Circulating leptin and resistin levels in a Romanian rheumatoid arthritis population

Objective. Rheumatoid arthritis (RA), a chronic autoimmune disease which primarily affects the joints, is associated with various cardiometabolic comorbidities. These comorbidities, particularly metabolic syndrome, exert an altered secretion of proinflammatory adipokines that increase cardiovascular...

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Main Authors: Cristian Vasile Petra, Camelia Larisa Vonica, Rodica Rahaian, Iulia Berceanu, Stefan Cristian Vesa, Mihnea Zdrenghea, Simona Rednic
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2020-06-01
Series:Romanian Journal of Rheumatology
Subjects:
Online Access:https://rjr.com.ro/articles/2020.2/RJR_2020_2_Art-06.pdf
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author Cristian Vasile Petra
Camelia Larisa Vonica
Rodica Rahaian
Iulia Berceanu
Stefan Cristian Vesa
Mihnea Zdrenghea
Simona Rednic
author_facet Cristian Vasile Petra
Camelia Larisa Vonica
Rodica Rahaian
Iulia Berceanu
Stefan Cristian Vesa
Mihnea Zdrenghea
Simona Rednic
author_sort Cristian Vasile Petra
collection DOAJ
description Objective. Rheumatoid arthritis (RA), a chronic autoimmune disease which primarily affects the joints, is associated with various cardiometabolic comorbidities. These comorbidities, particularly metabolic syndrome, exert an altered secretion of proinflammatory adipokines that increase cardiovascular risk in rheumatic diseases. Leptin and resistin are two of the most important and intensely-studied adipocytokines. Increased serum levels of both leptin and resistin in RA patients have been previously reported but the results are conflicting. This study aimed to investigate the serum levels of leptin and resistin in a Romanian rheumatoid arthritis population and to compare them with the serum concentrations of healthy controls. Material and methods. We assessed clinical and biochemical parameters in 84 RA patients and 44 healthy controls with the help of specific enzyme-linked immunosorbent assays. Results. Mean disease duration was 12.1±9.6 years and RA patients had a mean disease activity score of 4.24±1.3, as assessed by Disease Activity Score-28 using C-reactive protein (DAS-28 CRP). RA patients showed significantly higher concentrations of serum leptin than controls (median 28.63 ng/ml vs. 21.16 ng/ml, p=.03) while there was a trend for an elevated serum resistin level in RA patients (median 15.98 ng/ml vs. 14.05 ng/ml) which did not reach statistical significance (p = 0.41). Conclusions. The current study shows a significant increase in circulating leptin but not resistin in RA patients than in controls. The link between adipokines, the chronic pro-inflammatory state and consequent cardiometabolic complications warrants further larger and longitudinally-designed studies.
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spelling doaj.art-f1bbd6742a2747da9fe202f1c70097962022-12-21T18:28:56ZengAmaltea Medical Publishing HouseRomanian Journal of Rheumatology1843-07912069-60862020-06-01292798310.37897/RJR.2020.2.6Circulating leptin and resistin levels in a Romanian rheumatoid arthritis populationCristian Vasile Petra0Camelia Larisa Vonica1Rodica Rahaian2Iulia Berceanu3Stefan Cristian Vesa4Mihnea Zdrenghea5Simona Rednic6Rheumatology Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania Department of Diabetes, Nutrition and Metabolic Diseases, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, RomaniaDivision of Immunology, Emergency County Hospital Cluj, Cluj-Napoca, Romania Department of Hematology, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania; “Ion Chiricuta” Oncology Institute, Cluj-Napoca, RomaniaPharmacology, Toxicology and Clinical Pharmacology Departament, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania Department of Hematology, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania; “Ion Chiricuta” Oncology Institute, Cluj-Napoca, RomaniaRheumatology Department, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, RomaniaObjective. Rheumatoid arthritis (RA), a chronic autoimmune disease which primarily affects the joints, is associated with various cardiometabolic comorbidities. These comorbidities, particularly metabolic syndrome, exert an altered secretion of proinflammatory adipokines that increase cardiovascular risk in rheumatic diseases. Leptin and resistin are two of the most important and intensely-studied adipocytokines. Increased serum levels of both leptin and resistin in RA patients have been previously reported but the results are conflicting. This study aimed to investigate the serum levels of leptin and resistin in a Romanian rheumatoid arthritis population and to compare them with the serum concentrations of healthy controls. Material and methods. We assessed clinical and biochemical parameters in 84 RA patients and 44 healthy controls with the help of specific enzyme-linked immunosorbent assays. Results. Mean disease duration was 12.1±9.6 years and RA patients had a mean disease activity score of 4.24±1.3, as assessed by Disease Activity Score-28 using C-reactive protein (DAS-28 CRP). RA patients showed significantly higher concentrations of serum leptin than controls (median 28.63 ng/ml vs. 21.16 ng/ml, p=.03) while there was a trend for an elevated serum resistin level in RA patients (median 15.98 ng/ml vs. 14.05 ng/ml) which did not reach statistical significance (p = 0.41). Conclusions. The current study shows a significant increase in circulating leptin but not resistin in RA patients than in controls. The link between adipokines, the chronic pro-inflammatory state and consequent cardiometabolic complications warrants further larger and longitudinally-designed studies.https://rjr.com.ro/articles/2020.2/RJR_2020_2_Art-06.pdfleptinresistinadipokinesrheumatoid arthritiscardiometabolic risk
spellingShingle Cristian Vasile Petra
Camelia Larisa Vonica
Rodica Rahaian
Iulia Berceanu
Stefan Cristian Vesa
Mihnea Zdrenghea
Simona Rednic
Circulating leptin and resistin levels in a Romanian rheumatoid arthritis population
Romanian Journal of Rheumatology
leptin
resistin
adipokines
rheumatoid arthritis
cardiometabolic risk
title Circulating leptin and resistin levels in a Romanian rheumatoid arthritis population
title_full Circulating leptin and resistin levels in a Romanian rheumatoid arthritis population
title_fullStr Circulating leptin and resistin levels in a Romanian rheumatoid arthritis population
title_full_unstemmed Circulating leptin and resistin levels in a Romanian rheumatoid arthritis population
title_short Circulating leptin and resistin levels in a Romanian rheumatoid arthritis population
title_sort circulating leptin and resistin levels in a romanian rheumatoid arthritis population
topic leptin
resistin
adipokines
rheumatoid arthritis
cardiometabolic risk
url https://rjr.com.ro/articles/2020.2/RJR_2020_2_Art-06.pdf
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