PMID- 30089986 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220318 IS - 0974-7796 (Print) IS - 0974-7834 (Electronic) IS - 0974-7796 (Linking) VI - 10 IP - 3 DP - 2018 Jul-Sep TI - Clinical and biochemical markers of visceral adipose tissue activity: Body mass index, visceral adiposity index, leptin, adiponectin, and matrix metalloproteinase-3. Correlation with Gleason patterns 4 and 5 at prostate biopsy. PG - 280-286 LID - 10.4103/UA.UA_188_17 [doi] AB - CONTEXT: The correlation between aggressive prostate cancer and obesity mainly based on body mass index (BMI) and pathology after surgery remains controversial. AIMS: The aim of the study was to correlate BMI, visceral adiposity index (VAI), and the plasmatic levels of leptin, adiponectin, and matrix metalloproteinase-3 (MMP-3), and biomarkers of adipose tissue function, with the detection of Gleason patterns 4 and 5 at biopsy. SUBJECTS AND METHODS: Consecutive patients with prostate cancer at 12-core transrectal biopsy were enrolled. BMI, waist circumference (WC), blood samples to evaluate the plasmatic levels of triglycerides (TG) and high-density lipoproteins (HDL), adiponectin, leptin, and MMP-3 were obtained immediately before biopsy. The VAI was calculated according to the formula: WC/(39.68 + [1.88 x BMI]) x TG/1.03 x 1.31/HDL. RESULTS: One hundred and forty-nine patients were entered. The median PSA, BMI, and VAI were 10.0 ng/ml, 27.6 kg/m(2), and 4.6, respectively. Gleason patterns 4 or 5 were detected in 68 (45.6%) patients; in 15 (41.7%), 31 (44.9%), and 22 (50.0%) among normal weight, overweight, and obese patients, respectively (P = 0.55). The statistical analysis did not show any significant correlation between BMI, VAI, the plasmatic levels of leptin, adiponectin, MMP-3, and the detection of Gleason patterns 4 and 5 at biopsy. A statistically significant association emerged with older age (P = 0.017) and higher PSA values (P = 0.02). CONCLUSION: We did not find any association between BMI, VAI, the plasmatic levels of adiponectin, leptin, and MMP-3 and the detection of Gleason patterns 4 and 5 at prostate biopsy. FAU - Serretta, Vincenzo AU - Serretta V AD - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy. FAU - Abrate, Alberto AU - Abrate A AD - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy. FAU - Siracusano, Simone AU - Siracusano S AD - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy. FAU - Gesolfo, Cristina Scalici AU - Gesolfo CS AD - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy. FAU - Vella, Marco AU - Vella M AD - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy. FAU - Di Maida, Fabrizio AU - Di Maida F AD - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy. FAU - Cangemi, Antonina AU - Cangemi A AD - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy. FAU - Cicero, Giuseppe AU - Cicero G AD - Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, Italy. FAU - Barresi, Elisabetta AU - Barresi E AD - Department of Human Pathology, University of Palermo, Palermo, Italy. FAU - Sanfilippo, Chiara AU - Sanfilippo C AD - Stastistics, GSTU Foundation, Palermo, Italy. LA - eng PT - Journal Article PL - India TA - Urol Ann JT - Urology annals JID - 101510823 PMC - PMC6060586 OTO - NOTNLM OT - Adiponectin OT - Gleason pattern OT - body mass index OT - leptin OT - matrix metalloproteinase-3 OT - obesity OT - prostate cancer OT - visceral adiposity index COIS- There are no conflicts of interest. EDAT- 2018/08/10 06:00 MHDA- 2018/08/10 06:01 PMCR- 2018/07/01 CRDT- 2018/08/10 06:00 PHST- 2018/08/10 06:00 [entrez] PHST- 2018/08/10 06:00 [pubmed] PHST- 2018/08/10 06:01 [medline] PHST- 2018/07/01 00:00 [pmc-release] AID - UA-10-280 [pii] AID - 10.4103/UA.UA_188_17 [doi] PST - ppublish SO - Urol Ann. 2018 Jul-Sep;10(3):280-286. doi: 10.4103/UA.UA_188_17.