Evaluation of the correlation between the hormone adiponectin and vitamin D3 in obese women | ||
Mosul Journal of Nursing (Print ISSN: 2311-8784 Online ISSN: 2663-0311) | ||
Volume 11, Issue 1, January 2023, Pages 256-261 PDF (841.05 K) | ||
Document Type: Original Articles | ||
DOI: 10.33899/mjn.2023.179975 | ||
Authors | ||
Omar Essam Mustafa; Nadia Ahmed Saleh | ||
Department of Chemistry / College of Education for Pure Sciences / Tikrit University | ||
Abstract | ||
The research included a study of the relationship between the hormone adiponectin and vitamin D3 in obese female patients. The results we obtained showed that the level of the concentration of the hormone adiponectin shows a high significant decrease in the blood serum of obese patients compared to a control sample of healthy women. The results also showed that the level of vitamin D3 concentration shows a significant decrease It was high in the serum of obese patients compared with control samplesKeywords: Delayed Cord Clamping, Neonatal Outcomes. Hematocrit, Hemoglobin, Total Serum Bilirubin, and hematological parameters. | ||
Keywords | ||
The hormone adiponectin; and vitamin D3; obese women | ||
Full Text | ||
Evaluation of the correlation between the hormone adiponectin and vitamin D3 in obese women Omar Essam Mustafa 1, Nadia Ahmed Saleh1 * Department of Chemistry / College of Education for Pure Sciences / Tikrit University *Corresponding author: Omar Essam Mustafa ABSTRACT The research included a study of the relationship between the hormone adiponectin and vitamin D3 in obese female patients. The results we obtained showed that the level of the concentration of the hormone adiponectin shows a high significant decrease in the blood serum of obese patients compared to a control sample of healthy women. The results also showed that the level of vitamin D3 concentration shows a significant decrease It was high in the serum of obese patients compared with control samplesKeywords: Delayed Cord Clamping, Neonatal Outcomes. Hematocrit, Hemoglobin, Total Serum Bilirubin, and hematological parameters. Keyword : The hormone adiponectin, and vitamin D3, obese women
Received: 28 June 2022, Accepted: 5 January 2023, Available online: 28 January 2023
INTRODUCTION Adiponectin, a pleiotropic cytokine, normally circulates in blood plasma at high concentrations (5–30 μg/ml) [1], [2] and is typically found at levels 35% lower in men than in women. However, adiponectin concentrations are lower in women under certain conditions. Cnop and colleagues [3] found that postmenopausal women showed significantly higher adiponectin levels compared with premenopausal women, while Nishizawa and Colleagues [4] found no significant differences. Data on adiponectin concentrations in obese women are more robust, where adiponectin concentrations in adipose tissue and the circulation have consistently been found to be abnormally low [5]. Similarly, low adiponectin levels have also been found in women with endometriosis [6]. Adiponectin levels have been shown to increase with weight loss [7]. Thus, adiponectin is strongly associated with obesity and is a potentially important hormone in the link between obesity and women’s cancers. This review highlights the molecular role of adiponectin and its association with obesity in female-related carcinogenesis. Vitamin D3 is obtained from the diet or through synthesis in the skin with the participation of ultraviolet B radiation (UVB). Next, it is metabolized to its active form, 1,25-dihydroxyvitamin D, with the aid of enzymes. There are two forms of vitamin D: vitamin D2 (ergocalciferol), which is found in plants and fungi, and vitamin D3 (cholecalciferol), which is produced by animals. In humans, solar radiation converts provitamin D3 into previtamin D3, which is then spontaneously heat-isomerized to vitamin D3 [8]. The main circulating metabolite of vitamin D is vitamin 25(OH)D, which accurately reflects the amount of vitamin D in the body, whether it originated from food or was synthesized in the skin. According to many authors, vitamin D deficiency is a worldwide phenomenon that may affect as many as 30–50% of the adult population [9]. Those especially prone to vitamin D deficiency are elderly people, due to their decreased ability to synthesize this vitamin in the skin [10]. Until recently, vitamin 25(OH)D was regarded as a factor regulating calcium phosphate and bone tissue metabolism. Reports from recent years have confirmed that it is involved in maintaining homeostasis in many tissues [11], and its deficiency is associated with musculoskeletal and cardiovascular disorders, as well as autoimmune, dermatological, and cancer diseases [12, 13]. Furthermore, serum vitamin D levels appear to be related to obesity in both healthy and ill individuals [14]. The reduced bioavailability of vitamin D is observed in overweight and obese individuals, which probably results from the increased sequestration of this vitamin in adipose tissue [15]. Vitamin D deficiency is closely related to visceral obesity [16], MATERIALS AND METHODS In the research, 30 samples of blood serum of healthy, non-obese women were used in a control group. Also, 60 samples of blood serum of obese women were collected. Devices manufactured by reputable international companies were used. The research was conducted in cooperation with Mosul Hospital and a number of analysis laboratories. Serum preparation Samples were collected by drawing (10 ml) of blood samples from each group using a syringe then placed the blood in (6 ml) plastic tubes containing a tube gel afterwards The serum was separated from the blood using a centrifuge at 4000 x g for 15 minutes Immediately after separating the blood, part of the serum was placed in a plastic pendroof tube. The plastic tube (bendroof) in which the serum was placed was kept at a temperature-20 C (temperature o) to measure the concentration of the hormone adiponectin, clothoprotein, 3D, calcium, glucose,Leptin, glutathione, cholesterol, insulin, and lipoprofile. Measurement of the level of clothoprotein concentration in blood serum: Basic Principle: The concentration of clothoprotein was estimated using a ready-made measurement kit (Kit) prepared by the Chinese BioassayTechnology Laboratory Company, and this kit is an enzyme-linked immunosorbent assay (ELISA). The plate was pre-coated with an antibody to human Klotho protein, then Klotho protein present in the sample was added and bound to the antibody coated on the pits. A biotinylated human Klotho protein antibody was then added and bound to the Klotho protein in the sample. Then Streptavidin-HRP was added and bound to the Biotinylated Klotho protein antibody. After incubation, the washing is done by 5 times, then the substrate solution is added and the color develops. The intensity of the color is proportional to the concentration of Klotho protein present in the sample. The reaction ends with the addition of the acid stop solution. The absorption is measured at 450 nm. Figure (1) shows the standard curve of klothoprotein and shows the relationship between absorbance and concentration
Estimation of the concentration of vitamin D3 in the blood serum The vitamin D3 in the sample and the antibody in reagent 1 become immune complexes. And that the antigen acts as a conjugation template for the DNA in reagent 2 and binds to the antibodies, and this analysis is linked to fluorescent dyes, which are proportional to the intensity of the attachment of the samples to the standard concentration of vitamin D3 that contains all the reactive reagents in the cuvette. Calculations Construct a standard curve by plotting the mean O.D of each ABS standard (Y) versus concentration (X) and plotting the best fit curve through the points on the graph. Results and discussion Measurement of the concentration of the hormone adiponectin in the blood serum: The values of the mean ± standard deviation of adiponectin in a number of samples of obese patients were (1.29 ± 6.26) mg / L, while the mean ± standard deviation in the control group (healthy) was (14.8 ± 2.8) mg / L. The results obtained indicate that the level of adiponectin concentration shows a high significant decrease at the level of probability (P ≤ 0.01) in the sera of obese patients compared to the control group. As shown in Figure (2)
Figure (2) Mean ± standard deviation of adiponectin in study samples
The results of our study are consistent with the study of (Arita et al., (1999)) regarding patients, as they found that obese patients had low levels in the blood circulation of adiponectin [17],and preclinical studies showed that adiponectin has an anti-inflammatory function in Lung cells (Garcia & Sood (2012)) It is a vasodilator and reduce the inflammatory mechanism [18]. A recent cohort study showed that higher concentrations of Adiponectin in the serum are associated with cancer and cancer-related deaths, which means that the paradox of Adiponectin contributes to the risk of cancer during aging [19],and that adiponectin is closely related to obesity, but a decrease in plasma adiponectin is a cause of increased obesity. The decrease in adiponectin for patients does not appear to be a predictor of future body weight gain. [20], Estimation of vitamin D3 concentration in blood serum: The results we obtained show the mean ± standard deviation of obese patients, (2.68 ± 14.29) ng / ml and the mean ±
standard deviation of the control group. (62.30 ± 10.2) ng / ml and when performing the statistical analysis, it was found that there was a significant difference in obese patients compared to the control group The results indicate that the level of vitamin D3 concentration shows a high significant decrease at the probability level (P ≤ 0.01) in the sera of
obese patients compared to the control group.. As shown in Figure (3)
Figure (3) mean ± standard deviation of vitamin D3 in the study samples
The results of our study showed that there was a significant decrease in the level of vitamin D3 concentration in obese patients compared with the control group.A study (Bergman P et al (2012)) stated that vitamin D3 supplementation may reduce infectious symptoms among patients with antibody deficiency or recurrent respiratory tract infections [21],Hossein-Nezhad et al stated that vitamin D deficiency D3 leads to a higher incidence of autoimmune and cardiovascular diseases and cancer [22],The synthesis of vitamin D3 in human skin is one of the factors that determines the amount of cholecalciferol available to healthy individuals.Many factors, including air pollution, lifestyle, use of The sun filters, and doses the ultraviolet rays thrown onto the makeup[23]. Evaluation of the correlation between the hormone adiponectin and D3 in the PATIENTS group and the CONTROL group The results showed that the relationship (positive linear correlation) between the level of the hormone adiponectin and D3 in obese female patients was the value of the correlation coefficient (r = 0.126) as in Figure (4). The results also showed that the relationship (negative linear correlation) between the level of the hormone adiponectin and D3 in healthy people has a correlation coefficient value (r = - 0.027), as in Figure (5).
Figure (4). Correlation between adiponectin and D3 in obese patients
Figure (5) The correlation between the hormone adiponectin and D3 in healthy subjects
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Parker, J., Hashmi, O., Dutton, D., Mavrodaris, A., Stranges, S., Kandala, N. B., ... & Franco, O. H. (2010). Levels of vitamin D and cardiometabolic disorders: systematic review and meta-analysis. Maturitas, 65(3), 225-236. Ding, C., Gao, D., Wilding, J., Trayhurn, P., & Bing, C. (2012). Vitamin D signalling in adipose tissue. British journal of nutrition, 108(11), 1915-1923. Dorsch, M. P., Nemerovski, C. W., Ellingrod, V. L., Cowger, J. A., Dyke, D. B., Koelling, T. M., ... & Bleske, B. E. (2014). Vitamin D receptor genetics on extracellular matrix biomarkers and hemodynamics in systolic heart failure. Journal of cardiovascular pharmacology and therapeutics, 19(5), 439-445. Hossein-Nezhad, A., Eshaghi, S. M., Maghbooli, Z., Mirzaei, K., Shirzad, M., Curletto, B., & Chen, T. C. (2014). The role of vitamin D deficiency and vitamin d receptor genotypes on the degree of collateralization in patients with suspected coronary artery disease. BioMed research international, 2014. Zhang, Y., Zhang, X., Wang, F., Zhang, W., Wang, C., Yu, C., ... & Xu, J. (2016). The relationship between obesity indices and serum vitamin D levels in Chinese adults from urban settings. Asia Pacific journal of clinical nutrition, 25(2), 333-339. Koszowska, A. U., Nowak, J., Dittfeld, A., Brończyk-Puzoń, A., Kulpok, A., & Zubelewicz-Szkodzińska, B. (2014). Obesity, adipose tissue function and the role of vitamin D. Central European Journal of Immunology, 39(2), 260-264. Cheng, S., Massaro, J. M., Fox, C. S., Larson, M. G., Keyes, M. J., McCabe, E. L., ... & Wang, T. J. (2010). Adiposity, cardiometabolic risk, and vitamin D status: the Framingham Heart Study. Diabetes, 59(1), 242-248. Arita, Y., Kihara, S., Ouchi, N., Takahashi, M., Maeda, K., Miyagawa, J. I., ... & Matsuzawa, Y. (1999). Paradoxical decrease of an adipose-specific protein, adiponectin, in obesity. Biochemical and biophysical research communications, 257(1), 79-83. Garcia, P., & Sood, A. (2012). Adiponectin in pulmonary disease and critically ill patients. Current Medicinal Chemistry, 19(32), 5493–5500. Garcia, P., & Sood, A. (2012). Adiponectin in pulmonary disease and critically ill patients. Current Medicinal Chemistry, 19(32), 5493–5500. Lee, C. H., Lui, D. T., Cheung, C. Y., Fong, C. H., Yuen, M., Chow, W. S., ... & Lam, K. S. (2020). Higher circulating adiponectin concentrations predict incident cancer in type 2 diabetes–The adiponectin paradox. The Journal of Clinical Endocrinology & Metabolism, 105(4), e1387-e1396. Nakatani, H., Hirose, H., Yamamoto, Y., Saito, I., & Itoh, H. (2008). Significance of leptin and high–molecular weight adiponectin in the general population of Japanese male adolescents. Metabolism, 57(2), 157-162. Hossein-Nezhad, A., Eshaghi, S. M., Maghbooli, Z., Mirzaei, K., Shirzad, M., Curletto, B., & Chen, T. C. (2014). The role of vitamin D deficiency and vitamin d receptor genotypes on the degree of collateralization in patients with suspected coronary artery disease. BioMed Research International, 2014. Kuryłowicz, A., Bednarczuk, T., & Nauman, J. (2007). Wpływ niedoboru witaminy D na rozwój nowotworów i chorób autoimmunologicznych. Endokrynol Pol, 58(2), 140-152. Ford, E. S. (2005). Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: a summary of the evidence. Diabetes care, 28(7), 1769-1778. Kuryłowicz, A., Bednarczuk, T., & Nauman, J. (2007). Wpływ niedoboru witaminy D na rozwój nowotworów i chorób autoimmunologicznych. Endokrynol Pol, 58(2), 140-152. Ford, E. S. (2005). Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: a summary of the evidence. Diabetes care, 28(7), 1769-1778. | ||
References | ||
Ulmer, H., Bjørge, T., Concin, H., Lukanova, A., Manjer, J., Hallmans, G., ... & Nagel, G. (2012). Metabolic risk factors and cervical cancer in the metabolic syndrome and cancer project (Me–Can). Gynecologic oncology, 125(2), 330-335.
Wang, Y., Lam, K. S., Xu, J. Y., Lu, G., Xu, L. Y., Cooper, G. J., & Xu, A. (2005). Adiponectin inhibits cell proliferation by interacting with several growth factors in an oligomerization-dependent manner. Journal of Biological Chemistry, 280(18), 18341-18347.
Nagaraju, G. P., Aliya, S., & Alese, O. B. (2015). Role of adiponectin in obesity related gastrointestinal carcinogenesis. Cytokine & growth factor reviews, 26(1), 83-93.
Barb, D., Williams, C. J., Neuwirth, A. K., & Mantzoros, C. S. (2007). Adiponectin in relation to malignancies: a review of existing basic research and clinical evidence. The American journal of clinical nutrition, 86(3), 858S-866S.
Hada, Y., Yamauchi, T., Waki, H., Tsuchida, A., Hara, K., Yago, H., ... & Kadowaki, T. (2007). Selective purification and characterization of adiponectin multimer species from human plasma. Biochemical and biophysical research communications, 356(2), 487-493.
Tishinsky, J. M., Dyck, D. J., & Robinson, L. E. (2012). Lifestyle factors increasing adiponectin synthesis and secretion. Vitamins & Hormones, 90, 1-30.
Nakano, Y., Tajima, S., Yoshimi, A., Akiyama, H., Tsushima, M., Tanioka, T., ... & Tobe, T. (2006). A novel enzyme-linked immunosorbent assay specific for high-molecular-weight adiponectin. Journal of lipid research, 47(7), 1572-1582.
Napiórkowska, L., & Franek, E. (2009). Rola oznaczania witaminy D w praktyce klinicznej. Choroby Serca i Naczyń, 6(4), 203-210.
Lee, J. H., O'Keefe, J. H., Bell, D., Hensrud, D. D., & Holick, M. F. (2008). Vitamin D deficiency: an important, common, and easily treatable cardiovascular risk factor?. Journal of the American college of cardiology, 52(24), 1949-1956.
Parker, J., Hashmi, O., Dutton, D., Mavrodaris, A., Stranges, S., Kandala, N. B., ... & Franco, O. H. (2010). Levels of vitamin D and cardiometabolic disorders: systematic review and meta-analysis. Maturitas, 65(3), 225-236.
Ding, C., Gao, D., Wilding, J., Trayhurn, P., & Bing, C. (2012). Vitamin D signalling in adipose tissue. British journal of nutrition, 108(11), 1915-1923.
Dorsch, M. P., Nemerovski, C. W., Ellingrod, V. L., Cowger, J. A., Dyke, D. B., Koelling, T. M., ... & Bleske, B. E. (2014). Vitamin D receptor genetics on extracellular matrix biomarkers and hemodynamics in systolic heart failure. Journal of cardiovascular pharmacology and therapeutics, 19(5), 439-445.
Hossein-Nezhad, A., Eshaghi, S. M., Maghbooli, Z., Mirzaei, K., Shirzad, M., Curletto, B., & Chen, T. C. (2014). The role of vitamin D deficiency and vitamin d receptor genotypes on the degree of collateralization in patients with suspected coronary artery disease. BioMed research international, 2014.
Zhang, Y., Zhang, X., Wang, F., Zhang, W., Wang, C., Yu, C., ... & Xu, J. (2016). The relationship between obesity indices and serum vitamin D levels in Chinese adults from urban settings. Asia Pacific journal of clinical nutrition, 25(2), 333-339.
Koszowska, A. U., Nowak, J., Dittfeld, A., Brończyk-Puzoń, A., Kulpok, A., & Zubelewicz-Szkodzińska, B. (2014). Obesity, adipose tissue function and the role of vitamin D. Central European Journal of Immunology, 39(2), 260-264.
Cheng, S., Massaro, J. M., Fox, C. S., Larson, M. G., Keyes, M. J., McCabe, E. L., ... & Wang, T. J. (2010). Adiposity, cardiometabolic risk, and vitamin D status: the Framingham Heart Study. Diabetes, 59(1), 242-248.
Arita, Y., Kihara, S., Ouchi, N., Takahashi, M., Maeda, K., Miyagawa, J. I., ... & Matsuzawa, Y. (1999). Paradoxical decrease of an adipose-specific protein, adiponectin, in obesity. Biochemical and biophysical research communications, 257(1), 79-83.
Garcia, P., & Sood, A. (2012). Adiponectin in pulmonary disease and critically ill patients. Current Medicinal Chemistry, 19(32), 5493–5500. Garcia, P., & Sood, A. (2012). Adiponectin in pulmonary disease and critically ill patients. Current Medicinal Chemistry, 19(32), 5493–5500.
Lee, C. H., Lui, D. T., Cheung, C. Y., Fong, C. H., Yuen, M., Chow, W. S., ... & Lam, K. S. (2020). Higher circulating adiponectin concentrations predict incident cancer in type 2 diabetes–The adiponectin paradox. The Journal of Clinical Endocrinology & Metabolism, 105(4), e1387-e1396.
Nakatani, H., Hirose, H., Yamamoto, Y., Saito, I., & Itoh, H. (2008). Significance of leptin and high–molecular weight adiponectin in the general population of Japanese male adolescents. Metabolism, 57(2), 157-162.
Hossein-Nezhad, A., Eshaghi, S. M., Maghbooli, Z., Mirzaei, K., Shirzad, M., Curletto, B., & Chen, T. C. (2014). The role of vitamin D deficiency and vitamin d receptor genotypes on the degree of collateralization in patients with suspected coronary artery disease. BioMed Research International, 2014.
Kuryłowicz, A., Bednarczuk, T., & Nauman, J. (2007). Wpływ niedoboru witaminy D na rozwój nowotworów i chorób autoimmunologicznych. Endokrynol Pol, 58(2), 140-152.
Ford, E. S. (2005). Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: a summary of the evidence. Diabetes care, 28(7), 1769-1778.
Kuryłowicz, A., Bednarczuk, T., & Nauman, J. (2007). Wpływ niedoboru witaminy D na rozwój nowotworów i chorób autoimmunologicznych. Endokrynol Pol, 58(2), 140-152.
Ford, E. S. (2005). Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: a summary of the evidence. Diabetes care, 28(7), 1769-1778. | ||
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