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Circulating Adiponectin Levels Differ Between Patients with Multiple Myeloma and its Precursor Disease.


ABSTRACT:

Objective

An increased risk of multiple myeloma (MM) has been observed among individuals with low prediagnostic circulating levels of adiponectin, a metabolic hormone that is typically underexpressed among those with overweight or obesity. To assess whether adiponectin may influence myeloma development or progression to frank MM, circulating adiponectin levels were compared across patients with different stages of MM and its precursor, monoclonal gammopathy of undetermined significance (MGUS).

Methods

Adiponectin was measured in 213 patients with MGUS, smoldering MM, or fully developed MM. Differences in adiponectin levels across patient groups were assessed using multivariate linear regression.

Results

Relative to MGUS patients, adiponectin levels were statistically significantly lower among those with smoldering and fully developed MM, both overall (16%-20% decrease; P?=?0.048) and among those with IgG/IgA isotypes (26%-28% decrease; P?=?0.004). Among MGUS patients, adiponectin levels were significantly lower for those with the higher-risk IgM isotype compared with those who had IgG/IgA isotypes (42% decrease; P?=?0.036).

Conclusions

The findings of this study, the largest to investigate adiponectin levels in patients with different stages of MM and the first to evaluate associations with clinical characteristics, suggest that reduced expression of adiponectin may be associated with progression from MGUS to MM.

SUBMITTER: Hofmann JN 

PROVIDER: S-EPMC5611818 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Circulating Adiponectin Levels Differ Between Patients with Multiple Myeloma and its Precursor Disease.

Hofmann Jonathan N JN   Mailankody Sham S   Korde Neha N   Wang Ye Y   Tageja Nishant N   Costello Rene R   Zingone Adriana A   Hultcrantz Malin M   Pollak Michael N MN   Purdue Mark P MP   Landgren Ola O  

Obesity (Silver Spring, Md.) 20170611 8


<h4>Objective</h4>An increased risk of multiple myeloma (MM) has been observed among individuals with low prediagnostic circulating levels of adiponectin, a metabolic hormone that is typically underexpressed among those with overweight or obesity. To assess whether adiponectin may influence myeloma development or progression to frank MM, circulating adiponectin levels were compared across patients with different stages of MM and its precursor, monoclonal gammopathy of undetermined significance (  ...[more]

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