Discriminatory Value of Adiponectin to Leptin Ratio for COVID-19 Pneumonia.


Journal

International journal of endocrinology
ISSN: 1687-8337
Titre abrégé: Int J Endocrinol
Pays: Egypt
ID NLM: 101516376

Informations de publication

Date de publication:
2022
Historique:
received: 27 02 2022
accepted: 07 04 2022
entrez: 9 5 2022
pubmed: 10 5 2022
medline: 10 5 2022
Statut: epublish

Résumé

Obesity is a risk factor for severe coronavirus disease 2019 (COVID-19). Circulating adipokines have been associated with inflammatory burden and amplified or dysregulated immune responses. This study aimed to evaluate the discriminatory ability of adipokines to identify COVID-19 pneumonia and to assess disease severity. We conducted an observational case-control study, with a prospective design, and recruited patients with diagnosis of COVID-19 pneumonia ( Patients with COVID-19 pneumonia had higher levels of leptin, lower adiponectin/leptin (Adpn/Lep) ratio, and higher expression of IL-6. Leptin had an acceptable discriminatory accuracy for COVID-19 pneumonia in patients with BMI >30 (AUC 0.74 [0.58, 0.90]) with a cutoff of 7852 pg/mL and it was associated with maximum respiratory support. By contrast, Adpn/Lep had an excellent discriminatory accuracy for COVID-19 pneumonia in patients with BMI <25 (AUC 0.9 [0.74, 1.06]) with a cutoff of 2.23. Our data indicate that high Adpn/Lep (>2.23) in lean patients is consistent with a state of good health, which decreases in case of inflammatory states, ranging from adipose tissue dysfunction with low-grade inflammation to COVID-19 pneumonia.

Identifiants

pubmed: 35529082
doi: 10.1155/2022/9908450
pmc: PMC9072020
doi:

Types de publication

Journal Article

Langues

eng

Pagination

9908450

Informations de copyright

Copyright © 2022 Federica Tonon et al.

Déclaration de conflit d'intérêts

The authors declare that there are no conflicts of interest regarding the publication of this article.

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Auteurs

Federica Tonon (F)

Department of Medical Surgical and Health Sciences, University of Trieste, Trieste 34149, Italy.

Stefano Di Bella (S)

Department of Medical Surgical and Health Sciences, University of Trieste, Trieste 34149, Italy.
SC Malattie Infettive, Ospedale Maggiore, Azienda Sanitaria Universitaria Isontino-Giuliana, Trieste 34125, Italy.

Fabiola Giudici (F)

Gustave-Roussy, Bureau Biostatistique et Epidémiologie - 114, Rue Eduard Vaillant, Villejuif 94805, France.

Verena Zerbato (V)

SC Malattie Infettive, Ospedale Maggiore, Azienda Sanitaria Universitaria Isontino-Giuliana, Trieste 34125, Italy.

Ludovica Segat (L)

U.C.O. Igiene e Sanità Pubblica, Ospedale Maggiore, Azienda Sanitaria Universitaria Isontino-Giuliana, Trieste 34125, Italy.

Raffaella Koncan (R)

Department of Medical Surgical and Health Sciences, University of Trieste, Trieste 34149, Italy.

Andrea Misin (A)

SC Malattie Infettive, Ospedale Maggiore, Azienda Sanitaria Universitaria Isontino-Giuliana, Trieste 34125, Italy.

Barbara Toffoli (B)

Department of Medical Surgical and Health Sciences, University of Trieste, Trieste 34149, Italy.

Pierlanfranco D'Agaro (P)

Department of Medical Surgical and Health Sciences, University of Trieste, Trieste 34149, Italy.
U.C.O. Igiene e Sanità Pubblica, Ospedale Maggiore, Azienda Sanitaria Universitaria Isontino-Giuliana, Trieste 34125, Italy.

Roberto Luzzati (R)

Department of Medical Surgical and Health Sciences, University of Trieste, Trieste 34149, Italy.
SC Malattie Infettive, Ospedale Maggiore, Azienda Sanitaria Universitaria Isontino-Giuliana, Trieste 34125, Italy.

Bruno Fabris (B)

Department of Medical Surgical and Health Sciences, University of Trieste, Trieste 34149, Italy.
SS Endocrinologia, UCO Medicina Clinica, Ospedale di Cattinara, Azienda Sanitaria Universitaria Isontino-Giuliana, Trieste 34149, Italy.

Stella Bernardi (S)

Department of Medical Surgical and Health Sciences, University of Trieste, Trieste 34149, Italy.
SS Endocrinologia, UCO Medicina Clinica, Ospedale di Cattinara, Azienda Sanitaria Universitaria Isontino-Giuliana, Trieste 34149, Italy.

Classifications MeSH