PMID- 33812903 OWN - NLM STAT- MEDLINE DCOM- 20210715 LR - 20210715 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 175 DP - 2021 May TI - Lower levels of irisin in patients with type 2 diabetes mellitus: A meta-analysis. PG - 108788 LID - S0168-8227(21)00147-9 [pii] LID - 10.1016/j.diabres.2021.108788 [doi] AB - AIMS: This study aimed to provide evidence on the levels of circulating irisin in patients with type 2 diabetes mellitus (T2DM). METHODS: A meta-analysis was conducted to compare the irisin levels in patients with T2DM with the levels in control patients. PubMed, Embase, CENTRAL databases, and other sources were searched from inception through September 2020. Review manager software version 5.4 was used to calculate the pooled outcomes. Heterogeneity was measured using I(2) statistics. RESULTS: Twenty-six studies involving 3667 participants met the inclusion criteria and were analyzed in this study. We found that irisin levels were significantly lower in patients with T2DM [Standard (Std.) Mean Difference, -1.02; 95% confidence interval (95% CI), -1.37 to -0.67; p < 0.00001]. Sensitivity analysis confirmed the robustness of this result (Std. Mean Difference, -0.56; 95% CI, -0.73 to -0.39; p < 0.00001). CONCLUSIONS: As compared to the control group and irrespective of differences in ethnicities, age groups, study designs, blood samples, sample sizes, language used for the study, or ELISA kits, lower levels of irisin were observed in patients with T2DM. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Song, Rongjing AU - Song R AD - Department of Pharmacy, Peking University People's Hospital, Beijing 100044, China. FAU - Zhao, Xuecheng AU - Zhao X AD - Department of Emergency Medicine, China-Japan Friendship Hospital, Beijing 100029, China. Electronic address: zhaoxuecheng1@sina.com. FAU - Zhang, Da-Qi AU - Zhang DQ AD - Department of Neurology, The First Affiliated Hospital of Hainan Medical University, Haikou 570102, China. FAU - Wang, Rong AU - Wang R AD - Key Laboratory of Tropical Biological Resources of Ministry of Education, Department of Pharmaceutical Sciences, School of Life and Pharmaceutical Sciences, Hainan University, Haikou 570228, China. FAU - Feng, Yufei AU - Feng Y AD - Department of Pharmacy, Peking University People's Hospital, Beijing 100044, China. Electronic address: yufeifeng21@sina.com. LA - eng PT - Journal Article PT - Meta-Analysis DEP - 20210401 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (FNDC5 protein, human) RN - 0 (Fibronectins) SB - IM MH - Aged MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Fibronectins/*metabolism MH - Humans MH - Male OTO - NOTNLM OT - Irisin OT - Meta-analysis OT - T2DM COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2021/04/05 06:00 MHDA- 2021/07/16 06:00 CRDT- 2021/04/04 20:39 PHST- 2021/01/18 00:00 [received] PHST- 2021/03/18 00:00 [revised] PHST- 2021/03/30 00:00 [accepted] PHST- 2021/04/05 06:00 [pubmed] PHST- 2021/07/16 06:00 [medline] PHST- 2021/04/04 20:39 [entrez] AID - S0168-8227(21)00147-9 [pii] AID - 10.1016/j.diabres.2021.108788 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2021 May;175:108788. doi: 10.1016/j.diabres.2021.108788. Epub 2021 Apr 1.