title: Adiponectin: an adipocyte-derived hormone, and its gene encoding in children with chronic kidney disease.
abstract: BACKGROUND
  The prevalence of cardiovascular disease (CVD) and inflammation is high in patients with chronic kidney disease (CKD). Adiponectin (ADPN) is an adipocytokine that may have significant anti-inflammatory and anti-atherosclerotic effects. Low adiponectin levels have previously been found in patients with high risk for CVD.
  
  
  METHODS
  On seventy eight advanced CKD (stages 4 and 5) pediatric patients undergoing maintenance hemodialysis( MHD) or conservative treatment (CT) the following parameters were studied: body mass index, left ventricular mass index(LVMI), serum adiponectin , cholesterol, HDL-cholesterol, high sensitivity C-reactive protein (hs CRP),interleukin 6(IL6) and single-nucleotide polymorphisms (SNPs) in the ADIPOQ gene at positions 45, and 276. Seventy age-and gender-matched healthy subjects served as control subjects.
  
  
  RESULTS
  Markedly (P = 0.01) elevated plasma adiponectin levels were observed in CKD patients, especially CT patients, compared to control subjects. The wild type of ADIPOQ 45T > G (T) allele is the main gene for patients and controls. MHD and CT patients had significantly higher frequency of the TT genotypes of +276G > T gene (P = 0.04) compared with control subjects. A significant positive correlation was observed between plasma adiponectin and IL6 level, whereas negative correlations were found between adiponectin level, cholesterol, HDL cholesterol and hs CRP. In a stepwise backward multiple regression model only IL6 (P = 0.001) was independently associated with plasma adiponectin levels. The adiponectin gene the 276 GT+TT genotypes were associated with a higher level of adiponectin .
  
  
  CONCLUSIONS
  The present study demonstrated that ADPN is related to several metabolic and inflammatory CV risk factors in a manner consistent with the hypothesis that this protein might have a protective role against these factors. We observed an association between the +276G>T SNP in the adiponectin gene and CKD in children. Genetic variation of +276 gene seemed to have a positive impact on circulating adiponectin levels in CKD patients.
authors.affiliation: Pediatric Department, National Research Centre, 33 El-Behous street, Dokki, PC:12311, Cairo, Egypt. manal_elshmaa@hotmail.com
authors.forename: Manal F
authors.initials: MF
authors.lastname: Elshamaa
authors.forename: Samar M
authors.initials: SM
authors.lastname: Sabry
authors.forename: Marwa M
authors.initials: MM
authors.lastname: El-Sonbaty
authors.forename: Eman A
authors.initials: EA
authors.lastname: Elghoroury
authors.forename: Nahed
authors.initials: N
authors.lastname: Emara
authors.forename: Mona
authors.initials: M
authors.lastname: Raafat
authors.forename: Dina
authors.initials: D
authors.lastname: Kandil
authors.forename: Gamila
authors.initials: G
authors.lastname: Elsaaid
mesh_terms: D017667:Adipocytes / Q000378:metabolism*; D052242:Adiponectin / Q000097:blood / Q000235:genetics*; D016022:Case-Control Studies; D002648:Child; D005260:Female; D005787:Gene Frequency / Q000235:genetics; D020022:Genetic Predisposition to Disease; D006801:Humans; D007676:Kidney Failure, Chronic / Q000235:genetics*; D016014:Linear Models; D008297:Male; D009154:Mutation / Q000235:genetics
chemical_list: C499918:ADIPOQ protein, human; D052242:Adiponectin