Investigation of the inflammatory biomarkers of metabolic syndrome in adolescents

J Pediatr Endocrinol Metab. 2016 Nov 1;29(11):1277-1283. doi: 10.1515/jpem-2016-0136.

Abstract

Background: Metabolic syndrome (MetS) is a chronic and multifactorial syndrome characterized by a low-grade chronic inflammation, and a major risk factor for type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD). In our study, we aimed to investigate the serum levels of high sensitive C-reactive protein (hs-CRP), haptoglobin (Hp), α2-macroglobulin (α2-MG), platelet factor-4 (PF-4), fetuin-A, serum amyloid P (SAP) and α1-acid glycoprotein (AGP) in an adolescent population with MetS.

Methods: This study was performed in 43 (18 males, 25 females) MetS adolescents between the ages of 13 and 17 years (14.70±1.15) and 43 lean controls were matched for age and sex. The serum levels of Hp, α2-MG, PF-4, fetuin-A, SAP and AGP were measured by using a multi-ELISA technique.

Results: Serum Hp, fetuin-A (p<0.01) and PF-4, hs-CRP, SAP, AGP (p<0.001) values of the MetS subjects were significantly higher than those of the controls. No difference was found in serum α2-MG levels between the MetS and control groups (p=0.184).

Conclusions: This finding suggests the possibility of using these markers in diagnosis of MetS in adolescents to prevent future complications.

MeSH terms

  • Adolescent
  • Biomarkers / blood
  • C-Reactive Protein / analysis*
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Haptoglobins / analysis*
  • Hospitals, Teaching
  • Humans
  • Insulin Resistance
  • Male
  • Metabolic Syndrome / blood*
  • Metabolic Syndrome / epidemiology
  • Metabolic Syndrome / immunology
  • Metabolic Syndrome / metabolism
  • Orosomucoid / analysis*
  • Outpatient Clinics, Hospital
  • Platelet Factor 4 / blood*
  • ROC Curve
  • Risk
  • Serum Amyloid P-Component / analysis*
  • Turkey / epidemiology
  • Up-Regulation
  • alpha-2-HS-Glycoprotein / analysis*

Substances

  • AHSG protein, human
  • Biomarkers
  • HP protein, human
  • Haptoglobins
  • Orosomucoid
  • Serum Amyloid P-Component
  • alpha-2-HS-Glycoprotein
  • Platelet Factor 4
  • C-Reactive Protein