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Adiponectin, Leptin, IGF1 and TNF�± serum biomarkers for non-invasive diagnosis of colorectal adenoma
9th Euro Global Gastroenterology Conference
Hassan Ashktorab, Akbar Soleimani, Hasti Olumi, Alexandra Nichols, Komal Sodhi, Laiyemo O Adeyinka, Mehdi Nouraie, Hassan Brim
Department of Medicine and Cancer Center
Department of Pathology, Howard University College of Medicine, Washington DC
Department of Surgery and Pharmacology and Translational Research Marshall University Joan Edwards School of Medicine, WV
Background and Aim: The potential role of Adiponectin, Leptin, IGF1 and TNF�± as biomarkers in colorectal adenoma is not
clear. Therefore, we aimed to investigate the blood serum levels of these biomarkers in colorectal adenoma.
Method: The case-control study consisted of serum from 180 African American patients with colon adenoma (cases) and 198
healthy individuals (controls) at Howard University Hospital. We used ELISA for Adiponectin, Leptin, IGF1 and TNF�± detection
and quantification. Statistical analysis was performed by t-test and multivariate logistic regression.
Results: The respective differences in median Leptin, Adiponectin, IGF1 and TNF�± levels between control and case groups
(13.9 vs. 16.4), (11.3 vs. 46.0), (4.5 vs. 12.9) and (71.4 vs. 130.8) were statistically significant (p<0.05). In a multivariate model,
the odds ratio (ORs) for Adiponectin, TNF�± and IGF1 were 2.0 (95% CI=1.6â��2.5; P<0.001), 1.5 (95% CI=1.5â�� 2.0; P 0.004)
and 1.6 (95% CI=1.3�2.0; P< 0.001), respectively. There was a positive correlation between serum Adiponectin and IGF1 concentrations
with age (r=0.17, P< 0.001 and r=0.13, P=0.009), TNF�±, IGF1 and Leptin concentration with Body Mass Index
(BMI) (r=0.44, P< 0.001; r=0.11, P=0.03 and r = 0.48, P<0.001), respectively. Also, there was a negative correlation between
Adiponectin and Leptin concentration with BMI (r=-0.40, P<0.001 and), respectively.
Conclusion: These data support the hypothesis that Adiponectin, IGF1 and TNF�± high level are increasing the risk of colon
adenoma and can be applied for colorectal adenomas risk assessment.