a myokine, influences brain, adipose tissue, and bone metabolism.
- Investigating irisin in PWS patients is crucial for understanding disease mechanisms.
Purpose of the Study:
- To explore circulating irisin levels in children and adult PWS patients.
- To correlate irisin levels with clinical, metabolic, cognitive, and bone parameters in PWS.
- To identify factors influencing irisin levels in PWS.
Main Methods:
- Enrolled 78 PWS subjects (26 children, 52 adults) and controls.
- Measured serum irisin levels and analyzed correlations with anthropometric, metabolic, cognitive, and bone mineral density data.
- Performed multiple regression analysis to identify predictors of irisin levels.
Main Results:
- Overall irisin serum levels did not differ between PWS patients and controls.
- Pediatric and adult PWS patients with the DEL15 genetic deletion showed significantly lower irisin levels.
- 25(OH) vitamin D levels influenced irisin concentration in pediatric PWS, with lower levels in non-supplemented patients.
Conclusions:
- Genetic background (DEL15) and 25(OH) vitamin D supplementation play a role in regulating serum irisin levels in PWS patients.
- Irisin levels in PWS are influenced by genetic factors and vitamin D status.
- Further research is warranted to elucidate the precise role of irisin in PWS pathophysiology.
Background:
Prader-Willi syndrome (PWS) is associated to distinctive clinical symptoms, including obesity, cognitive and behavioral disorders, and bone impairment. Irisin is a myokine that acts on several target organs including brain adipose tissue and bone. The present study was finalized to explore circulating levels of irisin in children and adult PWS patients.
Methods:
Seventy-eight subjects with PWS, 26 children (15 females, mean age 9.48 ± 3.6 years) and 52 adults (30 females, mean age 30.6 ± 10.7) were enrolled. Irisin serum levels were measured in patients and controls. Its levels were related with anthropometric and metabolic parameters, cognitive performance and bone mineral density either in pediatric or adult PWS. Multiple regression analysis was also performed.
Results:
Irisin serum levels in PWS patients did not show different compared with controls. A more in-depth analysis showed that both pediatric and adult PWS with DEL15 displayed significantly reduced irisin levels compared to controls. Otherwise, no differences in irisin concentration were found in UPD15 patients with respect to controls. Our study revealed that in pediatric PWS the 25(OH) vitamin-D levels affected irisin serum concentration. Indeed, patients who were not supplemented with vitamin D showed lower irisin levels than controls and patients performing the supplementation. Multiple regression analysis showed that irisin levels in pediatric and adult PWS were predicted by the genetic background and 25(OH)-vitamin D levels, whereas in a group of 29 adult PWS also by intelligent quotient.
Conclusion:
We demonstrated the possible role of genetic background and vitamin-D supplementation on irisin serum levels in PWS patients.
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