Association of macrophage inhibitory cytokine-1 with nutritional status, body composition and bone mineral density in patients with anorexia nervosa: the influence of partial realimentation.
BACKGROUND
Macrophage inhibitory cytokine-1 (MIC-1) is a key inducer of cancer-related anorexia and weight loss. However, its possible role in the etiopathogenesis of nutritional disorders of other etiology such as anorexia nervosa (AN) is currently unknown.


METHODS
We measured fasting serum concentrations of MIC-1 in patients with AN before and after 2-month nutritional treatment and explored its relationship with nutritional status, metabolic and biochemical parameters. Sixteen previously untreated women with AN and twenty-five normal-weight age-matched control women participated in the study. We measured serum concentrations of MIC-1 and leptin by ELISA, free fatty acids by enzymatic colorimetric assay, and biochemical parameters by standard laboratory methods; determined resting energy expenditure by indirect calorimetry; and assessed bone mineral density and body fat content by dual-energy X-ray absorptiometry. ANOVA, unpaired t-test or Mann-Whitney test were used for groups comparison as appropriate. The comparisons of serum MIC-1 levels and other studied parameters in patients with AN before and after partial realimentation were assessed by paired t-test or Wilcoxon Signed Rank Test as appropriate.


RESULTS
At baseline, fasting serum MIC-1 concentrations were significantly higher in patients with AN relative to controls. Partial realimentation significantly reduced serum MIC-1 concentrations in patients with AN but it still remained significantly higher compared to control group. In AN group, serum MIC-1 was inversely related to Buzby nutritional risk index, serum insulin-like growth factor-1, serum glucose, serum total protein, serum albumin, and lumbar bone mineral density and it significantly positively correlated with the duration of AN and age.


CONCLUSIONS
MIC-1 concentrations in AN patients are significantly higher relative to healthy women. Partial realimentation significantly decreased MIC-1 concentration in AN group. Clinical significance of these findings needs to be further clarified.
Dostálová
Ivana
I
3rd Department of Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, U nemocnice 1, 128 08 Prague 2, Czech Republic.
Kaválková
Petra
P
3rd Department of Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, U nemocnice 1, 128 08 Prague 2, Czech Republic.
Papežová
Hana
H
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General University Hospital, Ke Karlovu 11, 121 08 Prague 2, Czech Republic.
Domluvilová
Daniela
D
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General University Hospital, Ke Karlovu 11, 121 08 Prague 2, Czech Republic.
Zikán
Vít
V
3rd Department of Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, U nemocnice 1, 128 08 Prague 2, Czech Republic.
Haluzík
Martin
M
3rd Department of Medicine, 1st Faculty of Medicine, Charles University and General University Hospital, U nemocnice 1, 128 08 Prague 2, Czech Republic.