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Increased asprosin is associated with non-alcoholic fatty liver disease in children with obesity

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Abstract

Background

Obesity is a common disease among children, often accompanied by a lot of metabolic disease. Non-alcoholic fatty liver disease (NAFLD) is one of the most common complications of obesity among children and adolescents. Asprosin has been identified as a new adipokine that is closely associated with hepatic glucose metabolism. However, few data on asprosin in obese children with NAFLD are available. The present study focuses on the relationship between serum asprosin level and NAFLD in children with obesity.

Methods

A total of 110 subjects (71 boys and 39 girls aged 6–18 years) were recruited from the Second Affiliated Hospital of Xi’an Jiaotong University: 36 obese children with NAFLD, 39 obese children without NAFLD and 35 lean controls. Anthropometric parameters and biochemical data were measured, and the concentrations of asprosin were detected by ELISA.

Results

The levels of serum asprosin were significantly higher in obese children, particularly those with NAFLD and were positively correlated with body mass index, waist to height ratio, fasting blood glucose, alanine aminotransferase and tumor necrosis factor-alpha. Furthermore, asprosin was independently associated with NAFLD in binary logistic regression analysis.

Conclusion

Serum asprosin levels were elevated in obese children, especially in those with NAFLD, and were involved in the pathogenesis of NAFLD in children with obesity.

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References

  1. Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1:11–25.

    Article  Google Scholar 

  2. Anderson EL, Howe LD, Jones HE, Higgins JP, Lawlor DA, Fraser A. The prevalence of non-alcoholic fatty liver disease in children and adolescents: a systematic review and meta-analysis. PLoS One. 2015;10:e0140908.

    Article  Google Scholar 

  3. Milić S, Lulić D, Štimac D. Non-alcoholic fatty liver disease and obesity: biochemical, metabolic and clinical presentations. World J Gastroenterol. 2014;20:9330–7.

    PubMed  PubMed Central  Google Scholar 

  4. Berardis S, Sokal E. Pediatric non-alcoholic fatty liver disease: an increasing public health issue. Eur J Pediatr. 2014;173:131–9.

    Article  CAS  Google Scholar 

  5. Romere C, Duerrschmid C, Bournat J, Constable P, Jain M, Xia F, et al. Asprosin, a fasting-induced glucogenic protein hormone. Cell. 2016;165:566–79.

    Article  CAS  Google Scholar 

  6. Duerrschmid C, He Y, Wang C, Li C, Bournat JC, Romere C, et al. Asprosin is a centrally acting orexigenic hormone. Nat Med. 2017;23:1444–53.

    Article  CAS  Google Scholar 

  7. Wang M, Yin C, Wang L, Liu Y, Li H, Li M, et al. Serum asprosin concentrations are increased and associated with insulin resistance in children with obesity. Ann Nutr Metab. 2019;75:205–12.

    Article  CAS  Google Scholar 

  8. Wang CY, Lin TA, Liu KH, Liao CH, Liu YY, Wu VC, et al. Serum asprosin levels and bariatric surgery outcomes in obese adults. Int J Obes (Lond). 2019;43:1019–25.

    Article  CAS  Google Scholar 

  9. Wang Y, Qu H, Xiong X, Qiu Y, Liao Y, Chen Y, et al. Plasma asprosin concentrations are increased in individuals with glucose dysregulation and correlated with insulin resistance and first-phase insulin secretion. Mediat Inflamm. 2018;2018:1–7.

    Google Scholar 

  10. Zhang L, Chen C, Zhou N, Fu Y, Cheng X. Circulating asprosin concentrations are increased in type 2 diabetes mellitus and independently associated with fasting glucose and triglyceride. Clin Chim Acta. 2019;489:183–8.

    Article  CAS  Google Scholar 

  11. Sünnetçi Silistre E, Hatipoğl HU. Increased serum circulating asprosin levels in children with obesity. Pediatr Int. 2020;62:467–76.

    Article  Google Scholar 

  12. Corica D, Aversa T, Currò M, Tropeano A, Wasniewska M. Asprosin serum levels and glucose homeostasis in children with obesity. Cytokine. 2021;142:155477.

    Article  CAS  Google Scholar 

  13. Long W, Xie X, Du C, Zhao Y, Zhang C, Zhan D, et al. Decreased circulating levels of asprosin in obese children. Horm Res Paediatr. 2019;91:271–7.

    Article  CAS  Google Scholar 

  14. Ke F, Xue G, Jiang X, Li F, Lai X, Zhang M, et al. Combination of asprosin and adiponectin as a novel marker for diagnosing non-alcoholic fatty liver disease. Cytokine. 2020;134:155184.

    Article  CAS  Google Scholar 

  15. Ji C. Report on childhood obesity in China (1)–body mass index reference for screening overweight and obesity in Chinese school-age children. Biomed Environ Sci. 2005;18:390–400.

    PubMed  Google Scholar 

  16. Vajro P, Lenta S, Socha P, Dhawan A, McKiernan P, Baumann U, et al. Diagnosis of nonalcoholic fatty liver disease in children and adolescents: position paper of the ESPGHAN Hepatology Committee. J Pediatr Gastroenterol Nutr. 2012;54:700–13.

    Article  Google Scholar 

  17. Li E, Shan H, Chen L, Long A, Zhang Y, Liu Y, et al. OLFR734 mediates glucose metabolism as a receptor of asprosin. Cell Metab. 2019;30:319–28.

    Article  CAS  Google Scholar 

  18. Wiecek M, Szymura J, Maciejczyk M, Kantorowicz M, Szygula Z. Acute anaerobic exercise affects the secretion of asprosin, irisin, and other cytokines—a comparison between sexes. Front Physiol. 2018;9:1782.

    Article  Google Scholar 

  19. Naiemian S, Naeemipour M, Zarei M, Lari Najafi M, Gohari A, Behroozikhah MR, et al. Serum concentration of asprosin in new-onset type 2 diabetes. Diabetol Metab Syndr. 2020;12:65.

    Article  CAS  Google Scholar 

  20. Li X, Liao M, Shen R, Zhang L, Hu H, Wu J, et al. Plasma asprosin levels are associated with glucose metabolism, lipid, and sex hormone profiles in females with metabolic-related diseases. Mediators Inflamm. 2018;2018:7375294.

    PubMed  PubMed Central  Google Scholar 

  21. Zhang X, Jiang H, Ma X, Wu H. Increased serum level and impaired response to glucose fluctuation of asprosin is associated with type 2 diabetes mellitus. J Diabetes Investig. 2020;11:349–55.

    Article  Google Scholar 

  22. Zhang H, Hu W, Zhang G. Circulating asprosin levels are increased in patients with type 2 diabetes and associated with early-stage diabetic kidney disease. Int Urol Nephrol. 2020;52:1517–22.

    Article  CAS  Google Scholar 

  23. Alan M, Gurlek B, Yilmaz A, Aksit M, Aslanipour B, Gulhan I, et al. Asprosin: a novel peptide hormone related to insulin resistance in women with polycystic ovary syndrome. Gynecol Endocrinol. 2019;35:220–3.

    Article  CAS  Google Scholar 

  24. Ceylan H, Saygın Ö, Özel TÜ. Assessment of acute aerobic exercise in the morning versus evening on asprosin, spexin, lipocalin-2, and insulin level in overweight/obese versus normal weight adult men. Chronobiol Int. 2020;37:1252–68.

    Article  CAS  Google Scholar 

  25. Chang CL, Huang SY, Hsu YC, Chin TH, Soong YK. The serum level of irisin, but not asprosin, is abnormal in polycystic ovary syndrome patients. Sci Rep. 2019;9:6447.

    Article  Google Scholar 

  26. Asaoka Y, Terai S, Sakaida I, Nishina H. The expanding role of fish models in understanding non-alcoholic fatty liver disease. Dis Model Mech. 2013;6:905–14.

    CAS  PubMed  PubMed Central  Google Scholar 

  27. Lee T, Yun S, Jeong JH, Jung TW. Asprosin impairs insulin secretion in response to glucose and viability through TLR4/JNK-mediated inflammation. Mol Cell Endocrinol. 2019;486:96–104.

    Article  CAS  Google Scholar 

  28. Miura K, Ohnishi H. Role of gut microbiota and Toll-like receptors in nonalcoholic fatty liver disease. World J Gastroenterol. 2014;20:7381–91.

    Article  Google Scholar 

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Acknowledgements

The authors thank all the staff at the Department of Pediatrics in The Second Affiliated Hospital of Xi’an Jiaotong University for their logistic support, and the cooperation and participation of all children, and their parents.

Funding

This study was supported by funding from the Chinese National Natural Science Foundation (81673187).

Author information

Authors and Affiliations

Authors

Contributions

XYF conceived the study; designed and supervised experiments; performed the acquisition, analysis, and interpretation of data; and drafted and revised the article. LLJ and KYR performed the recruitment of blood and analyzed the data. LLJ analyzed the data and contributed to discussion. All authors reviewed and approved the manuscript.

Corresponding author

Correspondence to Yan-Feng Xiao.

Ethics declarations

Ethical approval

This was a spontaneous study conducted in conformity with World Medical Association Declaration of Helsinki for medical research involving human subjects. The study protocol is currently being evaluated by the Ethical Committee of the Second Affiliated Hospital of Xi’an Jiaotong University.

Conflict of interest

The authors have no conflicts of interest to declare.

Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Liu, LJ., Kang, YR. & Xiao, YF. Increased asprosin is associated with non-alcoholic fatty liver disease in children with obesity. World J Pediatr 17, 394–399 (2021). https://doi.org/10.1007/s12519-021-00444-x

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  • DOI: https://doi.org/10.1007/s12519-021-00444-x

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