Psoriasis vulgarisli hastalarda adiponectin, leptin ve apelin düzeylerinin araştırılması

Amaç: Psoriasis multi faktöriyel etyolojili, kronik, T hücre aracılı inflamatuvar bir deri hastalığıdır. Adiponektin, leptin ve apelin adipoz dokulardan sekrete edilen ve T hücre immunitesi üzerinde rol oynayan adipokinlerdir. Bu çalış- madaadiponektin, leptin ve apelin düzeylerinin psoriasis vulgaris hastaları ile arasında olası ilişkinin araştırılması amaçlanmıştır. Yöntemler: Elli erişkin psoriasisli hasta ile kontrol grubu olarak alınan 20 pemfigus vulgarisli hasta ve 46 sağlıklı kişide açlık kan şekeri, trigliserid, HDL kolesterol, serum adiponektin, leptin ve apelin düzeyleri ölçüldü. Ayrıca hasta ve kontrol gruplarının vücut kitle indeksleri, bel çevresi, kan basıncı ölçümleri yapıldı. Bulgular: Psoriasisli hastalarda kontrol grubuna göre metabolik sendrom sıklığı anlamlı olarak yüksek bulundu (p0.05, p>0.05, p>0.05). Hastaların PASİ skoruile adiponektin, leptin ve apelin değerleri arasında istatiksel açı- dan anlamlı bir fark bulunamadı (p>0.05). Sonuç: Sonuç olarak, çalışmamız psoriasis hastalarında metabolik sendrom sıklığını göstermektedir. Psoriasis patogenezinde adiponektin, leptin ve apelinin etkili olabileceğini fakat bu adipokinlerin hastalığın şiddetiyle ilgili belirteçler olmadığını düşünmekteyiz.

Investigation of adiponectin, leptin and apelin levels in patients with psoriasis vulgaris

Objective: Psoriasis is a chronic, T-cell mediated inflammatory skin disease with multifactorial etiology. Adiponectin, leptin and apelin are the adipokines that aresecreted from adipose tissue and plays a role in T-cell immunity. In this study, it wasaimed to investigate potential relationship between adiponectin, leptin, apelin and psoriasis. Methods: Fasting plasma glucose, triglyceride, HDL cholesterol and serum adiponectin, leptin and apelin levels were measured in 50 adult patient with psoriasis, 20 patients with pemphigus vulgaris and 46 healthy individuals. In addition, BMI, waist circumference and blood pressure were measured in patient and control groups. Results: Metabolic syndrome frequency was found as significantly higher in patients with psoriasis than control group (p<0.05). It was found that serum adiponectin levels were significantly lower in patients with psoriasis than those in control group, while leptin and apelin levels were significantly higher (p=0.004, p=0.018 and p=0.003, respectively). Serum leptin levels were found as significantly higher in patients with pemphigus vulgaris than those in healthy controls (p=0.019). No significant difference was found between psoriasis patients with metabolic syndrome and without metabolic syndrome serum adiponectin, leptin and apelin levels (p>0.05, p>0.05 and p>0.05, respectively). No significant difference was found between PASI score and adiponectin, leptin, apelin values. Conclusion: In our study demonstrates the frequency of metabolic syndrome in patients with psoriasis. We think that adiponectin, leptin and apelin may play role in the pathogenesis of psoriasis, but these adipokines arent markers, which are related to severity of disease.

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