title: Decreased Circulating Levels of Spexin in Obese Children.
abstract: Spexin is a novel peptide that is implicated in obesity and related energy homeostasis in animals and adult humans. Little is known about its role in children.
  
  
  
  The aim of the current study was to determine the potential role of Spexin in obese children and explore its relationships with various cardiometabolic risk factors.
  
  
  
  This was a cross-sectional study composed of 69 children (51 obese and 18 normal weight; age 15.3 ± 0.26 y).
  
  
  
  Spexin was measured using a specific enzyme-linked immunosorbent assay. Leptin, total and high-molecular-weight adiponectin, IL-6, high-sensitivity C-reactive protein, glucose, and insulin were also measured. Mann-Whitney U test, Pearson and Spearman rank correlations, logistic regression, and cluster analysis were used for the analysis and interpretation of the data.
  
  
  
  Spexin levels were significantly lower in obese vs normal-weight children, median(IQR) (0.33 ng/mL [0.27-0.44] vs 0.42 ng/mL [0.33-0.55]; P = .024), but did not correlate with other adipokines and/or insulin and glucose levels. Ordinal categorical variables of Spexin showed a strictly reverse association of obesity with the level of Spexin. Cluster analysis of Spexin and body mass index z score resulted in splitting the participants into normal-weight and obese-weight groups with high accuracy.
  
  
  
  Lower circulating levels of Spexin in obese children compared with their normal-weight counterparts and the ability to discriminate obese and normal-weight groups based on Spexin concentration enabled us to suggest a potential role for this novel peptide in childhood obesity. The clinical significance of these findings needs additional investigation.
authors.affiliation: Division of Pediatric Endocrinology, Department of Pediatric and Adolescent Medicine (S.K., S.S.), Mayo Clinic, Rochester, Minnesota 55905; Biostatistics Core (J.H.), Nemours Biomedical Research, Wilmington, Delaware 19803; Park Nicollet Health Services (N.N.), St Louis, Minnesota 55416; University of Illinois (R.A.), College of Medicine, Peoria, Illinois 61603; and Nemours Children's Specialty Care, Division of Biomedical Research (P.B.B.), Jacksonville, Florida; and Mayo Clinic College of Medicine, Jacksonville, Florida 32207.
authors.forename: Seema
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Division of Pediatric Endocrinology, Department of Pediatric and Adolescent Medicine (S.K., S.S.), Mayo Clinic, Rochester, Minnesota 55905; Biostatistics Core (J.H.), Nemours Biomedical Research, Wilmington, Delaware 19803; Park Nicollet Health Services (N.N.), St Louis, Minnesota 55416; University of Illinois (R.A.), College of Medicine, Peoria, Illinois 61603; and Nemours Children's Specialty Care, Division of Biomedical Research (P.B.B.), Jacksonville, Florida; and Mayo Clinic College of Medicine, Jacksonville, Florida 32207.
authors.forename: Jobayer
authors.initials: J
authors.lastname: Hossain
authors.affiliation: Division of Pediatric Endocrinology, Department of Pediatric and Adolescent Medicine (S.K., S.S.), Mayo Clinic, Rochester, Minnesota 55905; Biostatistics Core (J.H.), Nemours Biomedical Research, Wilmington, Delaware 19803; Park Nicollet Health Services (N.N.), St Louis, Minnesota 55416; University of Illinois (R.A.), College of Medicine, Peoria, Illinois 61603; and Nemours Children's Specialty Care, Division of Biomedical Research (P.B.B.), Jacksonville, Florida; and Mayo Clinic College of Medicine, Jacksonville, Florida 32207.
authors.forename: Nicole
authors.initials: N
authors.lastname: Nader
authors.affiliation: Division of Pediatric Endocrinology, Department of Pediatric and Adolescent Medicine (S.K., S.S.), Mayo Clinic, Rochester, Minnesota 55905; Biostatistics Core (J.H.), Nemours Biomedical Research, Wilmington, Delaware 19803; Park Nicollet Health Services (N.N.), St Louis, Minnesota 55416; University of Illinois (R.A.), College of Medicine, Peoria, Illinois 61603; and Nemours Children's Specialty Care, Division of Biomedical Research (P.B.B.), Jacksonville, Florida; and Mayo Clinic College of Medicine, Jacksonville, Florida 32207.
authors.forename: Roxana
authors.initials: R
authors.lastname: Aguirre
authors.affiliation: Division of Pediatric Endocrinology, Department of Pediatric and Adolescent Medicine (S.K., S.S.), Mayo Clinic, Rochester, Minnesota 55905; Biostatistics Core (J.H.), Nemours Biomedical Research, Wilmington, Delaware 19803; Park Nicollet Health Services (N.N.), St Louis, Minnesota 55416; University of Illinois (R.A.), College of Medicine, Peoria, Illinois 61603; and Nemours Children's Specialty Care, Division of Biomedical Research (P.B.B.), Jacksonville, Florida; and Mayo Clinic College of Medicine, Jacksonville, Florida 32207.
authors.forename: Swetha
authors.initials: S
authors.lastname: Sriram
authors.affiliation: Division of Pediatric Endocrinology, Department of Pediatric and Adolescent Medicine (S.K., S.S.), Mayo Clinic, Rochester, Minnesota 55905; Biostatistics Core (J.H.), Nemours Biomedical Research, Wilmington, Delaware 19803; Park Nicollet Health Services (N.N.), St Louis, Minnesota 55416; University of Illinois (R.A.), College of Medicine, Peoria, Illinois 61603; and Nemours Children's Specialty Care, Division of Biomedical Research (P.B.B.), Jacksonville, Florida; and Mayo Clinic College of Medicine, Jacksonville, Florida 32207.
authors.forename: P Babu
authors.initials: PB
authors.lastname: Balagopal
mesh_terms: D000293:Adolescent; D002318:Cardiovascular Diseases / Q000097:blood / Q000209:etiology; D016022:Case-Control Studies; D002648:Child; D003430:Cross-Sectional Studies; D015536:Down-Regulation; D005260:Female; D006801:Humans; D008297:Male; D008659:Metabolic Diseases / Q000097:blood / Q000209:etiology; D063766:Pediatric Obesity / Q000097:blood*; D036361:Peptide Hormones / Q000097:blood*; D012307:Risk Factors
chemical_list: D036361:Peptide Hormones; C546416:SPX protein, human