Serum leptin concentrations are decreased and correlated with disease severity in age related macular degeneration a preliminary study

dc.authorid101949en_US
dc.contributor.authorEvereklioğlu, Cem
dc.contributor.authorDoğanay,Selim
dc.contributor.authorEr, Hamdi
dc.contributor.authorÇekmen, Mustafa Baki
dc.contributor.authorÖzerol, Elif
dc.contributor.authorOtlu, Barış
dc.date.accessioned2017-07-31T12:38:41Z
dc.date.available2017-07-31T12:38:41Z
dc.date.issued2003
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground Age-related maculopathy (ARM) or degeneration (ARMD) is the leading cause of irreversible blindness in developed countries. Despite several studies on the morphology of ARMD, the aetiology is unknown and factor(s) contributing to the pathogenesis remain to be characterised. More recent studies have demonstrated that cholesterol esters and lipids are present within Bruch’s membrane deposits and drusen, and dietary fat intake is associated with ARMD. The product of Ob gene, leptin, is a recently discovered peptide participating in human metabolism. There is a direct relationship between serum leptin and diet, and lipoprotein metabolism, but the role of leptin in the course of ARMD has not previously been investigated. Purpose This cross-sectional case–control study investigated whether serum leptin level was associated with ARMD as a new possible risk factor and to assess its relationship with disease severity. Methods A total of 32 patients with ARM or ARMD (17 men, 15 women) and 20 age- and sex-matched healthy control subjects without ARMD (11 men, nine women) from a similar ethnic background were enrolled in this multicentre study. Body mass index (BMI) (weight (kg)/height (m2 )) was calculated for each group. The presence of maculopathy was assessed on the basis of colour fundus photographs using an international classification system. Patients were classified as early-ARM (n ¼ 16) or late-ARMD (n ¼ 16) using clinical examination and grading of photographs. Serum leptin levels were measured by an enzyme-linked immunosorbent assay kit. The Mann–Whitney U test or w2 test was used for statistics as indicated, and Po0.05 was considered to be significant. Results The age, sex ratio, and BMI between groups were comparable. Patients with maculopathy had significantly (Po0.001) lower leptin levels (mean7SD, 6.0172.55 ng/ ml) than control subjects (13.2172.27 ng/ml). In addition, late-ARMD patients had significantly lower leptin levels (3.8170.58 ng/ ml) than early-ARM patients (8.2171.68 ng/ml, Po0.001) or control subjects (Po0.001). Conclusion Leptin seems to be a possible newly associated factor in the course of ARM and may be involved in the lipid composition of the macular lesions, especially in late-ARMD.en_US
dc.identifier.citationEvereklioğlu, C. Doğanay,S. Er, H. Çekmen, M. B. Özerol, E. Otlu, B. (2003). “Serum leptin concentrations are decreased and correlated with disease severity in age related macular degeneration a preliminary study,” Eye, 17, 3. 350–355.en_US
dc.identifier.doi10.1038/sj.eye.6700345en_US
dc.identifier.endpage355en_US
dc.identifier.issn0950222X
dc.identifier.issue3en_US
dc.identifier.startpage350en_US
dc.identifier.urihttps://hdl.handle.net/11616/7412
dc.identifier.volume17en_US
dc.language.isoenen_US
dc.publisherEyeen_US
dc.relation.ispartofEyeen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAge-related macular degenerationen_US
dc.subjectChronicityen_US
dc.subjectELISAen_US
dc.subjectLeptinen_US
dc.subjectSerumen_US
dc.titleSerum leptin concentrations are decreased and correlated with disease severity in age related macular degeneration a preliminary studyen_US
dc.typeArticleen_US

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