Association between Circulating Irisin and C-Reactive Protein Levels: A Systematic Review and Meta-Analysis

Endocrinol Metab (Seoul). 2019 Jun;34(2):140-149. doi: 10.3803/EnM.2019.34.2.140.

Abstract

Background: Although previous studies have demonstrated that irisin plays an anti-inflammatory role in the body, conflicting results have been reported regarding the correlation between serum levels of irisin and C-reactive protein (CRP). The present meta-analysis was conducted to further investigate the correlation between irisin and CRP levels.

Methods: We systematically searched PubMed, the Cochrane Library, Web of Science, Embase, SCOPUS, and Ovid to retrieve studies assessing the correlation between irisin and CRP levels. Meta-analyses were performed using a random-effects model, and the I² index was used to evaluate heterogeneity.

Results: Of the 428 studies that were initially found, 14 studies with 2,530 participants met the inclusion criteria for the meta-analysis. The pooled effect size was calculated as 0.052 (95% confidence interval, -0.047 to 0.152; P=0.302). Subgroup analyses identified s ignificant, positive, but weak correlations between CRP and irisin levels in cohort studies, studies conducted among healthy participants, studies in which the male-to-female ratio was less than 1, in overweight or obese subjects, and in studies with a sample size of at least 100 participants.

Conclusion: The present meta-analysis found no overall significant correlation between irisin and CRP levels, although a significant positive correlation was found in overweight or obese subjects. Well-designed studies are needed to verify the results of the present meta-analysis.

Keywords: C-reactive protein; FNDC5 protein; Irisin; Meta-analysis; Systematic review.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • C-Reactive Protein / analysis
  • C-Reactive Protein / metabolism*
  • Fibronectins / analysis
  • Fibronectins / blood*
  • Humans

Substances

  • FNDC5 protein, human
  • Fibronectins
  • C-Reactive Protein