Abstract

Amaç: Anemi, hemoglobin düzeyinin düşük olduğu bir durum olarak tanımlanır. İrisin (Ir) kasla ilişkili bir faktördü. Yağ asidi bağlayıcı proteinler (FABP), hücre içi yağ asidi taşınmasında rol oynar. Çalışmanın amacı, Ir ve FABP4 düzeylerinin soğukluk, yorgunluk ve Demir eksikliği ile ilgili öğrenme güçlükleri gibi semptomlarla bağlantılı olup olmadığını araştırmaktı .

Gereç ve Yöntemler: Çalışmamızda bu üç demir eksikliği döneminin, kontrol grubu ile birlikte, demir tedavisi öncesi ve sonrası serum ve idrar Ir ve FABP4 düzeylerine olan etkileri değerlendirildi.

Bulgular: Bu çalışmada, medyan serum Ir düzeyleri hasta ve kontrol grupları arasında istatistiksel olarak anlamlı farklılıklar gösterdi, tedaviden önce hasta gruplarında düzeyler daha düşüktü (p=0,040, p<0,001 ve p <0,001). Tedaviden sonra, tüm hasta gruplarında medyan serum Ir düzeylerinde anlamlı bir artış kaydedildi (p=0,003, p=0,023 ve p= 0,014).

Sonuç: Çalışmamızda demir eksikliğinde görülen üşüme hissi ve bilişsel fonksiyonlarda azalmanın serum Ir düzeyi ile ilişkili olabileceğini saptadık.

Keywords: FABP4, Irisin, Iron deficiency, Iron deficiency anemia

References

  1. Stevens GA, Paciorek CJ, Flores-Urrutia MC, Borghi E, Namaste S, Wirth JP, et al. National, regional, and global estimates of anemia by severity in women and children for 2000-19: a pooled analysis of population-representative data. Lancet Glob Health 2022;10(5):e627-e39. https://doi.org/10.1016/S2214-109X(22)00084-5
  2. De Benoist B, Cogswell M, Egli I, McLean E. Worldwide prevalence of anaemia 1993-2005; WHO Global Database of anaemia. Spain. 2008.
  3. McCann S, Perapoch Amadó M, Moore SE. The role of iron in brain development: a systematic review. Nutrients. 2020;12(7):2001. https://doi.org/10.3390/nu12072001
  4. Arcanjo FPN, Vellozo EP, Passos MAZ, Santos MDd, Sousa FJdS, Arcanjo CC, et al. Iron Deficiency Anemia and Learning Capacity in Children. Challenges in Disease and Health Research. 2021;8:117-124. https://doi.org/10.9734/bpi/cdhr/v8/1712C
  5. Cheli VT, Correale J, Paez PM, Pasquini JM. Iron metabolism in oligodendrocytes and astrocytes, implications for myelination and remyelination. ASN neuro. 2020;12:1759091420962681. https://doi.org/10.1177/1759091420962681
  6. Bastian TW, Rao R, Tran PV, Georgieff MK. The effects of early-life iron deficiency on brain energy metabolism. Neuroscience Insights. 2020;15:2633105520935104. https://doi.org/10.1177/2633105520935104
  7. Lozoff B. Early iron deficiency has brain and behavior effects consistent with dopaminergic dysfunction. J Nutr. 2011;141(4):740S-6S. https://doi.org/10.3945/jn.110.131169
  8. Bao J-F, She Q-Y, Hu P-P, Jia N, Li A. Irisin, a fascinating field in our times. Trends Endocrinol Metab 2022;33(9):601-13. https://doi.org/10.1016/j.tem.2022.06.003
  9. Boström P, Wu J, Jedrychowski MP, Korde A, Ye L, Lo JC, et al. A PGC1-α-dependent myokine that drives brown-fat-like development of white fat and thermogenesis. Nature. 2012;481(7382):463-8. https://doi.org/10.1038/nature10777
  10. Zhang Y, Li R, Meng Y, Li S, Donelan W, Zhao Y, et al. Irisin stimulates browning of white adipocytes through mitogen-activated protein kinase p38 MAP kinase and ERK MAP kinase signaling. Diabetes. 2014;63(2):514-25. https://doi.org/10.2337/db13-1106
  11. Mai S, Grugni G, Mele C, Vietti R, Vigna L, Sartorio A, et al. Irisin levels in genetic and essential obesity: clues for a potential dual role. Sci Rep. 2020;10(1):1020.https://doi.org/10.1038/s41598-020-57855-5
  12. Furuhashi M, Hotamisligil GS. Fatty acid-binding proteins: role in metabolic diseases and potential as drug targets. Nat Rev Drug Discov. 2008;7(6):489-503. https://doi.org/10.1038/nrd2589
  13. Shi Y, Wang C-C, Wu L, Zhang Y, Xu A, Wang Y. Pathophysiological insight into fatty acid-binding protein-4: multifaced roles in reproduction, pregnancy, and offspring health. Int J Mol Sci. 2023;24(16):12655. https://doi.org/10.3390/ijms241612655
  14. Arhire LI, Mihalache L, Covasa M. Irisin: a hope in understanding and managing obesity and metabolic syndrome. Front Endocrinol. 2019;10:524. https://doi.org/10.3389/fendo.2019.00524
  15. Kyrou I, Mattu H, Chatha K, Randeva H. Fat hormones, adipokines. Endocrinology of the Heart in health and disease: Elsevier. 2016. p. 167-205. https://doi.org/10.1016/B978-0-12-803111-7.00007-5
  16. Osilla EV, Marsidi JL, Sharma S. Physiology, temperature regulation. 2018.
  17. Beard JL, Borel M, Derr J. Impaired thermoregulation and thyroid function in iron-deficiency anemia. Am J Clin Nutr. 1990;52(5):813-9. https://doi.org/10.1093/ajcn/52.5.813
  18. Saito M, Matsushita M, Yoneshiro T, Okamatsu-Ogura Y. Brown adipose tissue, diet-induced thermogenesis, and thermogenic food ingredients: from mice to men. Front Endocrinol. 2020;11:222. https://doi.org/10.3389/fendo.2020.00222
  19. Crichton R. Iron metabolism: from molecular mechanisms to clinical consequences: John Wiley & Sons. 2016. https://doi.org/10.1002/9781118925645
  20. Kaur S. Iron deficiency anemia (IDA): a review. Int J Sci Res. 2016;5(4):1999-2003. https://doi.org/10.21275/v5i4.NOV163083
  21. Hofmann T, Elbelt U, Stengel A. Irisin as a muscle-derived hormone stimulating thermogenesis-a critical update. Peptides. 2014;54:89-100. https://doi.org/10.1016/j.peptides.2014.01.016
  22. Bargut TCL, Souza-Mello V, Aguila MB, Mandarim-de-Lacerda CA. Browning of white adipose tissue: lessons from experimental models. Horm Mol Biol Clin Investig. 2017;31(1). doi: 10.1515/hmbci-2016-0051. https://doi.org/10.1515/hmbci-2016-0051
  23. Liu J-J, Wong MD, Toy WC, Tan CS, Liu S, Ng XW, et al. Lower circulating irisin is associated with type 2 diabetes mellitus. J Diabetes Complications. 2013;27(4):365-9. https://doi.org/10.1016/j.jdiacomp.2013.03.002
  24. Moreno M, Moreno-Navarrete JM, Serrano M, Ortega F, Delgado E, Sanchez-Ragnarsson C, et al. Circulating irisin levels are positively associated with metabolic risk factors in sedentary subjects. PloS one. 2015;10(4):e0124100. https://doi.org/10.1371/journal.pone.0124100
  25. Al‐Daghri NM, Alkharfy KM, Rahman S, Amer OE, Vinodson B, Sabico S, et al. Irisin as a predictor of glucose metabolism in children: sexually dimorphic effects. Eur J Clin Invest. 2014;44(2):119-24. https://doi.org/10.1111/eci.12196
  26. Siahanidou T, Margeli A, Davradou M, Apostolakou F, Papassotiriou I, Roma E, et al. Circulating adipocyte fatty acid binding protein levels in healthy preterm infants: Positive correlation with weight gain and total-cholesterol levels. Early Human Dev. 2010;86(4):197-201.
  27. https://doi.org/10.1016/j.earlhumdev.2010.02.008
  28. Ibarretxe D, Girona J, Plana N, Cabré A, Heras M, Ferré R, et al. FABP4 plasma concentrations are determined by acquired metabolic derangements rather than genetic determinants. Nutr Metab Cardiovasc Dis. 2015;25(9):875-80. https://doi.org/10.1016/j.numecd.2015.05.008
  29. Gutema BT, Sorrie MB, Megersa ND, Yesera GE, Yeshitila YG, Pauwels NS, et al. Effects of iron supplementation on cognitive development in school-age children: Systematic review and meta-analysis. PLoS One. 2023;18(6):e0287703. https://doi.org/10.1371/journal.pone.0287703
  30. Lourenco MV, Frozza RL, de Freitas GB, Zhang H, Kincheski GC, Ribeiro FC, et al. Exercise-linked FNDC5/irisin rescues synaptic plasticity and memory defects in Alzheimer’s models. Nat Med. 2019;25(1):165-75. https://doi.org/10.1038/s41591-018-0275-4
  31. Greenberg ME, Xu B, Lu B, Hempstead BL. New insights in the biology of BDNF synthesis and release: implications in CNS function. J Neurosci. 2009;29(41):12764-7. https://doi.org/10.1523/JNEUROSCI.3566-09.2009
  32. Park H, Poo M-m. Neurotrophin regulation of neural circuit development and function. Nat Rev Neurosci. 2013;14(1):7-23. https://doi.org/10.1038/nrn3379
  33. Moon H-S, Dincer F, Mantzoros CS. Pharmacological concentrations of irisin increase cell proliferation without influencing markers of neurite outgrowth and synaptogenesis in mouse H19-7 hippocampal cell lines. Metabolism. 2013;62(8):1131-6. https://doi.org/10.1016/j.metabol.2013.04.007
  34. Dun SL, Lyu R-M, Chen Y-H, Chang J-K, Luo JJ, Dun NJ. Irisin-immunoreactivity in neural and non-neural cells of the rodent. Neuroscience. 2013;240:155-62. https://doi.org/10.1016/j.neuroscience.2013.02.050
  35. Schmidt B, Marrone DF, Markus EJ. Disambiguating the similar: the dentate gyrus and pattern separation. Behav Brain Res. 2012;226(1):56-65. https://doi.org/10.1016/j.bbr.2011.08.039

How to cite

1.
Selmanoğlu A, Akarsu S, Aydın S. Investigation of the role of irisin and FABP4 in iron deficiency anemia. Turk J Pediatr Dis [Internet]. 2025 Jul. 1 [cited 2025 Jul. 7];:1-7. Available from: https://turkjpediatrdis.org/article/view/1105