Adipokines and systemic lupus erythematosus: relationship with metabolic syndrome and cardiovascular disease risk factors

J Rheumatol. 2009 Feb;36(2):295-7. doi: 10.3899/jrheum.080503.

Abstract

Objective: To study concentrations of adipokines in patients with systemic lupus erythematosus (SLE) and the relationship among adipokines, the metabolic syndrome (MeS), and cardiovascular disease (CVD) risk factors.

Methods: We enrolled 50 SLE patients and 26 controls, all women. Leptin, resistin, visfatin, and adiponectin were measured by commercial ELISA kits.

Results: MeS prevalence was increased among subjects with SLE. Leptin levels were higher in patients with SLE than controls. Among SLE patients, independent determinants of leptin were insulin levels (p < 0.0001), triglycerides (p = 0.03), body mass index (p = 0.02), corticosteroid dosage (p = 0.02), and SLE Disease Activity Index (p = 0.005). Other adipokines did not differ between SLE patients and controls.

Conclusion: Leptin was increased in SLE patients and could play a role in SLE-related cardiovascular diseases.

MeSH terms

  • Adipokines / analysis
  • Adipokines / blood*
  • Adiponectin / analysis
  • Adiponectin / blood
  • Adrenal Cortex Hormones / administration & dosage
  • Adult
  • Biomarkers / analysis
  • Biomarkers / blood
  • Body Mass Index
  • Comorbidity
  • Cytokines / analysis
  • Cytokines / blood
  • Female
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Insulin / analysis
  • Insulin / blood
  • Leptin / analysis
  • Leptin / blood
  • Lupus Erythematosus, Systemic / blood
  • Lupus Erythematosus, Systemic / epidemiology*
  • Lupus Erythematosus, Systemic / immunology*
  • Metabolic Syndrome / blood
  • Metabolic Syndrome / epidemiology*
  • Metabolic Syndrome / immunology*
  • Nicotinamide Phosphoribosyltransferase / analysis
  • Nicotinamide Phosphoribosyltransferase / blood
  • Predictive Value of Tests
  • Resistin / analysis
  • Resistin / blood
  • Triglycerides / analysis
  • Triglycerides / blood
  • Up-Regulation / physiology

Substances

  • ADIPOQ protein, human
  • Adipokines
  • Adiponectin
  • Adrenal Cortex Hormones
  • Biomarkers
  • Cytokines
  • Immunosuppressive Agents
  • Insulin
  • Leptin
  • Resistin
  • Triglycerides
  • Nicotinamide Phosphoribosyltransferase
  • nicotinamide phosphoribosyltransferase, human