Evidence map›Paper›PMID 31425509›Full record

ArticlePloS one2019

Leptin and adiponectin dynamics at patients with rectal neoplasm - Gender differences.

Alexandru Florescu, Dumitru Branisteanu, Stefana Bilha, Dragos Scripcariu, Ioana Florescu, Viorel Scripcariu, Gabriel Dimofte, Ioana Grigoras

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06057207 (Effects of Perioperative Circulating Adiponectin Levels on Postoperative Systemic Inflammatory Response in Patients Undergoing Major Colorectal Surgery), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06057207 completednot on this mapstarted 2023, after this paper: background citation

Effects of Perioperative Circulating Adiponectin Levels on Postoperative Systemic Inflammatory Response in Patients Undergoing Major Colorectal Surgery

TypeobservationalSponsorOsijek University HospitalRan2023 to 2025Enrolled58ConditionsObesity, Abdominal, Surgery, Systemic Inflammatory Response Syndrome, Postoperative ComplicationsArmsserum levels of adiponectin, IL-6, Postoperative systemic infflamation, Postoperative complications
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Alexandru FlorescuDepartment of Endocrinology, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Dumitru BranisteanuDepartment of Endocrinology, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.ORCID 0000-0001-8610-1416
Stefana BilhaDepartment of Endocrinology, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Dragos ScripcariuDepartment of Surgery, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Ioana FlorescuDepartment of Intensive Care, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Viorel ScripcariuDepartment of Surgery, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Gabriel DimofteDepartment of Surgery, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Ioana GrigorasDepartment of Intensive Care, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Grigore T. Popa University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNumerous studies associate adipokines with colorectal malignancy, but few data deal with patients suffering exclusively of rectal carcinoma (RC).

aimsWe evaluated leptin and adiponectin levels in RC patients compared to healthy population and their dynamics after surgery. MATERIAL AND

methodsSerum leptin and adiponectin were evaluated before surgery in 59 RC consecutive patients (38 males and 21 females), and in age and weight matched healthy controls. Measurements were repeated at 24, 72 hours and 7 days after surgery.

resultsAdipokine levels were higher in women. Controls had higher leptin (32.±4.34 vs 9.51±1.73 ng/ml in women and 11±2.66 vs 2.54±0.39 ng/ml in men, p = 0.00048 and 0.0032) and lower adiponectin (9±0.64 vs 11.85±1.02 μg/ml in women and 7.39±0.51 vs 8.5±0.62 μg/ml in men, p = 0.017 and 0.019) than RC patients. Surgery caused an increase of leptin from 5.11±0.8 to 18.7±2.42 ng/ml, p = 6.85 x 10¨8, and a decrease of adiponectin from 9.71±0.58 to 7.87±0.47 μg/ml, p = 1.4 x 10¨10 for all RC patients and returned thereafter to the initial range at 7 days. Adipokines were correlated with body weight (BW). The significance of correlation persisted after surgery only in males, but disappeared in females. Adipokines were not modified by tumor position, presurgical chemoradiotherapy or surgical technique. Women with RC experiencing weight loss had higher adiponectin than women without weight modifications (p<0.05 at all time points).

conclusionsAdipokine levels of patients with RC differ from the healthy population, possibly reflecting an adaptation to disease. Adipokine modifications after surgery may be related to acute surgical stress. Whether leptin and adiponectin directly interact is not clear. Women have higher adipokine levels, more so after significant weight loss, but the strength of their correlation with BW decreases after surgery. These data suggest gender differences in the adipokine profile of RC patients which may find clinical applications.

Indexed as

AdiponectinAgedBiomarkers, TumorBody WeightCase-Control StudiesFemaleHumansLeptinMaleMiddle AgedRectal NeoplasmsSex FactorsStress, PhysiologicalWeight LossAdiponectinADIPOQ protein, humanBiomarkers, TumorLEP protein, humanLeptin

Identifiers

PMID31425509
PMCPMC6699797
OpenAlexW2969484160

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.