Association of the apoptotic markers Apo1/Fas and cCK-18 and the adhesion molecule ICAM-1 with Type 1 diabetes mellitus in children and adolescents.


Journal

BMC pediatrics
ISSN: 1471-2431
Titre abrégé: BMC Pediatr
Pays: England
ID NLM: 100967804

Informations de publication

Date de publication:
02 Aug 2024
Historique:
received: 27 11 2023
accepted: 02 07 2024
medline: 3 8 2024
pubmed: 3 8 2024
entrez: 2 8 2024
Statut: epublish

Résumé

Type 1 diabetes mellitus (T1DM) is characterized by immune and metabolic dysregulation. Apo1/Fas is implicated in maintaining homeostasis of the immune system. Cytokeratin-18 (cCK-18) is a predictive marker of liver disorders in T2DM. Intercellular adhesion molecule-1 (ICAM-1) is considered to increase susceptibility to diabetes mellitus. All three markers are associated with endothelial function, apoptosis and diabetes-related complications. The possible role of Apo1/Fas, cCK-18 and ICAM-1 was investigated in children and adolescents with T1DM. Forty-nine (49) children and adolescents with T1DM and 49 controls were included in the study. Somatometric measurements were obtained and the Body Mass Index (BMI) of the participants was calculated. Biochemical parameters were measured by standard laboratory methods and Apo1/Fas, cCK-18 and ICAM-1 were measured using appropriate ELISA kits. The statistical analysis was performed using the IBM SPSS Statistics 23 program. Apo1/Fas (p = 0.001), cCK-18 (p < 0.001) and ICAM-1 (p < 0.001) were higher in patients with T1DM compared to the controls. Apo1Fas was negatively correlated with glucose (p = 0.042), uric acid (p = 0.026), creatinine (p = 0.022), total cholesterol (p = 0.023) and LDL (p = 0.005) in the controls. In children and adolescents with T1DM, Apo1/Fas was positively correlated with total cholesterol (p = 0.013) and LDL (p = 0.003). ICAM-1 was negatively correlated with creatinine (p = 0.019) in the controls, whereas in patients with T1DM it was negatively correlated with HbA1c (p = 0.05). Apo1/Fas, cCK-18 and ICAM-1 may be useful as serological markers for immune and metabolic dysregulation in children and adolescents with T1DM. Also, Apo1/Fas may have a protective role against metabolic complications in healthy children.

Sections du résumé

BACKGROUND BACKGROUND
Type 1 diabetes mellitus (T1DM) is characterized by immune and metabolic dysregulation. Apo1/Fas is implicated in maintaining homeostasis of the immune system. Cytokeratin-18 (cCK-18) is a predictive marker of liver disorders in T2DM. Intercellular adhesion molecule-1 (ICAM-1) is considered to increase susceptibility to diabetes mellitus. All three markers are associated with endothelial function, apoptosis and diabetes-related complications. The possible role of Apo1/Fas, cCK-18 and ICAM-1 was investigated in children and adolescents with T1DM.
METHOD METHODS
Forty-nine (49) children and adolescents with T1DM and 49 controls were included in the study. Somatometric measurements were obtained and the Body Mass Index (BMI) of the participants was calculated. Biochemical parameters were measured by standard laboratory methods and Apo1/Fas, cCK-18 and ICAM-1 were measured using appropriate ELISA kits. The statistical analysis was performed using the IBM SPSS Statistics 23 program.
RESULTS RESULTS
Apo1/Fas (p = 0.001), cCK-18 (p < 0.001) and ICAM-1 (p < 0.001) were higher in patients with T1DM compared to the controls. Apo1Fas was negatively correlated with glucose (p = 0.042), uric acid (p = 0.026), creatinine (p = 0.022), total cholesterol (p = 0.023) and LDL (p = 0.005) in the controls. In children and adolescents with T1DM, Apo1/Fas was positively correlated with total cholesterol (p = 0.013) and LDL (p = 0.003). ICAM-1 was negatively correlated with creatinine (p = 0.019) in the controls, whereas in patients with T1DM it was negatively correlated with HbA1c (p = 0.05).
CONCLUSIONS CONCLUSIONS
Apo1/Fas, cCK-18 and ICAM-1 may be useful as serological markers for immune and metabolic dysregulation in children and adolescents with T1DM. Also, Apo1/Fas may have a protective role against metabolic complications in healthy children.

Identifiants

pubmed: 39095736
doi: 10.1186/s12887-024-04926-5
pii: 10.1186/s12887-024-04926-5
doi:

Substances chimiques

Intercellular Adhesion Molecule-1 126547-89-5
Biomarkers 0
Keratin-18 0
fas Receptor 0
FAS protein, human 0
ICAM1 protein, human 0
Apolipoprotein A-I 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

493

Informations de copyright

© 2024. The Author(s).

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Auteurs

Eirini Kostopoulou (E)

Division of Paediatric Endocrinology and Diabetes, Department of Paediatrics, University of Patras School of Medicine, Patras, 26504, Greece. eirini.kost@gmail.com.

Maria Efthymia Katsa (ME)

Department of Nursing, Laboratory of Basic Health Sciences, Faculty of Health Sciences, University of Peloponnese, Panarcadian Hospital Erythrou Stavrou End Administrative Services 2 Floor, Tripoli, 22100, Greece.

Anastasios Ioannidis (A)

Department of Nursing, Laboratory of Basic Health Sciences, Faculty of Health Sciences, University of Peloponnese, Panarcadian Hospital Erythrou Stavrou End Administrative Services 2 Floor, Tripoli, 22100, Greece.

Maria Foti (M)

Department of Nursing, Laboratory of Basic Health Sciences, Faculty of Health Sciences, University of Peloponnese, Panarcadian Hospital Erythrou Stavrou End Administrative Services 2 Floor, Tripoli, 22100, Greece.

Ioannis Dimopoulos (I)

School of Management, University of Peloponnese, Kalamata, 24100, Greece.

Bessie E Spiliotis (BE)

Division of Paediatric Endocrinology and Diabetes, Department of Paediatrics, University of Patras School of Medicine, Patras, 26504, Greece.

Andrea Paola Rojas Gil (AP)

Department of Nursing, Laboratory of Basic Health Sciences, Faculty of Health Sciences, University of Peloponnese, Panarcadian Hospital Erythrou Stavrou End Administrative Services 2 Floor, Tripoli, 22100, Greece. apaola71@yahoo.com.mx.

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