@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(4):307-310
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(4):307-310
Comparison of Serum Leptin Levels in Pulmonary Tuberculosis Patients with Acute Pneumonia Patients and Healthy Individuals
ARTICLE INFO
Article Type
Original ResearchAuthors
Naderi M. (1)Ghorbani Vagheie A. (2)
Hashemi M. (3)
Taheri M. (*)
Ahmadi R. (4)
(*) Genetic Department, Medicine Faculty, Zahedan University of Medical Sciences, Zahedan, Iran
(1) Infectious Diseases Department, Medicine Faculty, Zahedan University of Medical Sciences, Zahedan, Iran
(2) Infectious Diseases and Tropical Medicine Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
(3) Clinical Biochemistry Department, Medicine Faculty, Zahedan University of Medical Sciences, Zahedan, Iran
(4) Internal Medicine Department, Medicine Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Zahedan University of Medical Sciences Paradis, Dr. Hesabi Square, Zahedan, Iran. Postal Code: 9816743463Phone: +98 (54) 33295793
Fax: +98 (54) 33295796
mohsen.taheri.gene@gmail.com
Article History
Received: April 18, 2017Accepted: September 26, 2017
ePublished: September 28, 2017
ABSTRACT
Aims
Leptin is one of the most important fat-derived hormones. Several
studies have shown that serum leptin levels in systemic inflammatory diseases
are reduced. The aim of this study was to evaluate the serum leptin levels in
three groups: patients with active pulmonary tuberculosis (TB), patients with
non-pulmonary infections (acute pneumonia) and normal people.
Materials & Methods In this cross-sectional study, in 2010, 40 patients with active pulmonary TB (case group) and 40 patients with non-pulmonary infections (positive control group) admitted to Boo-Ali hospital in Zahedan and 40 healthy subjects (negative control group) were selected using easy access and serum leptin levels were evaluated by ELISA. Data were analyzed by SPSS 18 software and one-way ANOVA.
Findings The mean of serum leptin levels in patients with non-pulmonary infections (p=0.030) and in patients with active pulmonary TB (p=0.004) were significantly lower than normal group, but the mean of serum leptin levels in patients with active pulmonary TB and patients with non-pulmonary infections were not significantly different (p=0.555).
Conclusion Serum leptin levels are lower in patients with active pulmonary tuberculosis and in patients with non-pulmonary infections than in normal people, but there is no difference between patients with active pulmonary tuberculosis and patients with non-pulmonary infections. Therefore, serum leptin levels are not an appropriate marker for the differentiation of active pulmonary tuberculosis from pulmonary infections (acute pneumonia).
Materials & Methods In this cross-sectional study, in 2010, 40 patients with active pulmonary TB (case group) and 40 patients with non-pulmonary infections (positive control group) admitted to Boo-Ali hospital in Zahedan and 40 healthy subjects (negative control group) were selected using easy access and serum leptin levels were evaluated by ELISA. Data were analyzed by SPSS 18 software and one-way ANOVA.
Findings The mean of serum leptin levels in patients with non-pulmonary infections (p=0.030) and in patients with active pulmonary TB (p=0.004) were significantly lower than normal group, but the mean of serum leptin levels in patients with active pulmonary TB and patients with non-pulmonary infections were not significantly different (p=0.555).
Conclusion Serum leptin levels are lower in patients with active pulmonary tuberculosis and in patients with non-pulmonary infections than in normal people, but there is no difference between patients with active pulmonary tuberculosis and patients with non-pulmonary infections. Therefore, serum leptin levels are not an appropriate marker for the differentiation of active pulmonary tuberculosis from pulmonary infections (acute pneumonia).
CITATION LINKS
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[9]Buyukoglan H, Gulmez I, Kelestimur F, Kart L, Oymak FS, Demir R, et al. Leptin levels in various manifestations of pulmonary tuberculosis. Mediators Inflamm. 2007;2007:64859.
[10]Yurt S, Erman H, Korkmaz GG, Kosar AF, Uysal P, Gelisgen R, et al. The role of feed regulating peptides on weight loss in patients with pulmonary tuberculosis. Clin Biochem. 2013;46(1-2):40-4.
[11]Herlina M, Nataprawira HM, Garna H. Association of serum C-reactive protein and leptin levels with wasting in childhood tuberculosis. Singapore Med J. 2011;52(6):446-50.
[12]Matarese G, Moschos S, Mantzoros CS. Leptin in immunology. J Immunol. 2005;174(6): 3137-42.
[13]Yuksel I, Sencan M, Dokmetas HS, Dokmetas I, Ataseven H, Yonem O. The relation between serum leptin levels and body fat mass in patients with active lung tuberculosis. Endocr Res. 2003;29(3):257-64.
[14]Cegielski JP, McMurray DN. The relationship between malnutrition and tuberculosis: evidence from studies in humans and experimental animals. Int J Tuberc Lung Dis. 2004;8(3):286-98.
[15]Romo-Gonzalez C, Mendoza E, Mera RM, Coria-Jimenez R, Chico-Aldama P, Gomez-Diaz R, et al. Helicobacter pylori infection and serum leptin, obestatin, and ghrelin levels in Mexican schoolchildren. Pediatr Res. 2017. doi: 10.1038/pr.2017.69. [Epub ahead of print]
[16]Erdemir G, Ozkan TB, Ozgur T, Altay D, Cavun S, Goral G. Helicobacter pylori Infection in Children: Nutritional Status and Associations with Serum Leptin, Ghrelin, and IGF-1 Levels. Helicobacter. 2016;21(4):317-24.
[17]Sharma A, Ma Y, Scherzer R, Wheeler AL, Cohen M, Gustafson DR, Keating SM, Yin MT, Tien PC. Brief report: Association of adipokines with bone mineral density in HIV-infected and HIV-uninfected women. J Acquir Immune Defic Syndr. 2016;73(4):433-7.
[18]Mattioli B, Straface E, Quaranta MG, Giordani L, Viora M. Leptin promotes differentiation and survival of human dendritic cells and licenses them for Th1 priming. J Immunol. 2005;174(11):6820-8.
[2]Hassan Zadeh J, Nasehi M, Rezaianzadeh A, Tabatabaee H, Rajaeifard A, Ghaderi E. Pattern of reported tuberculosis cases in Iran 2009-2010. Iran J Public Health. 2013;42(1):72-8.
[3]Shakoor S, Hasan R. Tuberculosis in vulnerable populations in Eastern Mediterranean Region-Implications for control. Int J Mycobacteriol. 2016;5(Suppl 1):S15.
[4]Metanat M, Sharifi-Mood B, Shahreki S, Dawoudi SH. Prevalence of multidrug-resistant and extensively drug-resistant tuberculosis in patients with pulmonary tuberculosis in zahedan, southeastern Iran. Iran Red Crescent Med J. 2012;14(1):53-5.
[5]Zheng Y, Ma A, Wang Q, Han X, Cai J, Schouten EG, et al. Relation of leptin, ghrelin and inflammatory cytokines with body mass index in pulmonary tuberculosis patients with and without type 2 diabetes mellitus. PLoS One. 2013;8(11):e80122.
[6]Keicho N, Matsushita I, Tanaka T, Shimbo T, Hang NT, Sakurada S, et al. Circulating levels of adiponectin, leptin, fetuin-A and retinol-binding protein in patients with tuberculosis: Markers of metabolism and inflammation. PLoS One. 2012;7(6):e38703.
[7]Schwenk A, Hodgson L, Rayner CF, Griffin GE, Macallan DC. Leptin and energy metabolism in pulmonary tuberculosis. Am J Clin Nutr. 2003;77(2):392-8.
[8]Mustafa T. Does leptin have a role in immunity to tuberculosis?. Indian J Med Res. 2008;128(6):691-3.
[9]Buyukoglan H, Gulmez I, Kelestimur F, Kart L, Oymak FS, Demir R, et al. Leptin levels in various manifestations of pulmonary tuberculosis. Mediators Inflamm. 2007;2007:64859.
[10]Yurt S, Erman H, Korkmaz GG, Kosar AF, Uysal P, Gelisgen R, et al. The role of feed regulating peptides on weight loss in patients with pulmonary tuberculosis. Clin Biochem. 2013;46(1-2):40-4.
[11]Herlina M, Nataprawira HM, Garna H. Association of serum C-reactive protein and leptin levels with wasting in childhood tuberculosis. Singapore Med J. 2011;52(6):446-50.
[12]Matarese G, Moschos S, Mantzoros CS. Leptin in immunology. J Immunol. 2005;174(6): 3137-42.
[13]Yuksel I, Sencan M, Dokmetas HS, Dokmetas I, Ataseven H, Yonem O. The relation between serum leptin levels and body fat mass in patients with active lung tuberculosis. Endocr Res. 2003;29(3):257-64.
[14]Cegielski JP, McMurray DN. The relationship between malnutrition and tuberculosis: evidence from studies in humans and experimental animals. Int J Tuberc Lung Dis. 2004;8(3):286-98.
[15]Romo-Gonzalez C, Mendoza E, Mera RM, Coria-Jimenez R, Chico-Aldama P, Gomez-Diaz R, et al. Helicobacter pylori infection and serum leptin, obestatin, and ghrelin levels in Mexican schoolchildren. Pediatr Res. 2017. doi: 10.1038/pr.2017.69. [Epub ahead of print]
[16]Erdemir G, Ozkan TB, Ozgur T, Altay D, Cavun S, Goral G. Helicobacter pylori Infection in Children: Nutritional Status and Associations with Serum Leptin, Ghrelin, and IGF-1 Levels. Helicobacter. 2016;21(4):317-24.
[17]Sharma A, Ma Y, Scherzer R, Wheeler AL, Cohen M, Gustafson DR, Keating SM, Yin MT, Tien PC. Brief report: Association of adipokines with bone mineral density in HIV-infected and HIV-uninfected women. J Acquir Immune Defic Syndr. 2016;73(4):433-7.
[18]Mattioli B, Straface E, Quaranta MG, Giordani L, Viora M. Leptin promotes differentiation and survival of human dendritic cells and licenses them for Th1 priming. J Immunol. 2005;174(11):6820-8.