A meta-analysis about the relationship of serum nesfatin-1 levels in patients with type 2 diabetes mellitus
Abstract
Introduction. Nesfatin-1, a peptide coded by the NUCB2 gene, has recently been implicated in the regulation of insulin synthesis and glucose homeostasis. These findings suggest a potential role for nesfatin-1 in the etiology of type 2 diabetes mellitus.
Objective. To analyze the relationship between circulating levels of nesfatin-1 and type 2 diabetes mellitus.
Materials and methods. We used PubMed, Scopus, and DOAJ platforms to search published articles from 2012 to 2024. The keywords used were “diabetes mellitus”, “diabetes”, “type 2 diabetes”, “nesfatin-1”, “NUCB2”, “ELISA”, “plasma”, and “serum”. We included all case-control and cross-sectional studies conducted in humans, with full-text availability, and written in English or Spanish.
Results. We included eight studies comprising 305 patients with type 2 diabetes mellitus and 205 controls. The results showed a significant relationship between nesfatina-1 and type 2 diabetes mellitus with a high heterogeneity index (t2 = 3.91; χ2 = 349.63, p < 0.00001; I2 = 98%).
Conclusions. The results show a significant relationship between nesfatin-1 and type 2 diabetes mellitus, supporting its potential use as a biomarker for this disease
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References
1. World Health Organization. Diabetes. Fecha de consulta: 2 de mayo de 2024. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/diabetes
2. International Diabetes Federation. IDF Diabetes Atlas. 10th edition. Bruselas: Edition Committee; 2024. Fecha de consulta: 2 de mayo de 2024. Disponible en: https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf
3. National Institute of Diabetes and Digestive and Kidney Diseases. Risk factors for type 2 diabetes. Washington: NIDKK; 2022. Fecha de consulta: 3 de mayo de 2024. Disponible en: https://www.niddk.nih.gov/health-information/diabetes/overview/risk-factors-type-2-diabetes
4. Petrie JR, Boyle JG. Diabetes mellitus. In: Davidson’s Principles and Practice of Medicine. 24th edition. London: Elsevier; 2023. p. 703-53. Fecha de consulta: 2 de mayo de 2024. Disponible en: https://www.clinicalkey.es/!/content/book/3-s2.0-B9780702083471000211?scrollTo=%23hl0003261
5. Asociación Latinoamericana de Diabetes. Guías ALAD sobre el diagnóstico, control y tratamiento de la diabetes mellitus tipo 2 con medicina basada en evidencia. 9a edición. México: Rev ALAD; 2019. Fecha de consulta: 2 de mayo de 2024. Disponible en: https://www.revistaalad.com/guias/5600AX191_guias_alad_2019.pdf
6. Pałasz A, Krzystanek M, Worthington J, Czajkowska B, Kostro K, Wiaderkiewicz R, et al. Nesfatin-1, a unique regulatory neuropeptide of the brain. Neuropeptides. 2012;46:105-12. https://doi.org/10.1016/j.npep.2011.12.002
7. Luo JJ, Wen FJ, Qiu D, Wang SZ. Nesfatin-1 in lipid metabolism and lipid-related diseases. Clin Chim Acta. 2021;522:23-30. https://doi.org/10.1016/j.cca.2021.08.005
8. Oh-I S, Shimizu H, Satoh T, Okada S, Adachi S, Inoue K, et al. Identification of Nesfatin-1 as a satiety molecule in the hypothalamus. Nature. 2006;443:709-12. https://doi.org/10.1038/nature05162
9. Dore R, Krotenko R, Reising JP, Murru L, Sundaram SM, Di Spiezio A, et al. Nesfatin-1 decreases the motivational and rewarding value of food. Neuropsychopharmacology. 2020;45:1645-55. https://doi.org/10.1038/s41386-020-0682-3
10. Chen X, Dong J, Jiao Q, Du X, Bi M, Jiang H. “Sibling” battle or harmony: Crosstalk between nesfatin-1 and ghrelin. Cell Mol Life Scis. 2022;79:169. https://doi.org/10.1007/s00018-022-04193-6
11. Shimizu H, Oh IS, Okada S, Mori M. Nesfatin-1: An overview and future clinical application. Endocr J. 2009;56:537-43. https://doi.org/10.1507/endocrj.k09e-117
12. Xu Y, Chen F. Antioxidant, anti-inflammatory, and anti-apoptotic activities of nesfatin-1: A review. J Inflamm Res. 2020:13:607-17. https://doi.org/10.2147/JIR.S273446
13. Gharanei S, Ramanjaneya M, Patel AH, Patel V, Shabir K, Auld C, et al. NUCB2/nesfatin-1 reduces obesogenic diet induced inflammation in mice subcutaneous white adipose tissue. Nutrients. 2022;14:1409. https://doi.org/10.3390/nu14071409
14. López-Gómez A, Martínez-Cordero C. Nesfatina-1: una nueva hormona anorexigénica. Hosp Med Clin Manag. 2018;11:130-6.
15. Kadim BM, Hassan EA. Nesfatin-1 as a diagnosis regulatory peptide in type 2 diabetes mellitus. J Diabetes Metab Disord. 2022;21:1369-75. https://doi.org/10.1007/s40200-022-01070-8
16. Algul S, Ozkan Y, Ozcelik O. Serum nesfatin-1 levels in patients with different glucose tolerance levels. Physiol Res. 2016;65:979-85. https://doi.org/10.33549/physiolres.933186
17. Li XS, Yan CY, Fan YJ, Yang JL, Zhao SX. NUCB2 polymorphisms are associated with an increased risk for type 2 diabetes in the Chinese population. Ann Transl Med. 2020;8:290. https://doi.org/10.21037/atm.2020.03.02
18. Li QC, Wang HY, Chen X, Guan HZ, Jiang ZY. Fasting plasma levels of nesfatin-1 in patients with type 1 and type 2 diabetes mellitus and the nutrient-related fluctuation of nesfatin-1 level in normal humans. Regul Pept. 2010;159:72-7. https://doi.org/10.1016/j.regpep.2009.11.003
19. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Rev Esp Cardiol (Engl Ed). 2021;74:790-9. https://doi.org/10.1016/j.rec.2021.07.010
20. Wells GA, Shea B, O’Connell D, Peterson J, Welch V, Losos M, et al. La Escala Newcastle-Ottawa (NOS) para evaluar la calidad de estudios no aleatorios en metanálisis. Ottawa: Ottawa Hospital Research Institute; 2021.
21. Rostom A, Dubé C, Cranney A, Saloojee N, Garritty C, Sampson M, et al. Appendix D: Quality assessment forms. In: Cochrane handbook for systematic reviews of interventions. Rockville (MD): Agency for Healthcare Research and Quality; 2004. Fecha de consulta: 2 de mayo de 2024. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK35156/
22. Review Manager (RevMan) [software]. Version 5.3. Copenhaguen: The Nordic Cochrane Center, The Cochrane Collaboration; 2020. Fecha de consulta: 2 de mayo de 2024. Disponible en: https://revman.cochrane.org
23. Epidat: programa para análisis epidemiológico de datos, Versión 3.1. [software]. Santiago de Compostela (ES): Consellería de Sanidade, Xunta de Galicia; 2006. Fecha de consulta: 13 de mayo de 2024. Disponible en: https://www.sergas.es/Saude-publica/EPIDAT-3-1?idioma=es
24. Tamayo y Orozco JA, Lastiri-Quirós HS. La enfermedad renal crónica en México. Hacia una política nacional para enfrentarla. México: Academia Nacional de Medicina de México; 2016. Fecha de consulta: 13 de mayo de 2024. Disponible en: https://www.anmm.org.mx/publicaciones/ultimas_publicaciones/ENF-RENAL.pdf
25. Martínez-Escalante JE, Romero-Ibargüengoitia ME, Plata-Álvarez H, López-Betancourt G, Otero-Rodríguez R, Garza-Cantú A, et al. Pie diabético en México: factores de riesgo para mortalidad posterior a una amputación mayor, a 5 años, en un hospital de salud pública de segundo nivel. Cir Cir. 2021;89:284-90. https://doi.org/10.24875/CIRU.20000209
26. Instituto Nacional de Estadística y Geografía. Estadísticas a propósito del día mundial de la diabetes (14 de noviembre). México: INE; 2021. Fecha de consulta: 13 de mayo de 2024. Disponible en: https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2021/EAP_Diabetes2021.pdf
27. Mirakhor-Samani S, Ghasemi H, Rezaei-Bookani K, Shokouhi B. Serum nesfatin-1 level in healthy subjects with weight-related abnormalities and newly diagnosed patients with type 2 diabetes mellitus: A case-control study. Acta Endocrinol (Buchar). 2019;5:69-73. https://doi.org/10.4183/aeb.2019.69
28. Matta RA, El-Hini SH, Eldin Salama AM, Moaness HM. Serum nesfatin-1 is a biomarker of pre-diabetes and interplays with cardiovascular risk factors. Egypt J Intern Med. 2022;34:15. https://doi.org/10.1186/s43162-022-00106-y
29. Khalil UA, Mohamed OE, Abdullah AA, Fawzy MS, Rashad NM, Samir GM. Do serum nesfatin-1 levels have a predictive role in type-2 diabetes mellitus and its microvascular complications? A case-control study. Cureus. 2024;16:e53007. https://doi.org/10.7759/cureus.53007
30. Huang K, Liang Y, Wang K, Wu J, Luo H, Yi, B. Influence of circulating nesfatin-1, GSH, and SOD on insulin secretion in the development of T2DM. Front Public Health. 2022;10:882686. https://doi.org/10.3389/fpubh.2022.882686
31. Abed BA, Farhan LO, Dawood AS. Relationship between serum nesfatin-1, adiponectin, resistin concentration, and obesity with type 2 diabetes mellitus. Baghdad Sci J. 2023;21:0117. https://doi.org/10.21123/bsj.2023.8119
32. Zhang Z, Li L, Yang M, Liu H, Boden G, Yang G. Increased plasma levels of nesfatin-1 in patients with newly diagnosed type 2 diabetes mellitus. Exp Clin Endocrinol Diabetes. 2012;120:91-5. https://doi.org/10.1055/s-0031-1286339
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