title: Association between metabolic syndrome and vascular endothelium dysfunction in children and adolescents.
abstract: We aimed at investigating the association between metabolic syndrome (MS) and vascular endothelial cell dysfunction (ECD) in children and adolescents. Sixty children (30 obese children and 30 children with MS) were included in this retrospective analysis. Thirty healthy subjects were randomly selected as the control group. A series of indices/biomarkers known to be related to MS/ECD were determined using ELISA. Correlations between the variables measured were analyzed. Compared with the control group, PAI-1, vWF, VE-cad, TM, and VEGF were significantly increased in the MS group (P < 0.05). Adolescents in the obese group had significantly increased levels of serum PAI-1, VE-cad, TM, and VEGF as compared with the control group (P < 0.05). Further, vWF in the obese and control groups did not differ significantly (P = 0.556). Our results suggest that ECD is correlated with MS in children and adolescents. Pathophysiological changes of the vascular endothelium may exist in obese children who have yet to develope MS. PAI-1, vWF, VE-cad, TM, and VEGF could be used as biomarkers for predicting ECD. ECD that develops in patients with MS may be associated with obesity, elevated blood lipid, elevated blood glucose, and higher blood pressure.
authors.affiliation: Department of Pediatrics, General Hospital of Tianjin Medical University, Tianjin, China.
authors.forename: Y
authors.initials: Y
authors.lastname: Wei
authors.affiliation: Department of Pediatrics, General Hospital of Tianjin Medical University, Tianjin, China liugeli008@sina.com.
authors.forename: G L
authors.initials: GL
authors.lastname: Liu
authors.affiliation: Department of Pediatrics, General Hospital of Tianjin Medical University, Tianjin, China.
authors.forename: J Y
authors.initials: JY
authors.lastname: Yang
authors.affiliation: Department of Pediatrics, General Hospital of Tianjin Medical University, Tianjin, China.
authors.forename: R X
authors.initials: RX
authors.lastname: Zheng
authors.affiliation: Department of Pediatrics, General Hospital of Tianjin Medical University, Tianjin, China.
authors.forename: L H
authors.initials: LH
authors.lastname: Jiang
authors.affiliation: Department of Pediatrics, General Hospital of Tianjin Medical University, Tianjin, China.
authors.forename: Y P
authors.initials: YP
authors.lastname: Li
authors.affiliation: Department of Pediatrics, General Hospital of Tianjin Medical University, Tianjin, China.
authors.forename: F F
authors.initials: FF
authors.lastname: Gao
mesh_terms: D000293:Adolescent; D015415:Biomarkers / Q000097:blood; D015820:Cadherins / Q000097:blood; D016022:Case-Control Studies; D002648:Child; D004730:Endothelium, Vascular / Q000378:metabolism* / Q000503:physiopathology; D006801:Humans; D024821:Metabolic Syndrome / Q000097:blood*; D009765:Obesity / Q000097:blood; D017395:Plasminogen Activator Inhibitor 1 / Q000097:blood; D018180:Thrombomodulin / Q000097:blood; D042461:Vascular Endothelial Growth Factor A / Q000097:blood; D014841:von Willebrand Factor / Q000032:analysis
chemical_list: D015415:Biomarkers; D015820:Cadherins; D017395:Plasminogen Activator Inhibitor 1; D018180:Thrombomodulin; D042461:Vascular Endothelial Growth Factor A; D014841:von Willebrand Factor