PMID- 10199758 OWN - NLM STAT- MEDLINE DCOM- 19990421 LR - 20061115 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 84 IP - 4 DP - 1999 Apr TI - Plasma concentrations of tumor necrosis factor-alpha (TNF-alpha) and soluble TNF receptors in patients with anorexia nervosa. PG - 1226-8 AB - Tumor necrosis factor-alpha (TNF-alpha) is a cytokine with numerous immunological and metabolic activities. To study the role of TNF-alpha on the pathophysiology of anorexia nervosa and its complications, plasma concentrations of TNF-alpha, 2 soluble TNF receptors (sTNF-RI and sTNF-RII), and leptin were measured in 20 female patients with anorexia nervosa (AN) and 20 age-matched normal women (N). Plasma TNF-alpha concentrations in AN were significantly higher than those in N (4.1 +/- 0.6 pg/mL vs. 1.6 +/- 0.1 pg/mL; P < 0.01). Although no significant difference was observed in plasma sTNF-RI concentrations between the two groups, plasma sTNF-RII concentrations in AN were significantly higher than those in N (2094.0 +/- 138.5 pg/mL vs. 1569.5 +/- 84.0 pg/mL; P < 0.01). Plasma concentrations of TNF-alpha and sTNF-RII after treatment of 8 anorectic patients were not different from those before treatment, although body fat mass and plasma leptin concentrations significantly increased after treatment. Plasma TNF-alpha concentrations were not related to body fat mass in anorectic patients. These results suggest that the adipose tissue may not be the immediate source of TNF-alpha in anorectic patients and that TNF-alpha may contribute to the pathophysiology of immunological and metabolic abnormalities in anorexia nervosa. FAU - Nakai, Y AU - Nakai Y AD - College of Medical Technology, Kyoto University, Japan. YN@itan.kyoto-u.ac.jp FAU - Hamagaki, S AU - Hamagaki S FAU - Takagi, R AU - Takagi R FAU - Taniguchi, A AU - Taniguchi A FAU - Kurimoto, F AU - Kurimoto F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Antigens, CD) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Receptors, Tumor Necrosis Factor, Type II) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Anorexia Nervosa/*blood MH - Antigens, CD/*blood MH - Female MH - Humans MH - Receptors, Tumor Necrosis Factor/*blood MH - Receptors, Tumor Necrosis Factor, Type I MH - Receptors, Tumor Necrosis Factor, Type II MH - Tumor Necrosis Factor-alpha/*analysis EDAT- 1999/04/13 00:00 MHDA- 1999/04/13 00:01 CRDT- 1999/04/13 00:00 PHST- 1999/04/13 00:00 [pubmed] PHST- 1999/04/13 00:01 [medline] PHST- 1999/04/13 00:00 [entrez] AID - 10.1210/jcem.84.4.5589 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 1999 Apr;84(4):1226-8. doi: 10.1210/jcem.84.4.5589.