Impact of Serum Adiponectin, Plasminogen Activator Inhibitor-1, and Oxidative Stress Levels on Eosinophilic Inflammation of the Airway and the Whole Body in Children with Obesity

Background: Childhood obesity has been suggested as a risk factor for bronchial asthma. The aim of this study was to clarify the relationship between clinical factors related to obesity, including adipocytokines and eosinophilic inflammation, as candidate pathogenesis mechanisms of bronchial asthma...

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Main Authors: Norihiko Azuma, Tomoko Otani, Midori Kotani, Yuki Yasuda, Hisafumi Matsuoka, Satoru Shimizu, Shigetaka Sugihara
Format: Article
Language:English
Published: Society of Tokyo Women's Medical University 2020-03-01
Series:Tokyo Women's Medical University Journal
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/twmuj/4/0/4_2019103/_pdf/-char/en
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author Norihiko Azuma
Tomoko Otani
Midori Kotani
Yuki Yasuda
Hisafumi Matsuoka
Satoru Shimizu
Shigetaka Sugihara
author_facet Norihiko Azuma
Tomoko Otani
Midori Kotani
Yuki Yasuda
Hisafumi Matsuoka
Satoru Shimizu
Shigetaka Sugihara
author_sort Norihiko Azuma
collection DOAJ
description Background: Childhood obesity has been suggested as a risk factor for bronchial asthma. The aim of this study was to clarify the relationship between clinical factors related to obesity, including adipocytokines and eosinophilic inflammation, as candidate pathogenesis mechanisms of bronchial asthma in Japanese children and adolescents.Methods: Forty-one children and adolescents visiting our outpatient clinic were enrolled. The relationship between participants' clinical and demographic characteristics and fraction of exhaled nitric oxide (FENO) or blood eosinophil (B-Eos) count values were analyzed.Results: No significant correlation was observed between either FENO or B-Eos count values and the body mass index z-score. FENO was high (≥35 ppb) in 8 cases and normal (<35 ppb) in 33 cases. Adiponectin was significantly lower in the high FENO group than in the normal FENO group (6.5 vs. 8.1 μg/mL, p<0.02). A negative correlation between B-Eos count values and adiponectin levels (r=∁E.34, p<0.05) and a positive correlation between B-Eos count values and plasminogen activator inhibitor-1 levels were noted (r=0.42, p<0.01). The univariable odds ratio of adiponectin for high FENO was 0.62 (0.41-0.95) and the association was borderline after adjusting for B-Eos.Conclusions: Eosinophilic inflammation was associated with a decrease in serum adiponectin levels which may be induced by visceral fat accumulation.
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spelling doaj.art-eb70a2d3cd4d4897936a447b1ee5679c2022-12-21T18:53:53ZengSociety of Tokyo Women's Medical UniversityTokyo Women's Medical University Journal2432-61862020-03-0140334310.24488/twmuj.2019103twmujImpact of Serum Adiponectin, Plasminogen Activator Inhibitor-1, and Oxidative Stress Levels on Eosinophilic Inflammation of the Airway and the Whole Body in Children with ObesityNorihiko Azuma0Tomoko Otani1Midori Kotani2Yuki Yasuda3Hisafumi Matsuoka4Satoru Shimizu5Shigetaka Sugihara6Department of Pediatrics, Tokyo Women's Medical University Medical Center EastDepartment of Pediatrics, Tokyo Women's Medical University Medical Center EastDepartment of Pediatrics, Tokyo Women's Medical University Medical Center EastDepartment of Pediatrics, Tokyo Women's Medical University Medical Center EastDepartment of Pediatrics, Tokyo Women's Medical University Medical Center EastDepartment of Medical Education, Tokyo Women's Medical UniversityDepartment of Pediatrics, Tokyo Women's Medical University Medical Center EastBackground: Childhood obesity has been suggested as a risk factor for bronchial asthma. The aim of this study was to clarify the relationship between clinical factors related to obesity, including adipocytokines and eosinophilic inflammation, as candidate pathogenesis mechanisms of bronchial asthma in Japanese children and adolescents.Methods: Forty-one children and adolescents visiting our outpatient clinic were enrolled. The relationship between participants' clinical and demographic characteristics and fraction of exhaled nitric oxide (FENO) or blood eosinophil (B-Eos) count values were analyzed.Results: No significant correlation was observed between either FENO or B-Eos count values and the body mass index z-score. FENO was high (≥35 ppb) in 8 cases and normal (<35 ppb) in 33 cases. Adiponectin was significantly lower in the high FENO group than in the normal FENO group (6.5 vs. 8.1 μg/mL, p<0.02). A negative correlation between B-Eos count values and adiponectin levels (r=∁E.34, p<0.05) and a positive correlation between B-Eos count values and plasminogen activator inhibitor-1 levels were noted (r=0.42, p<0.01). The univariable odds ratio of adiponectin for high FENO was 0.62 (0.41-0.95) and the association was borderline after adjusting for B-Eos.Conclusions: Eosinophilic inflammation was associated with a decrease in serum adiponectin levels which may be induced by visceral fat accumulation.https://www.jstage.jst.go.jp/article/twmuj/4/0/4_2019103/_pdf/-char/enadiponectinchildhood obesityeosinophilic inflammationbronchial asthmafraction of exhaled nitric oxide
spellingShingle Norihiko Azuma
Tomoko Otani
Midori Kotani
Yuki Yasuda
Hisafumi Matsuoka
Satoru Shimizu
Shigetaka Sugihara
Impact of Serum Adiponectin, Plasminogen Activator Inhibitor-1, and Oxidative Stress Levels on Eosinophilic Inflammation of the Airway and the Whole Body in Children with Obesity
Tokyo Women's Medical University Journal
adiponectin
childhood obesity
eosinophilic inflammation
bronchial asthma
fraction of exhaled nitric oxide
title Impact of Serum Adiponectin, Plasminogen Activator Inhibitor-1, and Oxidative Stress Levels on Eosinophilic Inflammation of the Airway and the Whole Body in Children with Obesity
title_full Impact of Serum Adiponectin, Plasminogen Activator Inhibitor-1, and Oxidative Stress Levels on Eosinophilic Inflammation of the Airway and the Whole Body in Children with Obesity
title_fullStr Impact of Serum Adiponectin, Plasminogen Activator Inhibitor-1, and Oxidative Stress Levels on Eosinophilic Inflammation of the Airway and the Whole Body in Children with Obesity
title_full_unstemmed Impact of Serum Adiponectin, Plasminogen Activator Inhibitor-1, and Oxidative Stress Levels on Eosinophilic Inflammation of the Airway and the Whole Body in Children with Obesity
title_short Impact of Serum Adiponectin, Plasminogen Activator Inhibitor-1, and Oxidative Stress Levels on Eosinophilic Inflammation of the Airway and the Whole Body in Children with Obesity
title_sort impact of serum adiponectin plasminogen activator inhibitor 1 and oxidative stress levels on eosinophilic inflammation of the airway and the whole body in children with obesity
topic adiponectin
childhood obesity
eosinophilic inflammation
bronchial asthma
fraction of exhaled nitric oxide
url https://www.jstage.jst.go.jp/article/twmuj/4/0/4_2019103/_pdf/-char/en
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