Unveiling the veil of adipokines: A meta-analysis and systematic review in amyotrophic lateral sclerosis

Neuroscience. 2024 Dec 17:563:1-9. doi: 10.1016/j.neuroscience.2024.11.003. Epub 2024 Nov 4.

Abstract

Background: Adipokines are proposed to be associated with ALS progression through assorted pathways. Therefore, The present meta-analysis explored the link between various adipokines and ALS progression.

Method: International database like PubMed, Scopus, and Web of Science databases were searched to achieve eligible papers published before December 2023. The following PICO structure was utilized: Population (patients with ALS); Intervention (serum concentrations of ghrelin, leptin, and adiponectin), Comparison (with or without controls), and Outcome (ALS progression). the risk of bias of selected papers was assessed through the Newcastle-Ottawa Scale (NOS) tool.

Results: 11 out of 240 papers were selected for this study which were published between 2010 and 2024. Lower serum leptin concentrations were detected in the ALS compared to control groups (WMD: -0.91, 95% CI:-1.77, -0.05). Serum concentrations of adiponectin were higher in ALS compared to control groups (WMD: 0.41, 95% CI:-0.7, 0.89). Ultimately, The serum concentrations of ghrelin in the ALS groups were lower than control groups (WMD: -1.21, 95% CI: -2.95, 0.53).

Conclusion: Our findings revealed that serum concentrations of ghrelin and leptin were higher in ALS patients compared to control, unlike adiponectin.

Keywords: Adiponectin; Amyotrophic lateral sclerosis; Ghrelin; Leptin; Meta-analysis.

Publication types

  • Systematic Review
  • Meta-Analysis

MeSH terms

  • Adipokines* / blood
  • Adiponectin / blood
  • Amyotrophic Lateral Sclerosis* / blood
  • Amyotrophic Lateral Sclerosis* / metabolism
  • Disease Progression
  • Ghrelin / blood
  • Humans
  • Leptin / blood

Substances

  • Adipokines
  • Ghrelin
  • Leptin
  • Adiponectin