Circulating TNF-alpha and IL-6 concentrations and TNF-alpha -308 G>A polymorphism in children with premature adrenarche

Premature adrenarche (PA), the early rise in adrenal androgen production leading to prepubertal signs of androgen action, has been connected with adverse metabolic features. The metabolic syndrome is characterized by low grade inflammation which in turn is associated with increases in circulating pr...

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Main Authors: Pauliina eUtriainen, Jarmo eJääskeläinen, Oskari eGröhn, Johanna eKuusisto, Kari ePulkki, Raimo eVoutilainen
Format: Article
Language:English
Published: Frontiers Media S.A. 2010-11-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fendo.2010.00006/full
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author Pauliina eUtriainen
Jarmo eJääskeläinen
Oskari eGröhn
Johanna eKuusisto
Kari ePulkki
Raimo eVoutilainen
author_facet Pauliina eUtriainen
Jarmo eJääskeläinen
Oskari eGröhn
Johanna eKuusisto
Kari ePulkki
Raimo eVoutilainen
author_sort Pauliina eUtriainen
collection DOAJ
description Premature adrenarche (PA), the early rise in adrenal androgen production leading to prepubertal signs of androgen action, has been connected with adverse metabolic features. The metabolic syndrome is characterized by low grade inflammation which in turn is associated with increases in circulating proinflammatory cytokines, like tumor necrosis factor alpha (TNF-α) and interleukin-6 (IL-6). We tested the hypothesis that serum concentrations of TNF-α and IL-6 are increased in PA by studing 73 children with PA and 98 age- and gender-matched controls. Serum TNF-α and IL-6 concentrations were measured using a multiplex bead array. The subjects were genotyped for the TNF-α gene -308 G>A polymorphism (known to affect TNF-α gene transcription), and genotype-phenotype associations were studied. The mean serum TNF-α concentration was higher in the PA than control children (20.4 vs. 18.4 pg/ml, P=0.048), whereas there was no significant difference in the mean serum IL-6 concentrations between the study groups. The difference in TNF-α was not explained by excess body weight in the PA subjects as the difference remained significant after BMI-adjustment (P=0.038). In the PA group, TNF-α concentration was not associated with metabolic-endocrine features, but high IL-6 was associated with lower birth weight. There was no difference in the genotype distribution of the TNF-α gene -308 G>A polymorphism between the PA and control groups. In conclusion, PA was associated with increased serum TNF-α concentrations which, unexpectedly, were not connected with BMI or insulin resistance. The TNF-α gene -308 G>A polymorphism does not seem to be associated with the development of PA.
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spelling doaj.art-71ab748dda544a47a319745e2a07addb2022-12-22T01:13:30ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922010-11-01110.3389/fendo.2010.000067224Circulating TNF-alpha and IL-6 concentrations and TNF-alpha -308 G>A polymorphism in children with premature adrenarchePauliina eUtriainen0Jarmo eJääskeläinen1Oskari eGröhn2Johanna eKuusisto3Kari ePulkki4Raimo eVoutilainen5Kuopio University Hospital and University of Eastern FinlandKuopio University Hospital and University of Eastern FinlandUniversity of Eastern Finland and Eastern Finland Kuopio University Hospital and University of Eastern FinlandUniversity of Eastern Finland and Eastern Finland Kuopio University Hospital and University of Eastern FinlandPremature adrenarche (PA), the early rise in adrenal androgen production leading to prepubertal signs of androgen action, has been connected with adverse metabolic features. The metabolic syndrome is characterized by low grade inflammation which in turn is associated with increases in circulating proinflammatory cytokines, like tumor necrosis factor alpha (TNF-α) and interleukin-6 (IL-6). We tested the hypothesis that serum concentrations of TNF-α and IL-6 are increased in PA by studing 73 children with PA and 98 age- and gender-matched controls. Serum TNF-α and IL-6 concentrations were measured using a multiplex bead array. The subjects were genotyped for the TNF-α gene -308 G>A polymorphism (known to affect TNF-α gene transcription), and genotype-phenotype associations were studied. The mean serum TNF-α concentration was higher in the PA than control children (20.4 vs. 18.4 pg/ml, P=0.048), whereas there was no significant difference in the mean serum IL-6 concentrations between the study groups. The difference in TNF-α was not explained by excess body weight in the PA subjects as the difference remained significant after BMI-adjustment (P=0.038). In the PA group, TNF-α concentration was not associated with metabolic-endocrine features, but high IL-6 was associated with lower birth weight. There was no difference in the genotype distribution of the TNF-α gene -308 G>A polymorphism between the PA and control groups. In conclusion, PA was associated with increased serum TNF-α concentrations which, unexpectedly, were not connected with BMI or insulin resistance. The TNF-α gene -308 G>A polymorphism does not seem to be associated with the development of PA.http://journal.frontiersin.org/Journal/10.3389/fendo.2010.00006/fullAdipose TissueBirth WeightInterleukin 6Body Mass Indexgene polymorphismpremature adrenarche
spellingShingle Pauliina eUtriainen
Jarmo eJääskeläinen
Oskari eGröhn
Johanna eKuusisto
Kari ePulkki
Raimo eVoutilainen
Circulating TNF-alpha and IL-6 concentrations and TNF-alpha -308 G>A polymorphism in children with premature adrenarche
Frontiers in Endocrinology
Adipose Tissue
Birth Weight
Interleukin 6
Body Mass Index
gene polymorphism
premature adrenarche
title Circulating TNF-alpha and IL-6 concentrations and TNF-alpha -308 G>A polymorphism in children with premature adrenarche
title_full Circulating TNF-alpha and IL-6 concentrations and TNF-alpha -308 G>A polymorphism in children with premature adrenarche
title_fullStr Circulating TNF-alpha and IL-6 concentrations and TNF-alpha -308 G>A polymorphism in children with premature adrenarche
title_full_unstemmed Circulating TNF-alpha and IL-6 concentrations and TNF-alpha -308 G>A polymorphism in children with premature adrenarche
title_short Circulating TNF-alpha and IL-6 concentrations and TNF-alpha -308 G>A polymorphism in children with premature adrenarche
title_sort circulating tnf alpha and il 6 concentrations and tnf alpha 308 g gt a polymorphism in children with premature adrenarche
topic Adipose Tissue
Birth Weight
Interleukin 6
Body Mass Index
gene polymorphism
premature adrenarche
url http://journal.frontiersin.org/Journal/10.3389/fendo.2010.00006/full
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