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The sarcopenia prevalence in RA patients can be up to 31%. However, there is little information linking adipokines to sarcopenia in RA, so this study aimed to investigate whether adipokines were indeed involved in secondary sarcopenia in RA with a focus on non\u2010obese females. Sixty\u2010four female patients and 36 controls were included in this study. The serum adipokine levels (leptin and adiponectin) were determined by ELISA kits. The impacts of adipokines on muscle atrophy and potential autophagy were examined in mouse myoblasts, C2C12, upon treatment with recombinant leptin and adiponectin agonist (AdipoRan). Interestingly, serum adiponectin was significantly increased but the ratio of leptin\/adiponectin was dramatically decreased in the RA patients with sarcopenia. After normalization by body mass, serum leptin was positively associated but adiponectin was negatively associated with muscle mass respectively, even after adjustment for fat mass. Treating C2C12 cells with leptin and AdipoRan inhibited proliferation of mature myotube respectively, as did treatment with the serum from RA patients. A combination of low leptin and high AdipoRan greatly decreased myogenin, but instead increased MAFbx and MuRF\u20101 as well as increased Beclin 1, Atg5, and LC3\u03b2. Taken together, our study reveals that secondary sarcopenia of RA females may be an imbalance of RA\u2010related, but not obesity\u2010related, increase in adipokine production; additionally, the reduced leptin\/adiponectin ratio could be a better indicator in monitoring sarcopenia in non\u2010obese RA females. Moreover, adipokine imbalance may promote muscle atrophy through inducing autophagy.<\/jats:p>","DOI":"10.1002\/kjm2.12823","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T10:10:25Z","timestamp":1712830225000},"page":"489-498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Increased serum adipokines are associated with sarcopenia in non\u2010obese women with rheumatoid arthritis"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7318-5152","authenticated-orcid":false,"given":"Tzu\u2010Jung","family":"Fang","sequence":"first","affiliation":[{"name":"Graduate Institute of Clinical Medicine, College of Medicine Kaohsiung Medical University  Taiwan"},{"name":"Division of Geriatrics and Gerontology, Department of Internal Medicine Kaohsiung Medical University Hospital  Taiwan"},{"name":"School of Medicine, College of Medicine Kaohsiung Medical University  Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min\u2010Hsi","family":"Chiu","sequence":"additional","affiliation":[{"name":"Aging and Disease Prevention Research Center Fooyin University  Kaohsiung Taiwan"},{"name":"Department of Medical Laboratory Sciences and Biotechnology Fooyin University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming\u2010Shyan","family":"Huang","sequence":"additional","affiliation":[{"name":"E\u2010Da Cancer Hospital  Kaohsiung Taiwan"},{"name":"School of Medicine I\u2010Shou University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia\u2010Yen","family":"Dai","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Medicine Kaohsiung Medical University  Taiwan"},{"name":"Hepatobiliary Division, Department of Internal Medicine, Kaohsiung Medical University Hospital Kaohsiung Medical University  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