Journals / Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi / 2021 / Cilt: 34 - Sayı: 1

The relationship between weight change and C3 complement levels in patients with anorexia nervosa

Pages
97–101
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Complement ‘C3’ serum levels potentially serving as a guide for monitoring the refeeding process also could be a useful marker for determining and monitoring the treatment success in AN.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Anorexia Nervosa (AN) affects the entire body with serious medical conditions and has the highest mortality rates in any psychiatric disorder.
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Key Findings & Data:Changes in the complement system, particularly C3 in AN, are not well understood.
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Conclusion & Impact:Complement ‘C3’ serum levels potentially serving as a guide for monitoring the refeeding process also could be a useful marker for determining and monitoring the treatment success in AN.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: Anorexia Nervosa (AN) affects the entire body with serious medical conditions and has the highest mortality rates in any psychiatric disorder. These medical abnormalities are reversible after weight gain and resolution of the underlying anorectic state. The role of the immune system in the development and maintenance of AN is apparently underestimated. Changes in the complement system, particularly C3 in AN, are not well understood. This study was designed to evaluate changes in body weight and complement C3 levels. Method: This study was designed as a prospective study on 12 female AN patients. Serum samples were taken biweekly for 4 times. The serum levels of complement C3 levels were quantified and correlated with the body mass index (BMI). Repeated measures of ANOVA were used to determine changes in BMI and C3 complement levels. A generalized estimating equation (GEE) analysis was used to determine the relationship between BMI and complement C3 levels over time. Results: An increase in C3 levels was observed in the analysis of the data according to the increase in body weight of the patients as a result of eating of AN patients. There was a significant increase in C3 levels (p=0.042) and BMI levels of the patients (p=0.01). The increase in BMI was followed by the increase in C3 level. BMI increases over time were statistically correlated with changes in C3 levels. Conclusion: Increasing C3 levels with increasing BMI during the treatment process are parallel. Complement ‘C3’ serum levels potentially serving as a guide for monitoring the refeeding process also could be a useful marker for determining and monitoring the treatment success in AN.

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Cite This Article

EROL, A., ÖZTEN, M. (2021). The relationship between weight change and C3 complement levels in patients with anorexia nervosa. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi, Cilt: 34 - Sayı: 1, 97–101. https://ajindex.com/articles/218445

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References (17)

  1. Mehler PS, Krantz M. Anorexia nervosa medical issues. J Womens Health (Larchmt) 2003; 12:331-340
  2. Casper RC. The pathophysiology of anorexia nervosa and bulimia nervosa. An-nu Rev Nutr 1986; 6:299-316
  3. Mehler PS, Winkelman AB, Andersen DM, Gaudiani JL. Nutritional rehabilitation: practical guidelines for refeeding the anorectic patient. J Nutr Metab 2010; 2010:625782
  4. Steinhausen HC. The outcome of anorexia nervosa in the 20th century. Am J Psychiatry 2002; 159:1284-1293
  5. Prince AC, Brooks SJ, Stahl D, Treasure J. Systematic review and meta-analysis of the baseline concentrations and physiologic responses of gut hormones to food in eating disorders. Am J Clin Nutr 2009; 89:755-765
  6. Gibson D, Mehler PS. Anorexia nervosa and the ımmune system-a narrative re-view. J Clin Med 2019; 8:1915
  7. Colten HR, Rosen FS. Complement deficiencies. Annu Rev Immunol 1992; 10:809-834
  8. Huber-Lang M, Sarma JV, Zetoune FS, Rittirsch D, Neff TA, McGuire SR, et al. Generation of C5a in the absence of C3: a new complement activation pathway. Nat Med 2006; 12:682-687
  9. Dalmasso AP. Complement in the pathophysiology and diagnosis of human di-seases. Crit Rev Clin Lab Sci 1986; 24:123-183
  10. Frank MM. The complement system: In Samter M, Talmage DW, Frank MM, Austen KR, Claman HN (editors). Immunological diseases. Boston: Little, Brown and Co. Inc. 1988, 203-232
  11. Flier JS, Lowell B, Napolitano A, Usher P, Rosen B, Cook KS, et al. Adipsin: regulation and dysregulation in obesity and other metabolic states. Recent Prog Horm Res 1989; 45:567-580
  12. Lowell BB, Flier JS. Differentiation dependent biphasic regulation of adipsin gene expression by insulin and insulin-like growth factor-1 in 3T3-F442A adipocy-tes. Endocrinology 1990; 127:2898-2906
  13. Rosen BS, Cook KS, Yaglom J, Groves DL, Volanakis JE, Damm D, et al. Adip-sin and complement factor D activity: an immune-related defect in obesity. Science 1989; 244:1483-1487
  14. Spiegelman BM, Lowell B, Napolitano A, Dubuc P, Barton D, Francke U, et al. Adrenal glucocorticoids regulate adipsin gene expression in genetically obese mi-ce. J Biol Chem 1989; 264:1811-1815
  15. White RT, Damm D, Hancock N, Rosen BS, Lowell BB, Usher P, et al. Human adipsin is identical to complement factor D and is expressed at high levels in adipo-se tissue. J Biol Chem 1992; 267:9210-9213
  16. Chandra RK. Immunocompetence in undernutrition. J Pediatr 1972; 81:1194-2000
  17. Hafez M, Aref GH, Mehareb SW, Kassem AS, El-Tahhan H,