Fecal and Urinary Adipokines as Disease Biomarkers

The use of biomarkers is of great clinical value for the diagnosis and prognosis of disease and the assessment of treatment efficacy. In this context, adipokines secreted from adipose tissue are of interest, as their elevated circulating levels are associated with a range of metabolic dysfunctions,...

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Main Authors: Hauke C. Tews, Tanja Elger, Thomas Grewal, Simon Weidlich, Francesco Vitali, Christa Buechler
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/4/1186
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author Hauke C. Tews
Tanja Elger
Thomas Grewal
Simon Weidlich
Francesco Vitali
Christa Buechler
author_facet Hauke C. Tews
Tanja Elger
Thomas Grewal
Simon Weidlich
Francesco Vitali
Christa Buechler
author_sort Hauke C. Tews
collection DOAJ
description The use of biomarkers is of great clinical value for the diagnosis and prognosis of disease and the assessment of treatment efficacy. In this context, adipokines secreted from adipose tissue are of interest, as their elevated circulating levels are associated with a range of metabolic dysfunctions, inflammation, renal and hepatic diseases and cancers. In addition to serum, adipokines can also be detected in the urine and feces, and current experimental evidence on the analysis of fecal and urinary adipokine levels points to their potential as disease biomarkers. This includes increased urinary adiponectin, lipocalin-2, leptin and interleukin-6 (IL-6) levels in renal diseases and an association of elevated urinary chemerin as well as urinary and fecal lipocalin-2 levels with active inflammatory bowel diseases. Urinary IL-6 levels are also upregulated in rheumatoid arthritis and may become an early marker for kidney transplant rejection, while fecal IL-6 levels are increased in decompensated liver cirrhosis and acute gastroenteritis. In addition, galectin-3 levels in urine and stool may emerge as a biomarker for several cancers. With the analysis of urine and feces from patients being cost-efficient and non-invasive, the identification and utilization of adipokine levels as urinary and fecal biomarkers could become a great advantage for disease diagnosis and predicting treatment outcomes. This review article highlights data on the abundance of selected adipokines in urine and feces, underscoring their potential to serve as diagnostic and prognostic biomarkers.
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spelling doaj.art-502bc38712df4fae8b8b34ab35be9d1d2023-11-17T18:27:43ZengMDPI AGBiomedicines2227-90592023-04-01114118610.3390/biomedicines11041186Fecal and Urinary Adipokines as Disease BiomarkersHauke C. Tews0Tanja Elger1Thomas Grewal2Simon Weidlich3Francesco Vitali4Christa Buechler5Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology and Infectious Diseases, University Hospital Regensburg, 93053 Regensburg, GermanyDepartment of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology and Infectious Diseases, University Hospital Regensburg, 93053 Regensburg, GermanySchool of Pharmacy, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, AustraliaDepartment of Internal Medicine II, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich, 81675 Munich, GermanyDepartment of Medicine 1, Gastroenterology, Pneumology and Endocrinology, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology and Infectious Diseases, University Hospital Regensburg, 93053 Regensburg, GermanyThe use of biomarkers is of great clinical value for the diagnosis and prognosis of disease and the assessment of treatment efficacy. In this context, adipokines secreted from adipose tissue are of interest, as their elevated circulating levels are associated with a range of metabolic dysfunctions, inflammation, renal and hepatic diseases and cancers. In addition to serum, adipokines can also be detected in the urine and feces, and current experimental evidence on the analysis of fecal and urinary adipokine levels points to their potential as disease biomarkers. This includes increased urinary adiponectin, lipocalin-2, leptin and interleukin-6 (IL-6) levels in renal diseases and an association of elevated urinary chemerin as well as urinary and fecal lipocalin-2 levels with active inflammatory bowel diseases. Urinary IL-6 levels are also upregulated in rheumatoid arthritis and may become an early marker for kidney transplant rejection, while fecal IL-6 levels are increased in decompensated liver cirrhosis and acute gastroenteritis. In addition, galectin-3 levels in urine and stool may emerge as a biomarker for several cancers. With the analysis of urine and feces from patients being cost-efficient and non-invasive, the identification and utilization of adipokine levels as urinary and fecal biomarkers could become a great advantage for disease diagnosis and predicting treatment outcomes. This review article highlights data on the abundance of selected adipokines in urine and feces, underscoring their potential to serve as diagnostic and prognostic biomarkers.https://www.mdpi.com/2227-9059/11/4/1186adiponectinlipocalin-2leptingalectin-3chemerininterleukin-6
spellingShingle Hauke C. Tews
Tanja Elger
Thomas Grewal
Simon Weidlich
Francesco Vitali
Christa Buechler
Fecal and Urinary Adipokines as Disease Biomarkers
Biomedicines
adiponectin
lipocalin-2
leptin
galectin-3
chemerin
interleukin-6
title Fecal and Urinary Adipokines as Disease Biomarkers
title_full Fecal and Urinary Adipokines as Disease Biomarkers
title_fullStr Fecal and Urinary Adipokines as Disease Biomarkers
title_full_unstemmed Fecal and Urinary Adipokines as Disease Biomarkers
title_short Fecal and Urinary Adipokines as Disease Biomarkers
title_sort fecal and urinary adipokines as disease biomarkers
topic adiponectin
lipocalin-2
leptin
galectin-3
chemerin
interleukin-6
url https://www.mdpi.com/2227-9059/11/4/1186
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