Increased Circulating Irisin Levels in Kidney Transplant Patients : Is There a Connection with Glycaemic Control?

Irisin is a myokine with potential effects on glucose metabolism and the development of diabetes in humans. We analysed irisin serum levels (ISL) in 47 patients without diabetes before and 1, 2, 3, 4 and 5 weeks after kidney transplantation (KTx). All measurements of irisin before KTx levels were lower than 25 ng/mL (median 8.4 ng/mL). We found an outstanding increase in ISL measured after KTx, reaching more than 1000 times in 44% of patients (HIL-high irisin level group). The increase appeared at the first measurement (one week after KTx). Factors connected to the large growth of ISL were, i.e., BMI > 30 (p = 0.04) and subsequent KTx-second and third (p < 0.001). The global mean blood glucose level during the first two weeks after KTx was significantly lower in the HIL group (p = 0.002), the same as the day-by-day analysed mean fasting and postprandial serum glucose in the first days after KTx. In 12 months of observation, diabetes requiring insulin therapy occurred in the HIL group at a rate of 19%, while in the rest of the patients, the rate was 27%, p = 0.526. Irisin levels increase significantly in some patients after kidney transplantation, accompanied by lower blood glucose levels in the early post-transplant period. Whether an increase in irisin levels results in better glycaemic control remains questionable and requires further research, as well as the relationship between irisin levels and the occurrence of PTDM.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

International journal of molecular sciences - 25(2024), 5 vom: 02. März

Sprache:

Englisch

Beteiligte Personen:

Bzoma, Beata [VerfasserIn]
Kuchta, Agnieszka [VerfasserIn]
Sałaga-Zaleska, Kornelia [VerfasserIn]
Krzesińska, Aleksandra [VerfasserIn]
Chyła-Danił, Gabriela [VerfasserIn]
Jankowski, Maciej [VerfasserIn]
Dębska-Ślizień, Alicja [VerfasserIn]

Links:

Volltext

Themen:

Blood Glucose
Fibronectins
Glycaemic disturbances
Irisin
Journal Article
Kidney transplantation

Anmerkungen:

Date Completed 14.03.2024

Date Revised 15.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijms25052926

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369638859