Dataset Information

Association of GDF15 levels with body mass index and endocrine status in β-thalassaemia.

ABSTRACT:

Objective

GDF15 has emerged as a stress-induced hormone, acting on the brain to reduce food intake and body weight while affecting neuroendocrine function. Very high GDF15 levels are found in thalassaemia, where growth, energy balance and neuroendocrine function are impaired. We examined the relationships between GDF15 and anthropometric measures and endocrine status in β-thalassaemia.

Design

Cross sectional study.

Patients

All β-thalassaemia patients attending the thalassaemia unit of Colombo North Teaching Hospital for blood transfusions.

Measurements

Anthropometric data, appetite scores, circulating GDF15, IGF, thyroid and reproductive hormone levels in 103 β-thalassaemia patients were obtained.

Results

GDF15 levels were markedly elevated in thalassaemia patients (24.2-fold with β-thalassaemia major compared with healthy controls). Among patients with β-thalassaemia major, the relationship between GDF15 and body mass index (BMI) was curvilinear with all individuals with GDF15 levels above 24,000 pg/mL having a BMI below 20 kg/m² . After adjustment for BMI, age and Tanner stage, serum IGF1 concentrations correlated negatively with GDF15 in all thalassaemia patients (β = -.027, p = .02). We found a significant positive relationship between GDF15 and gonadotropin (in both sexes) and testosterone (in males).

Conclusions

GDF15 levels were markedly elevated in patients with β-thalassaemia and its association with BMI is consistent with the known effect of GDF15 to reduce body weight. The inverse association between GDF15 with IGF1 levels may reflect a neuroendocrine impact of GDF15 or an indirect effect via impaired nutritional state. The positive association with testosterone in males and gonadotropins in both sexes, was surprising and should prompt further GDF15 studies on the hypothalamic pituitary gonadal axis.

SUBMITTER: Karusheva Y

PROVIDER: S-EPMC10952638 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Association of GDF15 levels with body mass index and endocrine status in β-thalassaemia.

Karusheva Yanislava Y Petry Clive J CJ Yasara Nirmani N Kottahachchi Dulani D Premawardhena Anuja A Barker Peter P Burling Keith K Sattar Naveed N Welsh Paul P Mettananda Sachith S O'Rahilly Stephen S

Clinical endocrinology 20230227 2

<h4>Objective</h4>GDF15 has emerged as a stress-induced hormone, acting on the brain to reduce food intake and body weight while affecting neuroendocrine function. Very high GDF15 levels are found in thalassaemia, where growth, energy balance and neuroendocrine function are impaired. We examined the relationships between GDF15 and anthropometric measures and endocrine status in β-thalassaemia.<h4>Design</h4>Cross sectional study.<h4>Patients</h4>All β-thalassaemia patients attending the thalassa ...[more]

PMID: 36806122

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Dataset Information

Association of GDF15 levels with body mass index and endocrine status in β-thalassaemia.

Objective

Design

Patients

Measurements

Results

Conclusions

Publications

Association of GDF15 levels with body mass index and endocrine status in β-thalassaemia.

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