Department of Pediatrics, Institute of Medical Sciences, Medical College of Rzeszów University, Warzywna 1a, 35-310 Rzeszów, Poland.
Department of Medical Chemistry and Metabolomics, Institute of Medical Sciences, Medical College of Rzeszów University, Warzywna 1a, 35-310 Rzeszów, Poland.
Medicina (Kaunas). 2024 Jul 19;60(7):1165. doi: 10.3390/medicina60071165.
Diabetes is a significant health problem, prompting the search for new therapeutic strategies. Recently, researchers have focused on identifying novel markers for the progression of this condition. It is well established that adipokines, such as progranulin and vaspin, play crucial roles in regulating lipid and carbohydrate metabolism. : This single-center cross-sectional study aimed to assess serum progranulin and vaspin levels in 80 children diagnosed with type 1 diabetes (T1D) and to examine their correlation with body mass index (BMI), glycated hemoglobin, and lipid profile. The cohort included 40 children newly diagnosed with diabetes, 40 children with long-term diabetes (20 well-controlled and 20 poorly controlled), and 14 non-diabetic children as a control group. Progranulin and vaspin levels were determined using a sandwich enzyme-linked immunosorbent assay. : There were no significant differences in the progranulin and vaspin concentrations in the studied groups ( = 0.246 and = 0.095, respectively). No statistically significant differences were noted in the levels of both adipokines among boys and girls within the T1D, well-controlled T1D, and poorly controlled T1D groups. We did not find any differences in the progranulin and vaspin levels among all children with T1D and healthy controls when divided based on BMI percentiles. A negative correlation was observed between progranulin concentration and the age of children in the T1D, well-controlled T1D, and healthy groups. Furthermore, progranulin correlated negatively with BMI among children with T1D. In contrast, vaspin concentration correlated positively with age among healthy children. : Our study provides novel insights into the status of progranulin and vaspin among pediatric participants with varying levels of type 1 diabetes control. However, further research involving larger patient cohorts and different stages of sexual maturation is warranted.
糖尿病是一个重大的健康问题,促使人们寻求新的治疗策略。最近,研究人员专注于确定这种疾病进展的新标志物。众所周知,脂肪细胞因子,如颗粒蛋白前体和内脏脂肪素,在调节脂质和碳水化合物代谢中起着关键作用。这项单中心横断面研究旨在评估 80 例 1 型糖尿病(T1D)患儿的血清颗粒蛋白前体和内脏脂肪素水平,并探讨其与体重指数(BMI)、糖化血红蛋白和血脂谱的相关性。该队列包括 40 名新诊断为糖尿病的儿童、40 名长期糖尿病(20 名控制良好和 20 名控制不佳)儿童和 14 名非糖尿病儿童作为对照组。使用夹心酶联免疫吸附试验测定颗粒蛋白前体和内脏脂肪素水平。在研究组中,颗粒蛋白前体和内脏脂肪素的浓度没有显著差异(=0.246 和=0.095)。在 T1D、控制良好的 T1D 和控制不佳的 T1D 组中,男孩和女孩之间两种脂肪细胞因子的水平均无统计学差异。我们没有发现 T1D 患儿和健康对照组根据 BMI 百分位数分为两组时,颗粒蛋白前体和内脏脂肪素水平存在差异。在 T1D、控制良好的 T1D 和健康组中,颗粒蛋白前体浓度与儿童年龄呈负相关。此外,在 T1D 患儿中,颗粒蛋白前体与 BMI 呈负相关。相反,内脏脂肪素浓度与健康儿童的年龄呈正相关。我们的研究提供了关于不同控制水平的 1 型糖尿病儿科参与者颗粒蛋白前体和内脏脂肪素状态的新见解。然而,需要涉及更大患者队列和不同性成熟阶段的进一步研究。