The association between leptin and adiponectin, and metabolic syndrome components and serum levels of lipid peroxidation in bipolar disorder patients treated with lithium and valproic acid

Neda Dolab; Mohammad Zaman Kamkar; Taghi Amiriani; Jale Yuzugulen; Majid Marjani; Abdoljalal Marjani

doi:10.1016/j.heliyon.2020.e04553

The association between leptin and adiponectin, and metabolic syndrome components and serum levels of lipid peroxidation in bipolar disorder patients treated with lithium and valproic acid

Heliyon. 2020 Jul 27;6(7):e04553. doi: 10.1016/j.heliyon.2020.e04553. eCollection 2020 Jul.

Authors

Neda Dolab¹, Mohammad Zaman Kamkar², Taghi Amiriani³, Jale Yuzugulen⁴, Majid Marjani⁴, Abdoljalal Marjani⁵

Affiliations

¹ Student Research Committee, Metabolic Disorders Research Center, Department of Biochemistry and Biophysics, Gorgan Faculty of Medicine, Golestan University Medical Sciences, Gorgan, Iran.
² Department of Psychiatry, Golestan Research Center of Psychiatry, Golestan University of Medical Sciences, Gorgan, Golestan Province, Iran.
³ Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gorgan, Iran.
⁴ Faculty of Pharmacy, Eastern Mediterranean University, Mersin 10, Famagusta, North Cyprus, Turkey.
⁵ Metabolic Disorders Research Center, Department of Biochemistry and Biophysics, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Golestan province, Iran.

Abstract

Background: The aim of study is to assess a relation between the adiponectin and leptin levels, and metabolic syndrome components and lipid peroxidation treated with Li and VPA in bipolar disorder patients and compared with controls.

Materials and methods: 56 patients and 31 healthy controls were enrolled. The ATP III criteria were used to determine metabolic syndrome components. Leptin, adiponectin, lipid peroxidation and lipid profiles were measured.

Results: Malondialdehyde in Li patients was higher than VPA patients. BMI, waist circumference (WC), triglyceride, malondialdehyde and adiponectin levels were increased, whereas HDL-cholesterol (VPA treated patients) and leptin were decreased in patients compared with controls. Leptin and adiponectin were correlated with WC, triglyceride and malondialdehyde in both groups. Adiponectin was correlated with HDL-cholesterol in VPA patients.

Conclusion: Patients should be checked metabolic syndrome components, serum leptin and adiponectin level occasionally to prevent possible deficiency or pathologic increase of these parameters.

Keywords: Adiponectin; Bipolar disorder patients; Clinical genetics; Clinical research; Internal medicine; Laboratory medicine; Leptin; Lipid peroxidation; Lithium and valproic acid; Metabolic syndrome components; Public health.