Involvement of leucocyte/endothelial cell interactions in anorexia nervosa

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Victor VM
  • Rovira-Llopis S
  • Banuls C
  • de Pablo C
  • Alvarez A
  • Rocha M
  • Hernandez-Mijares A

Abstract

BackgroundAnorexia nervosa is a common psychiatric disorder in adolescence and is related to cardiovascular complications. Our aim was to study the effect of anorexia nervosa on metabolic parameters, leucocyte-endothelium interactions, adhesion molecules and proinflammatory cytokines. Materials and MethodsThis multicentre, cross-sectional, case-control study employed a population of 24 anorexic female patients and 36 controls. We evaluated anthropometric and metabolic parameters, interactions between leucocytes polymorphonuclear neutrophils (PMN) and human umbilical vein endothelial cells (HUVEC), proinflammatory cytokines such as tumour necrosis factor alpha (TNF-) and interleukin-6 (IL-6) and soluble cellular adhesion molecules (CAMs) including E-selectin, vascular cell adhesion molecule-1 (VCAM-1) and intercellular adhesion molecule-1 (ICAM-1). ResultsAnorexia nervosa was related to a decrease in weight, body mass index, waist circumference, systolic blood pressure, glucose, insulin and HOMA-IR, and an increase in HDL cholesterol. These effects disappeared after adjusting for BMI. Anorexia nervosa induced a decrease in PMN rolling velocity and an increase in PMN rolling flux and PMN adhesion. Increases in IL-6 and TNF- and adhesion molecule VCAM-1 were also observed. ConclusionsThis study supports the hypothesis of an association between anorexia nervosa, inflammation and the induction of leucocyte-endothelium interactions. These findings may explain, in part at least, the increased risk of vascular disease among patients with anorexia nervosa.

Datos de la publicación

ISSN/ISSNe:
0014-2972, 1365-2362

EUROPEAN JOURNAL OF CLINICAL INVESTIGATION  WILEY

Tipo:
Article
Páginas:
670-678
PubMed:
25944525
Factor de Impacto:
1,232 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 17

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Keywords

  • Adhesion; anorexia; cytokines; leucocytes; endothelium interaction; lipid profile

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