Research Article
BibTex RIS Cite

Association between serum netrin-1 level and obesity-related markers in obese subjects

Year 2022, , 108 - 115, 26.08.2022
https://doi.org/10.24998/maeusabed.1130028

Abstract

Netrins are important signaling proteins that guide both neural and vascular development. Netrin-1 regulates many physiological processes such as cell proliferation, adhesion and migration. The aim of this study was to determine the association between serum netrin-1 level and biochemical parameters in obese subjects. Serum samples were collected from obese (n=15) and control (n=30) subjects. The serum netrin-1 levels were evaluated by ELISA. Variable data were compared by Mann Whitney U test and correlation was estimated by Spearman correlation analyses. The level of circulating netrin-1 protein was determined to be significantly lower in obese group compared to controls. The median value was 844.0 pg/mL in the control group and 338 pg/mL in the obese group (p<0.0001). Serum netrin-1 level was negatively correlated with HbA1c, LDL, cholesterol and triglyceride (P< 0.01). In addition, ROC curve analysis indicated that netrin-1 level could define the presence of obesity with AUC value of 0.8667 (95% Cl=0.7249-1.000; P<0.0001). Our study suggests that netrin-1 secretions are significantly reduced in obese subjects and negatively correlated with obesity markers. Therefore, netrin-1 can be evaluated as a possible potential biomarker for obesity.

Supporting Institution

Burdur Mehmet Akif Ersoy University Scientific Research Rrojects Unit

Project Number

0648-YL-20

Thanks

This work was supported by the Burdur Mehmet Akif Ersoy University Scientific Research Rrojects Unit [Project number: 0648-YL-20].

References

  • Ay, E., Marakoglu, K., Kizmaz, M., Unlu, A., 2016. Evaluation of Netrin-1 Levels and Albuminuria in Patients With Diabetes. J Clin Lab Anal 30(6), 972-977.
  • Aydin Acar, C., Pehlivanoglu, S., Kok, M., Yilmaz, G., 2021. Evaluation of serum levels of Netrin-1 as a potential biomarker for early prediction of prediabetes. Turkish Journal of Health Science and Life 4(2), 70-76.
  • Bakhshi, E., Eshraghian, M.R., Mohammad, K., Foroushani, A.R., Zeraati, H., Fotouhi A et al. (2008). Sociodemographic and smoking associated with obesity in adult women in Iran: results from the National Health Survey. J Public Health (Oxf) 30(4), 429-35.
  • Cayir, A., Atak, N., Kose, S.K., (2011). Assessment of Obesity Frequency and Related Factors on Individuals Attending to the Department of Nutrition and Dietetics. Ankara Üniversitesi Tıp Fakültesi Mecmuası 64(1), 13-19.
  • Deepa, M., Farooq, S., Deepa, R., Manjula, D., Mohan, V., (2009). Prevalence and significance of generalized and central body obesity in an urban Asian Indian population in Chennai, India (CURES: 47). Eur J Clin Nutr 63(2), 259-67.
  • Gorur, A., Unal, A. D., Tamer, L., (2018). Role of Netrin-1 in Cardiovascular Diseases. Archives Medical Review Journal 27(4), 440-458.
  • Liu, C., Ke, X., Wang, Y., Feng, X., Li, Q., Zhang, Y., Zhu, J., Li, Q., (2016). The level of netrin-1 is decreased in newly diagnosed type 2 diabetes mellitus patients. BMC Endocr Disord 16(1), 33.
  • Lu, X., Le Noble, F., Yuan, L., Jiang, Q., De Lafarge, B., Sugiyama, D., Bréant, C., Claes , F., De Smet, F., Thomas, J.L., Autiero, M., Carmeliet, P., Tessier-Lavigne, M., Eichmann, A., (2004). The netrin receptor UNC5B mediates guidance events controlling morphogenesis of the vascular system. Nature 432(7014), 179-86.
  • Mayoral, L.P., Andrade, G.M., Mayoral, E.P., Huerta, T.H., Canseco, S.P., Rodal Canales, F.J., Cabrera-Fuentes, H.A., Cruz, M.M., Pérez Santiago, A.D., Alpuche, J.J., Zenteno, E., Ruíz, H.M., Cruz, R.M., Jeronimo, J.H., Perez-Campos, E., (2020). Obesity subtypes, related biomarkers & heterogeneity. Indian J Med Res 151(1), 11-21.
  • Mehlen, P., Furne, C., (2005). Netrin-1: when a neuronal guidance cue turns out to be a regulator of tumorigenesis. Cell Mol Life Sci 62(22), 2599-616.
  • Moore, K.J., Fisher, E.A., (2012). Macrophages, atherosclerosis and the potential of netrin-1 as a novel target for future therapeutic intervention. Future Cardiol 8(3), 349-52.
  • Nedeva, I., Gateva, A., Assyov, Y., Karamfilova, V., Velikova, T., Kamenov, Z., (2020). Relationship between circulating netrin-1 levels, obesity, prediabetes and newly diagnosed type 2 diabetes. Arch Physiol Biochem. 2020, 1-6.
  • Ovunc Hacihamdioglu, D., Hacihamdioglu, B., Altun, D., Muftuoglu, T., Karademir, F., Suleymanoglu, S., (2016). Urinary Netrin-1: A New Biomarker for the Early Diagnosis of Renal Damage in Obese Children. J Clin Res Pediatr Endocrinol 8(3), 282-7.
  • Park, K.W., Crouse, D., Lee, M., Karnik, S.K., Sorensen, L.K., Murphy, K.J., Kuo, C.J., Li, D.Y., (2004). The axonal attractant Netrin-1 is an angiogenic factor. Proc Natl Acad Sci U S A. 101(46), 16210-5.
  • Rajasekharan, S., Kennedy, T.E., (2009). The netrin protein family. Genome Biol 10(9), 239.
  • Ramesh, G., Berg, A., Jayakumar, C., (2011). Plasma netrin-1 is a diagnostic biomarker of human cancers. Biomarkers 16(2), 172-80.
  • Ramesh, G., (2012). Role of Netrin-1 Beyond the Brain: From Biomarker of Tissue Injury to Therapy for Inflammatory Diseases. Recent Pat Biomark 2(3), 202-208.
  • Wang, W., Reeves, W.B., Pays, L., Mehlen, P., Ramesh, G., (2009). Netrin-1 overexpression protects kidney from ischemia reperfusion injury by suppressing apoptosis. Am J Pathol 175(3), 1010-8.
  • Wang, W., Reeves, W.B., Ramesh, G., (2008). Netrin-1 and kidney injury. I. Netrin-1 protects against ischemia-reperfusion injury of the kidney. Am J Physiol Renal Physiol 294, F739–F747.
  • Yim, J., Kim, G., Lee, B.W., Kang, E.S., Cha, B.S., Kim, J.H., Cho, J.W., Lee, S.G., Lee, Y.H., (2018). Relationship Between Circulating Netrin-1 Concentration, Impaired Fasting Glucose, and Newly Diagnosed Type 2 Diabetes. Front Endocrinol (Lausanne) 9, 691.

Obez bireylerde serum netrin-1 düzeyi ve obezite ile ilgili belirteçler arasındaki ilişki

Year 2022, , 108 - 115, 26.08.2022
https://doi.org/10.24998/maeusabed.1130028

Abstract

Netrinler, hem nöral hem de vasküler gelişime rehberlik eden önemli sinyal proteinleridir. Netrin-1 hücre çoğalması, yapışması ve göçü gibi birçok fizyolojik süreci düzenler. Bu çalışmanın amacı obez bireylerde serum netrin-1 düzeyi ile biyokimyasal parametreler arasındaki ilişkiyi belirlemektir. Obez (n=15) ve kontrol (n=30) bireylerden serum örnekleri alındı. Serum netrin-1 seviyeleri ELISA ile değerlendirildi. Değişken veriler Mann Whitney U testi ile karşılaştırıldı ve korelasyon Spearman korelasyon analizleri ile belirlendi. Obez grupta serumda netrin-1 protein seviyesinin kontrollere göre anlamlı derecede düşük olduğu belirlendi. Ortanca değer kontrol grubunda 844,0 pg/mL ve obez grupta 338 pg/mL idi (p<0,0001). Serum netrin-1 düzeyi HbA1c, LDL, kolesterol ve trigliserit ile negatif korelasyon gösterdi (P< 0.01). Ayrıca, ROC eğrisi analizi, netrin-1 seviyesinin 0.8667 AUC değeri ile obezite varlığını tanımlayabildiğini gösterdi (%95 Cl=0.7249-1.000; P<0.0001). Çalışmamız, netrin-1 salınımının obez bireylerde önemli ölçüde azaldığını ve obezite belirteçleri ile negatif korele olduğunu göstermektedir. Bu nedenle netrin-1, obezite için olası bir potansiyel biyobelirteç olarak değerlendirilebilir.

Project Number

0648-YL-20

References

  • Ay, E., Marakoglu, K., Kizmaz, M., Unlu, A., 2016. Evaluation of Netrin-1 Levels and Albuminuria in Patients With Diabetes. J Clin Lab Anal 30(6), 972-977.
  • Aydin Acar, C., Pehlivanoglu, S., Kok, M., Yilmaz, G., 2021. Evaluation of serum levels of Netrin-1 as a potential biomarker for early prediction of prediabetes. Turkish Journal of Health Science and Life 4(2), 70-76.
  • Bakhshi, E., Eshraghian, M.R., Mohammad, K., Foroushani, A.R., Zeraati, H., Fotouhi A et al. (2008). Sociodemographic and smoking associated with obesity in adult women in Iran: results from the National Health Survey. J Public Health (Oxf) 30(4), 429-35.
  • Cayir, A., Atak, N., Kose, S.K., (2011). Assessment of Obesity Frequency and Related Factors on Individuals Attending to the Department of Nutrition and Dietetics. Ankara Üniversitesi Tıp Fakültesi Mecmuası 64(1), 13-19.
  • Deepa, M., Farooq, S., Deepa, R., Manjula, D., Mohan, V., (2009). Prevalence and significance of generalized and central body obesity in an urban Asian Indian population in Chennai, India (CURES: 47). Eur J Clin Nutr 63(2), 259-67.
  • Gorur, A., Unal, A. D., Tamer, L., (2018). Role of Netrin-1 in Cardiovascular Diseases. Archives Medical Review Journal 27(4), 440-458.
  • Liu, C., Ke, X., Wang, Y., Feng, X., Li, Q., Zhang, Y., Zhu, J., Li, Q., (2016). The level of netrin-1 is decreased in newly diagnosed type 2 diabetes mellitus patients. BMC Endocr Disord 16(1), 33.
  • Lu, X., Le Noble, F., Yuan, L., Jiang, Q., De Lafarge, B., Sugiyama, D., Bréant, C., Claes , F., De Smet, F., Thomas, J.L., Autiero, M., Carmeliet, P., Tessier-Lavigne, M., Eichmann, A., (2004). The netrin receptor UNC5B mediates guidance events controlling morphogenesis of the vascular system. Nature 432(7014), 179-86.
  • Mayoral, L.P., Andrade, G.M., Mayoral, E.P., Huerta, T.H., Canseco, S.P., Rodal Canales, F.J., Cabrera-Fuentes, H.A., Cruz, M.M., Pérez Santiago, A.D., Alpuche, J.J., Zenteno, E., Ruíz, H.M., Cruz, R.M., Jeronimo, J.H., Perez-Campos, E., (2020). Obesity subtypes, related biomarkers & heterogeneity. Indian J Med Res 151(1), 11-21.
  • Mehlen, P., Furne, C., (2005). Netrin-1: when a neuronal guidance cue turns out to be a regulator of tumorigenesis. Cell Mol Life Sci 62(22), 2599-616.
  • Moore, K.J., Fisher, E.A., (2012). Macrophages, atherosclerosis and the potential of netrin-1 as a novel target for future therapeutic intervention. Future Cardiol 8(3), 349-52.
  • Nedeva, I., Gateva, A., Assyov, Y., Karamfilova, V., Velikova, T., Kamenov, Z., (2020). Relationship between circulating netrin-1 levels, obesity, prediabetes and newly diagnosed type 2 diabetes. Arch Physiol Biochem. 2020, 1-6.
  • Ovunc Hacihamdioglu, D., Hacihamdioglu, B., Altun, D., Muftuoglu, T., Karademir, F., Suleymanoglu, S., (2016). Urinary Netrin-1: A New Biomarker for the Early Diagnosis of Renal Damage in Obese Children. J Clin Res Pediatr Endocrinol 8(3), 282-7.
  • Park, K.W., Crouse, D., Lee, M., Karnik, S.K., Sorensen, L.K., Murphy, K.J., Kuo, C.J., Li, D.Y., (2004). The axonal attractant Netrin-1 is an angiogenic factor. Proc Natl Acad Sci U S A. 101(46), 16210-5.
  • Rajasekharan, S., Kennedy, T.E., (2009). The netrin protein family. Genome Biol 10(9), 239.
  • Ramesh, G., Berg, A., Jayakumar, C., (2011). Plasma netrin-1 is a diagnostic biomarker of human cancers. Biomarkers 16(2), 172-80.
  • Ramesh, G., (2012). Role of Netrin-1 Beyond the Brain: From Biomarker of Tissue Injury to Therapy for Inflammatory Diseases. Recent Pat Biomark 2(3), 202-208.
  • Wang, W., Reeves, W.B., Pays, L., Mehlen, P., Ramesh, G., (2009). Netrin-1 overexpression protects kidney from ischemia reperfusion injury by suppressing apoptosis. Am J Pathol 175(3), 1010-8.
  • Wang, W., Reeves, W.B., Ramesh, G., (2008). Netrin-1 and kidney injury. I. Netrin-1 protects against ischemia-reperfusion injury of the kidney. Am J Physiol Renal Physiol 294, F739–F747.
  • Yim, J., Kim, G., Lee, B.W., Kang, E.S., Cha, B.S., Kim, J.H., Cho, J.W., Lee, S.G., Lee, Y.H., (2018). Relationship Between Circulating Netrin-1 Concentration, Impaired Fasting Glucose, and Newly Diagnosed Type 2 Diabetes. Front Endocrinol (Lausanne) 9, 691.
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Çiğdem Aydın Acar 0000-0002-1311-2314

Niyazi Aydın 0000-0001-5512-0120

Suray Pehlivanoğlu 0000-0001-7422-2974

Mehmet Kök 0000-0002-5285-4513

Project Number 0648-YL-20
Publication Date August 26, 2022
Submission Date June 13, 2022
Published in Issue Year 2022

Cite

APA Aydın Acar, Ç., Aydın, N., Pehlivanoğlu, S., Kök, M. (2022). Association between serum netrin-1 level and obesity-related markers in obese subjects. Mehmet Akif Ersoy University Journal of Health Sciences Institute, 10(2), 108-115. https://doi.org/10.24998/maeusabed.1130028
AMA Aydın Acar Ç, Aydın N, Pehlivanoğlu S, Kök M. Association between serum netrin-1 level and obesity-related markers in obese subjects. Mehmet Akif Ersoy University Journal of Health Sciences Institute. August 2022;10(2):108-115. doi:10.24998/maeusabed.1130028
Chicago Aydın Acar, Çiğdem, Niyazi Aydın, Suray Pehlivanoğlu, and Mehmet Kök. “Association Between Serum Netrin-1 Level and Obesity-Related Markers in Obese Subjects”. Mehmet Akif Ersoy University Journal of Health Sciences Institute 10, no. 2 (August 2022): 108-15. https://doi.org/10.24998/maeusabed.1130028.
EndNote Aydın Acar Ç, Aydın N, Pehlivanoğlu S, Kök M (August 1, 2022) Association between serum netrin-1 level and obesity-related markers in obese subjects. Mehmet Akif Ersoy University Journal of Health Sciences Institute 10 2 108–115.
IEEE Ç. Aydın Acar, N. Aydın, S. Pehlivanoğlu, and M. Kök, “Association between serum netrin-1 level and obesity-related markers in obese subjects”, Mehmet Akif Ersoy University Journal of Health Sciences Institute, vol. 10, no. 2, pp. 108–115, 2022, doi: 10.24998/maeusabed.1130028.
ISNAD Aydın Acar, Çiğdem et al. “Association Between Serum Netrin-1 Level and Obesity-Related Markers in Obese Subjects”. Mehmet Akif Ersoy University Journal of Health Sciences Institute 10/2 (August 2022), 108-115. https://doi.org/10.24998/maeusabed.1130028.
JAMA Aydın Acar Ç, Aydın N, Pehlivanoğlu S, Kök M. Association between serum netrin-1 level and obesity-related markers in obese subjects. Mehmet Akif Ersoy University Journal of Health Sciences Institute. 2022;10:108–115.
MLA Aydın Acar, Çiğdem et al. “Association Between Serum Netrin-1 Level and Obesity-Related Markers in Obese Subjects”. Mehmet Akif Ersoy University Journal of Health Sciences Institute, vol. 10, no. 2, 2022, pp. 108-15, doi:10.24998/maeusabed.1130028.
Vancouver Aydın Acar Ç, Aydın N, Pehlivanoğlu S, Kök M. Association between serum netrin-1 level and obesity-related markers in obese subjects. Mehmet Akif Ersoy University Journal of Health Sciences Institute. 2022;10(2):108-15.