TY - JOUR
T1 - Plasminogen activator inhibitor-1, fibrinogen, and lung function in adolescents with asthma and obesity
AU - Huang, Fengyang
AU - Del-Río-Navarro, Blanca Estela
AU - Alcántara, Saúl Torres
AU - Ontiveros, José Alfredo Pérez
AU - Cienfuegos, Dino Roberto Pietropaolo
AU - González, Santos Albel Bello
AU - Villafaña, Santiago
AU - Bravo, Guadalupe
AU - Hong, Enrique
N1 - Funding Information:
This work was supported by grants (HIM/2007/008 and HIM/2008/007) from Hospital Infantil de México Federico Gómez. The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.
PY - 2012/8
Y1 - 2012/8
N2 - Background. Obesity promotes a low-grade systemic inflammatory state that may act on the lung to exacerbate asthma. There is little information on the relationship between systemic inflammation and lung function in children and adolescents. Objectives. To explore the relationship among fibrinogen, plasminogen activator inhibitor-1 (PAI-1), lung function in adolescents with the presence of asthma, and/or obesity. Methods. Totally 178 adolescents (boys and girls) were involved; four groups were divided according to their diagnosis: non-obese and non-asthmatic controls (n=38), non-obese asthmatics (n=31), obese non-asthmatics (n=62), obese asthmatics (n=47). The levels of PAI-1 and fibrinogen were determined in blood samples. The lung function was evaluated with spirometry by measuring forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and forced expiratory flows between 25 and75 (FEF 25-75). Results. Compared to healthy controls, obese adolescents with or without asthma show higher levels of fibrinogen (289.2 ± 61.5, 328.4 ± 54.9, and 324.9 ± 68.9 mg/dL, respectively), PAI-1 (36.0 ± 17.3, 53.2 ± 22.3, and 52.6 ± 24.7 ng/mL, respectively), and the reduced FEV1/FVC ratio (87.7 ± 7.7, 81.6 ± 8.6, and 81.7 ± 6.9, respectively). In the whole studied subjects, FEV1/FVC ratio shows significant inverse correlation with PAI-1 (r=-0.185), fibrinogen (r=-0.157), body mass index (BMI; r=-0.303), insulin(r=-0.198), and HOMA (r=-0.173). In the 78 asthmatic subjects, FVC correlates positively with BMI. Conclusion. Our data demonstrate that the degree of systemic inflammation and the degree of obesity in the whole studied adolescents groups correlate negatively with lung function, suggesting an obstructive pulmonary pattern. Further studies are needed to identify the pathophysiological mechanism for such association.
AB - Background. Obesity promotes a low-grade systemic inflammatory state that may act on the lung to exacerbate asthma. There is little information on the relationship between systemic inflammation and lung function in children and adolescents. Objectives. To explore the relationship among fibrinogen, plasminogen activator inhibitor-1 (PAI-1), lung function in adolescents with the presence of asthma, and/or obesity. Methods. Totally 178 adolescents (boys and girls) were involved; four groups were divided according to their diagnosis: non-obese and non-asthmatic controls (n=38), non-obese asthmatics (n=31), obese non-asthmatics (n=62), obese asthmatics (n=47). The levels of PAI-1 and fibrinogen were determined in blood samples. The lung function was evaluated with spirometry by measuring forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and forced expiratory flows between 25 and75 (FEF 25-75). Results. Compared to healthy controls, obese adolescents with or without asthma show higher levels of fibrinogen (289.2 ± 61.5, 328.4 ± 54.9, and 324.9 ± 68.9 mg/dL, respectively), PAI-1 (36.0 ± 17.3, 53.2 ± 22.3, and 52.6 ± 24.7 ng/mL, respectively), and the reduced FEV1/FVC ratio (87.7 ± 7.7, 81.6 ± 8.6, and 81.7 ± 6.9, respectively). In the whole studied subjects, FEV1/FVC ratio shows significant inverse correlation with PAI-1 (r=-0.185), fibrinogen (r=-0.157), body mass index (BMI; r=-0.303), insulin(r=-0.198), and HOMA (r=-0.173). In the 78 asthmatic subjects, FVC correlates positively with BMI. Conclusion. Our data demonstrate that the degree of systemic inflammation and the degree of obesity in the whole studied adolescents groups correlate negatively with lung function, suggesting an obstructive pulmonary pattern. Further studies are needed to identify the pathophysiological mechanism for such association.
KW - Adolescents
KW - Asthma
KW - Lung function
KW - Obesity
KW - Plasminogen activator inhibitor-1 Fibrinogen
UR - http://www.scopus.com/inward/record.url?scp=84863484210&partnerID=8YFLogxK
U2 - 10.3109/07435800.2012.654555
DO - 10.3109/07435800.2012.654555
M3 - Artículo
SN - 0743-5800
VL - 37
SP - 135
EP - 144
JO - Endocrine Research
JF - Endocrine Research
IS - 3
ER -