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Insulin resistance in children with juvenile systemic lupus erythematosus and ınvestigation of the possibly responsible factors

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Abstract

Objective

Insulin resistance (IR) has been described in adults with systemic lupus erythematosus (SLE), though its mechanism has not been fully clarified. In this study, it was aimed to investigate insulin sensitivity for the first time in children with juvenile SLE (jSLE) by considering the effect of the already known contributing factors of IR.

Method

This is a cross-sectional study including 43 patients with jSLE and the same number of healthy controls matched for age, gender, pubertal stage, body mass index, and physical activity level. IR, as calculated by both homeostatic model assessment for insulin resistance (HOMA-IR) and a relatively new method, triglyceride glucose (TyG) index, was compared between the patients and their matched controls, also among the patients stratified by disease duration, corticosteroid use, and disease activity.

Results

Insulin resistance in the patient group was higher than the controls according to both HOMA-IR and TyG index (p < 0.001 for both). In the patient group, no significant effect of disease duration, corticosteroid use, disease activity, and levels of anti-dsDNA, anti-cardiolipin IgM, anti-cardiolipin IgG, C3, and C4 on IR was demonstrated.

Conclusion

Children with jSLE were found to have higher IR even after neutralizing the effects of the contributing factors which are expected to aggravate IR. This elevation in IR in jSLE seems not to be associated with corticosteroid use, disease duration, disease activity, or autoantibody levels. Thus, the presence of IR in jSLE cannot be explained solely with neither the already known contributing factors nor the increased inflammation of the disease.

Key Points

• In this study, insulin sensitivity was investigated for the first time in children with jSLE.

• Children with jSLE have higher insulin resistance than healthy ones.

• Insulin resistance in children with jSLE is independent of corticosteroid use, disease duration, disease activity or autoantibody, and complement levels.

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Authors and Affiliations

  1. Department of Pediatric Endocrinology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey

    Gürkan Tarçın, Hande Turan, Yavuz Özer, Dilek Bingöl Aydın & Oya Ercan

  2. Department of Pediatrics, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey

    Hasan Karakaş

  3. Department of Pediatric Rheumatology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey

    Sezgin Şahin, Mehmet Yıldız, Fatih Haşlak, Amra Adroviç, Kenan Barut & Özgür Kasapçopur

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  1. Gürkan Tarçın
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Corresponding author

Correspondence to Oya Ercan.

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Ethics approval

The study protocol was approved by the Clinical Research Ethical Committee of Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty.

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Written informed consent for participation in the study was obtained from all participants’ parents and also from the patients over 18 years of age.

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Tarçın, G., Karakaş, H., Şahin, S. et al. Insulin resistance in children with juvenile systemic lupus erythematosus and ınvestigation of the possibly responsible factors. Clin Rheumatol 41, 795–801 (2022). https://doi.org/10.1007/s10067-021-05952-9

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  • DOI: https://doi.org/10.1007/s10067-021-05952-9

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