Cytokines and Water Distribution in Anorexia Nervosa
In patients with anorexia nervosa (AN), decreased intracellular (ICW), extracellular (ECW), and total body water (TBW) as well as changes in serum cytokine concentrations have been reported. In this exploratory study, we measured body composition and serum cytokine levels in patients with AN (n=27)...
Saved in:
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2021-01-01
|
Series: | Mediators of Inflammation |
Online Access: | http://dx.doi.org/10.1155/2021/8811051 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832547741613424640 |
---|---|
author | Hubertus Himmerich Bethan Dalton Olivia Patsalos Ulrike Schmidt Iain C. Campbell |
author_facet | Hubertus Himmerich Bethan Dalton Olivia Patsalos Ulrike Schmidt Iain C. Campbell |
author_sort | Hubertus Himmerich |
collection | DOAJ |
description | In patients with anorexia nervosa (AN), decreased intracellular (ICW), extracellular (ECW), and total body water (TBW) as well as changes in serum cytokine concentrations have been reported. In this exploratory study, we measured body composition and serum cytokine levels in patients with AN (n=27) and healthy controls (HCs; n=13). Eating disorder symptom severity was assessed using the Eating Disorder Examination-Questionnaire (EDE-Q). Body composition was determined by bioimpedance analysis (BIA) which provided information on ICW, ECW, and TBW. Following blood collection, 27 cytokines and chemokines were quantified using multiplex ELISA-based technology: Eotaxin, Eotaxin-3, granulocyte-macrophage colony-stimulating factor (GM-CSF), interferon- (IFN-) γ, interleukin- (IL-) 1α, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12/IL-23p40, IL-12p70, IL-13, IL-15, IL-16, IL-17A, interferon γ-induced protein- (IP-) 10, macrophage inflammatory protein- (MIP-) 1α, MIP-1β, monocyte chemoattractant protein- (MCP-) 1, MCP-4, thymus and activation-regulated chemokine (TARC), TNF-α, and TNF-β. ICW, ECW, and TBW volumes were significantly lower in patients with AN than in HCs. In the whole sample, GM-CSF, MCP-4, and IL-4 were positively, whereas IFN-γ, IL-6, and IL-10 were negatively associated with all three parameters of body water. In AN participants, we found a statistically significant negative correlation of IL-10 with ICW, ECW, and TBW. Our results suggest an interaction between body water and the cytokine system. Underlying mechanisms are unclear but may involve a loss of water from the gut, kidneys, or skin due to AN-associated inflammatory processes. |
format | Article |
id | doaj-art-d9c80708c02c4b64b9059c75962a13f0 |
institution | Kabale University |
issn | 0962-9351 1466-1861 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Mediators of Inflammation |
spelling | doaj-art-d9c80708c02c4b64b9059c75962a13f02025-02-03T06:43:42ZengWileyMediators of Inflammation0962-93511466-18612021-01-01202110.1155/2021/88110518811051Cytokines and Water Distribution in Anorexia NervosaHubertus Himmerich0Bethan Dalton1Olivia Patsalos2Ulrike Schmidt3Iain C. Campbell4Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London SE5 8AF, UKSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London SE5 8AF, UKSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London SE5 8AF, UKSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London SE5 8AF, UKSection of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London SE5 8AF, UKIn patients with anorexia nervosa (AN), decreased intracellular (ICW), extracellular (ECW), and total body water (TBW) as well as changes in serum cytokine concentrations have been reported. In this exploratory study, we measured body composition and serum cytokine levels in patients with AN (n=27) and healthy controls (HCs; n=13). Eating disorder symptom severity was assessed using the Eating Disorder Examination-Questionnaire (EDE-Q). Body composition was determined by bioimpedance analysis (BIA) which provided information on ICW, ECW, and TBW. Following blood collection, 27 cytokines and chemokines were quantified using multiplex ELISA-based technology: Eotaxin, Eotaxin-3, granulocyte-macrophage colony-stimulating factor (GM-CSF), interferon- (IFN-) γ, interleukin- (IL-) 1α, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12/IL-23p40, IL-12p70, IL-13, IL-15, IL-16, IL-17A, interferon γ-induced protein- (IP-) 10, macrophage inflammatory protein- (MIP-) 1α, MIP-1β, monocyte chemoattractant protein- (MCP-) 1, MCP-4, thymus and activation-regulated chemokine (TARC), TNF-α, and TNF-β. ICW, ECW, and TBW volumes were significantly lower in patients with AN than in HCs. In the whole sample, GM-CSF, MCP-4, and IL-4 were positively, whereas IFN-γ, IL-6, and IL-10 were negatively associated with all three parameters of body water. In AN participants, we found a statistically significant negative correlation of IL-10 with ICW, ECW, and TBW. Our results suggest an interaction between body water and the cytokine system. Underlying mechanisms are unclear but may involve a loss of water from the gut, kidneys, or skin due to AN-associated inflammatory processes.http://dx.doi.org/10.1155/2021/8811051 |
spellingShingle | Hubertus Himmerich Bethan Dalton Olivia Patsalos Ulrike Schmidt Iain C. Campbell Cytokines and Water Distribution in Anorexia Nervosa Mediators of Inflammation |
title | Cytokines and Water Distribution in Anorexia Nervosa |
title_full | Cytokines and Water Distribution in Anorexia Nervosa |
title_fullStr | Cytokines and Water Distribution in Anorexia Nervosa |
title_full_unstemmed | Cytokines and Water Distribution in Anorexia Nervosa |
title_short | Cytokines and Water Distribution in Anorexia Nervosa |
title_sort | cytokines and water distribution in anorexia nervosa |
url | http://dx.doi.org/10.1155/2021/8811051 |
work_keys_str_mv | AT hubertushimmerich cytokinesandwaterdistributioninanorexianervosa AT bethandalton cytokinesandwaterdistributioninanorexianervosa AT oliviapatsalos cytokinesandwaterdistributioninanorexianervosa AT ulrikeschmidt cytokinesandwaterdistributioninanorexianervosa AT iainccampbell cytokinesandwaterdistributioninanorexianervosa |