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Leptin and resistin levels and their relationships with glucose metabolism in children with chronic renal insufficiency and undergoing dialysis.
Nephrology (Carlton). 2006 Jun; 11(3):192-6.N

Abstract

AIM

The aim of the present study is: (i) to evaluate the serum concentrations of leptin and resistin in the paediatric patients with chronic renal impairment (CRI), on haemodialysis (HD) and on peritoneal dialysis (PD) treatment; (ii) to examine the relationship between these hormones; and (iii) to investigate the possible influence of these hormones on the insulin resistance and sensitivity indexes as well as on serum insulin-like growth factor-1 (IGF-1) and insulin-like growth factor binding protein-3 (IGFBP-3) levels.

METHODS

In total, 52 patients (15 patients with CRI, 24 PD patients and 13 HD patients) and 23 healthy age- and sex-matched control subjects were included in the present study.

RESULTS

Homeostasis model assessment of insulin resistance (HOMA-IR) was higher than 2.5 in 47.1% of the patients. IGF-1 levels of patients with CRI, PD and HD patients were significantly lower than those in the controls (P < 0.001, P < 0.001, P < 0.001, respectively). The leptin levels of patients with CRI and on PD and HD treatment were significantly higher than the control group (P = 0.038, P = 0.002, P = 0.006, respectively). Similarly, serum resistin levels of patients with CRI and those of PD and HD patients were higher when compared with healthy controls (P = 0.037, P < 0.001, P = 0.005, respectively).

CONCLUSION

Leptin and resistin levels were increased in the children with CRF; however, this elevation was not found to be associated with hyperinsulinism. Further studies to explain the mechanisms and consequences of the accumulation of these hormones in CRF may provide the therapeutical approach aiming to normalize their circulating levels.

Authors+Show Affiliations

Department of Pediatric Nephrology, Gazi University, Ankara, Turkey. nbuyan@gazi.edu.trNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16756630

Citation

Buyan, Necla, et al. "Leptin and Resistin Levels and Their Relationships With Glucose Metabolism in Children With Chronic Renal Insufficiency and Undergoing Dialysis." Nephrology (Carlton, Vic.), vol. 11, no. 3, 2006, pp. 192-6.
Buyan N, Necla B, Bideci A, et al. Leptin and resistin levels and their relationships with glucose metabolism in children with chronic renal insufficiency and undergoing dialysis. Nephrology (Carlton). 2006;11(3):192-6.
Buyan, N., Necla, B., Bideci, A., Aysun, B., Ozkaya, O., Ozan, O., Ortac, E., Erol, O., Bakkaloglu, S., Sevcan, B., Gonen, S., Sevim, G., Peru, H., Harun, P., Soylemezoglu, O., Oğuz, S., Cinaz, P., & Peyami, C. (2006). Leptin and resistin levels and their relationships with glucose metabolism in children with chronic renal insufficiency and undergoing dialysis. Nephrology (Carlton, Vic.), 11(3), 192-6.
Buyan N, et al. Leptin and Resistin Levels and Their Relationships With Glucose Metabolism in Children With Chronic Renal Insufficiency and Undergoing Dialysis. Nephrology (Carlton). 2006;11(3):192-6. PubMed PMID: 16756630.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Leptin and resistin levels and their relationships with glucose metabolism in children with chronic renal insufficiency and undergoing dialysis. AU - Buyan,Necla, AU - Necla,Buyan, AU - Bideci,Aysun, AU - Aysun,Bideci, AU - Ozkaya,Ozan, AU - Ozan,Ozkaya, AU - Ortac,Erol, AU - Erol,Ortac, AU - Bakkaloglu,Sevcan, AU - Sevcan,Bakkaloglu, AU - Gonen,Sevim, AU - Sevim,Gonen, AU - Peru,Harun, AU - Harun,Peru, AU - Soylemezoglu,Oğuz, AU - Oğuz,Soylemezoglu, AU - Cinaz,Peyami, AU - Peyami,Cinaz, PY - 2006/6/8/pubmed PY - 2006/10/21/medline PY - 2006/6/8/entrez SP - 192 EP - 6 JF - Nephrology (Carlton, Vic.) JO - Nephrology (Carlton) VL - 11 IS - 3 N2 - AIM: The aim of the present study is: (i) to evaluate the serum concentrations of leptin and resistin in the paediatric patients with chronic renal impairment (CRI), on haemodialysis (HD) and on peritoneal dialysis (PD) treatment; (ii) to examine the relationship between these hormones; and (iii) to investigate the possible influence of these hormones on the insulin resistance and sensitivity indexes as well as on serum insulin-like growth factor-1 (IGF-1) and insulin-like growth factor binding protein-3 (IGFBP-3) levels. METHODS: In total, 52 patients (15 patients with CRI, 24 PD patients and 13 HD patients) and 23 healthy age- and sex-matched control subjects were included in the present study. RESULTS: Homeostasis model assessment of insulin resistance (HOMA-IR) was higher than 2.5 in 47.1% of the patients. IGF-1 levels of patients with CRI, PD and HD patients were significantly lower than those in the controls (P < 0.001, P < 0.001, P < 0.001, respectively). The leptin levels of patients with CRI and on PD and HD treatment were significantly higher than the control group (P = 0.038, P = 0.002, P = 0.006, respectively). Similarly, serum resistin levels of patients with CRI and those of PD and HD patients were higher when compared with healthy controls (P = 0.037, P < 0.001, P = 0.005, respectively). CONCLUSION: Leptin and resistin levels were increased in the children with CRF; however, this elevation was not found to be associated with hyperinsulinism. Further studies to explain the mechanisms and consequences of the accumulation of these hormones in CRF may provide the therapeutical approach aiming to normalize their circulating levels. SN - 1320-5358 UR - https://www.unboundmedicine.com/medline/citation/16756630/Leptin_and_resistin_levels_and_their_relationships_with_glucose_metabolism_in_children_with_chronic_renal_insufficiency_and_undergoing_dialysis_ L2 - https://doi.org/10.1111/j.1440-1797.2006.00570.x DB - PRIME DP - Unbound Medicine ER -