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PI3K/Akt pathway expression in children with different obesity degrees and its relationship with glucolipid
Xiaoyan Su1, Deming Gu1, Li Xu1
1Department of Pediatrics, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan, China.
Insights
Inhibition of the PI3K/Akt pathway in children with obesity correlates with abnormal glucolipid metabolism and insulin resistance. This pathway
Area of Science:
- Pediatric Endocrinology
- Molecular Biology
- Metabolic Syndrome
Background:
- Childhood obesity is a growing global health concern.
- Obesity is linked to metabolic disturbances and insulin resistance.
- The PI3K/Akt signaling pathway plays a crucial role in cellular metabolism and insulin signaling.
Purpose of the Study:
- To investigate the expression of the PI3K/Akt pathway in children with varying degrees of obesity.
- To analyze the relationship between PI3K/Akt pathway expression and glucolipid metabolism.
- To determine the association between PI3K/Akt pathway expression and insulin resistance in pediatric obesity.
Main Methods:
- 157 children with simple obesity (mild, moderate, severe) and 60 healthy children were enrolled.
- PI3K mRNA and Akt mRNA expression in peripheral blood mononuclear cells (PBMCs) were measured using RT-PCR.
- Glucolipid metabolism markers and insulin resistance (HOMA-IR) were assessed.
Main Results:
- Obese children showed significantly higher triglyceride, total cholesterol, LDL, fasting insulin, and HOMA-IR levels compared to controls.
- HDL levels were lower in obese children compared to controls.
- PI3K and Akt mRNA levels were significantly lower in obese children and decreased with increasing obesity severity, showing negative correlation with lipid/insulin markers and positive correlation with HDL.
Conclusions:
- The PI3K/Akt signaling pathway is inhibited in children with simple obesity.
- This inhibition is associated with abnormal glucolipid metabolism and insulin resistance.
- Dysregulation of the PI3K/Akt pathway contributes to the development and progression of childhood obesity.
Objective:
This study investigated and analyzed the expression of PI3K/Akt pathway in children with different degree of obesity and its connection with glucolipid metabolism and insulin resistance (IR).
Methods:
157 children with simple obesity, who admitted to our hospital from March 2020 to September 2020, were enrolled as obesity group. These children were divided into mild-group (n=67), moderate-group (n=55) and severe-group (n=35) referring to their body mass index (BMI). Another 60 healthy children admitted to hospitalized were randomly chosen as control group. The expression of PI3K mRNA and Akt mRNA in peripheral blood mononuclear cells (PBMCs) of each group were detected by RT-PCR, and its connection with glucose and lipid metabolism, as well as IR was analyzed.
Results:
Each group of children had insignificant difference in FBG (Fasting blood glucose) level (P>0.05). The triglyceride (TG), total cholesterol (TC), Low-density lipoprotein (LDL), Fasting insulin (FINS) and Homeostasis model assessment insulin resistance (HOMA-IR) levels in each obesity group were substantially higher than those in control group (P<0.05), and these levels decreased remarkably with the increase of obesity severity (P<0.05). The high-density lipoprotein (HDL) level of children in each obesity group was notably lower than that of the control group (P<0.05), and the level decreased remarkably with the ascending degree of obesity (P<0.05). The levels of PI3K mRNA and Akt mRNA in PBMCs of children in each obesity group were obviously lower than those in control group (P<0.05), and these index levels decreased much with the increasing worsen of children's obesity degree (P<0.05). The relative expression of PI3K mRNA and Akt mRNA in children with simple obesity was negatively correlated with TG, TC, LDL, FINS and HOMA-IR (P<0.05), positively correlated with HDL (P<0.05), and was not associated with FBG level (P>0.05).
Conclusion:
The inhibition of PI3K/Akt signaling pathway in children with simple obesity is associated with the abnormal glucolipid metabolism and IR, which affects the occurrence and progression of obesity.
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