Abstract
Objective
Diabetes retinopathy (DR) is one of the top listed world health issues. Screening is usually advised for diabetic cases on a routine basis. However, there is only partial access to ophthalmologists in all parts of the world. Irisin is a myokine that is being investigated for this reason. Our study aims to assess the role of irisin in detecting DR.
Methods and materials
In a cross-sectional study, 140 diabetes cases, including 70 patients with diabetic retinopathy and 70 patients free from diabetic retinopathy, were enrolled. Demographic and anthropometric data were gathered, and the patients underwent physical examination. Also, microalbuminuria and serum irisin levels were assessed in both groups. The results were compared between the two study groups.
Results
Among the enrolled cases, 55 (39.28%) were men, and 85 (60.72%) were women. The disease duration (p = 0.016) and the serum level of HBA1c (p = 0.014) were significantly higher in the diabetic retinopathy group compared to the group free from diabetic retinopathy. Moreover, irisin was significantly higher in the patients free from diabetic retinopathy (p = 0.007).
Conclusion
Irisin may have value in screening diabetic retinopathy; however, further studies are needed for this proposal.
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References
Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan BB, et al. IDF Diabetes Atlas: global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract. 2022;183:109119.
Chawla A, Chawla R, Jaggi S. Microvasular and macrovascular complications in diabetes mellitus: distinct or continuum? Indian J Endocrinol Metab. 2016;20(4):546–51.
Fowler MJ. Microvascular and macrovascular complications of diabetes. Clin Diabetes. 2008;26(2):77–82.
Teo ZL, Tham YC, Yu M, Chee ML, Rim TH, Cheung N, et al. Global prevalence of diabetic retinopathy and projection of burden through 2045: systematic review and meta-analysis. Ophthalmology. 2021;128(11):1580–91.
Vujosevic S, Aldington SJ, Silva P, Hernández C, Scanlon P, Peto T, et al. Screening for diabetic retinopathy: new perspectives and challenges. Lancet Diabetes Endocrinol. 2020;8(4):337–47.
Scanlon PH. Screening intervals for diabetic retinopathy and implications for care. Curr Diab Rep. 2017;17(10):96.
Vujosevic S, Pucci P, Casciano M, Daniele A, Bini S, Berton M, et al. A decade-long telemedicine screening program for diabetic retinopathy in the north-east of Italy. J Diabetes Complications. 2017;31(8):1348–53.
Ohtaki H. Chapter 37 - Irisin. In: Takei Y, Ando H, Tsutsui K, editors. Handbook of Hormones [Internet]. San Diego: Academic Press; 2016 [cited 2023 Jul 14]. p. 329-e37–3. Available from: https://www.sciencedirect.com/science/article/pii/B9780128010280000374
Boström P, Wu J, Jedrychowski MP, Korde A, Ye L, Lo JC, et al. A PGC1α-dependent myokine that drives browning of white fat and thermogenesis. Nature. 2012;481(7382):463–8.
El Haddad H, Sedrak H, Naguib M, Yousief E, Ibrahim D, Samie R, et al. Irisin level in type 2 diabetic patients and its relation to glycemic control and diabetic complications. Int J Diabetes Dev Ctries. 2019;6:39.
Mahmoodnia L, Sadoughi M, Ahmadi A, Kafeshani M. Relationship between serum irisin, glycemic indices, and renal function in type 2 diabetic patients. J Ren Inj Prev. 2016;6(2):88–92.
Rasheed AMA, Ibrahim MK, Ajmi AS. Serum levels of irisin and vaspin in diabetic retinopathy patients and their relation to patient’s obesity. Medico Leg Update. 2020;20(4):1735–8.
Rasoulinejad SA, Hajian-Tilaki K, Mehdipour E. Associated factors of diabetic retinopathy in patients that referred to teaching hospitals in Babol. Casp J Intern Med. 2015;6(4):224–8.
Tarasewicz D, Conell C, Gilliam LK, Melles RB. Quantification of risk factors for diabetic retinopathy progression. Acta Diabetol. 2023;60(3):363–9.
Zhang W, Chang L, Zhang C, Zhang R, Li Z, Chai B, et al. Irisin: a myokine with locomotor activity. Neurosci Lett. 2015;19(595):7–11.
Polyzos SA, Kountouras J, Anastasilakis AD, Geladari EV, Mantzoros CS. Irisin in patients with nonalcoholic fatty liver disease. Metabolism. 2014;63(2):207–17.
Arhire LI, Mihalache L, Covasa M. Irisin: a hope in understanding and managing obesity and metabolic syndrome. Front Endocrinol. 2019;10:524.
Saely CH, Geiger K, Drexel H. Brown versus white adipose tissue: a mini-review. Gerontology. 2012;58(1):15–23.
Panati K, Suneetha Y, Narala VR. Irisin/FNDC5–an updated review. Eur Rev Med Pharmacol Sci. 2016;20(4):689–97.
Shelbaya S, Abu Shady MM, Nasr MS, Bekhet MM, Mageed YAA, Abbas M. Study of irisin hormone level in type 2 diabetic patients and patients with diabetic nephropathy. Curr Diabetes Rev. 2018;14(5):481–6.
Khidr EG, Ali SS, Elshafey MM, Fawzy OA. Association of irisin and FNDC5 rs16835198 G>T gene polymorphism with type 2 diabetes mellitus and diabetic nephropathy. An Egyptian pilot study Gene. 2017;30(626):26–31.
Liu JJ, Liu S, Wong MDS, Tan CSH, Tavintharan S, Sum CF, et al. Relationship between circulating irisin, renal function and body composition in type 2 diabetes. J Diabetes Complications. 2014;28(2):208–13.
Ebert T, Focke D, Petroff D, Wurst U, Richter J, Bachmann A, et al. Serum levels of the myokine irisin in relation to metabolic and renal function. Eur J Endocrinol. 2014;170(4):501–6.
Wang R, Liu H. Association between serum irisin and diabetic nephropathy in patients with type 2 diabetes mellitus: a meta-analysis. Horm Metab Res Horm Stoffwechselforschung Horm Metab. 2021;53(5):293–300.
Tarboush NA, Abu-Yaghi NE, Al Ejeilat LH, Wahed RKA, Jeris IN. Association of irisin circulating level with diabetic retinopathy: a case-control study. Exp Clin Endocrinol Diabetes Off J Ger Soc Endocrinol Ger Diabetes Assoc. 2021;129(1):36–42.
Hu W, Wang R, Li J, Zhang J, Wang W. Association of irisin concentrations with the presence of diabetic nephropathy and retinopathy. Ann Clin Biochem. 2016;53(Pt 1):67–74.
Sanchis-Gomar F, Alis R, Pareja-Galeano H, Sola E, Victor VM, Rocha M, et al. Circulating irisin levels are not correlated with BMI, age, and other biological parameters in obese and diabetic patients. Endocrine. 2014;46(3):674–7.
Ruan Q, Huang Y, Yang L, Ruan J, Gu W, Zhang X, et al. The effects of both age and sex on irisin levels in paired plasma and cerebrospinal fluid in healthy humans. Peptides. 2019;113:41–51.
Wang C, Wang L, Liu J, Song J, Sun Y, Lin P, et al. Irisin modulates the association of interleukin-17A with the presence of non-proliferative diabetic retinopathy in patients with type 2 diabetes. Endocrine. 2016;53(2):459–64.
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We would like to thank all participants of this study for this research wouldn’t be possible without their commitment and patience during the process.
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The Mashhad University of Medical Sciences ethics committee fully approved the current research under the code: IR.MUMS.MEDICAL.REC.1397.599.
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Mazloum Khorasani, Z., Hosseini, S., Safaei, M. et al. The role of serum level of irisin in diabetic retinopathy. Int J Diabetes Dev Ctries (2023). https://doi.org/10.1007/s13410-023-01235-y
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DOI: https://doi.org/10.1007/s13410-023-01235-y