Relationship of Selected Adipokines with Markers of Vascular Damage in Patients with Type 2 Diabetes

BACKGROUND: In this study we compared levels of selected adipokines between patients with type 2 diabetes (T2D) and healthy individuals and we determined their relationship with early vascular damage markers.

METHODS: Seventy-seven subjects: 56 patients with T2D (34 men and 22 women) and 21 healthy controls (8 men and 13 women) were examined in this cross-sectional study. Selected adipokines [adiponectin, adipocyte fatty acid-binding protein (A-FABP), fibroblast growth factor 21 (FGF-21), C1q/TNF-related protein 9 (CTRP-9), and allograft inflammatory factor-1 (AIF-1)] with possible cardiovascular impact were measured in all participants. To identify markers of vascular damage von Willebrand factor (vWF), plasminogen activator inhibitor-1 (PAI-1) and arterial stiffness parameters were examined in all the subjects.

RESULTS: When compared with healthy controls, T2D had significantly higher levels of A-FABP [50.0 (38.1-68.6) vs. 28.6 (23.6-32.9) ng/mL, P < 0.0001] and lower levels of adiponectin [5.9 (4.3-9.0) vs. 11.3 (8.7-14.8) μg/mL, P < 0.0001]. Differences in other adipokines were not statistically significant. Adiponectin level correlated negatively with vWF levels (ρ = -0.29, P < 0.05) and PAI-1 (ρ = -0.36, P < 0.05) and A-FABP positively with vWF (ρ = 0.61, P < 0.05) and PAI-1 (ρ = 0.47, P < 0.05) and augmentation index (ρ = 0.26, P < 0.05). Multivariate regression analysis showed independent association between A-FABP and vWF (b = 0.24, P < 0.05).

CONCLUSIONS: Patients with T2D have significantly higher levels of A-FABP and lower levels of adiponectin. These adipokines correlate with indicators of vascular damage and could contribute to cardiovascular risk in patients with T2D. A-FABP may participate in direct endothelium damage.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Metabolic syndrome and related disorders - 16(2018), 5 vom: 01. Juni, Seite 246-253

Sprache:

Englisch

Beteiligte Personen:

Spurná, Jaromíra [VerfasserIn]
Karásek, David [VerfasserIn]
Kubíčková, Veronika [VerfasserIn]
Goldmannová, Dominika [VerfasserIn]
Krystyník, Ondřej [VerfasserIn]
Schovánek, Jan [VerfasserIn]
Zadražil, Josef [VerfasserIn]

Links:

Volltext

Themen:

ADIPOQ protein, human
Adipokines
Adiponectin
Arterial stiffness
Biomarkers
FABP4 protein, human
Fatty Acid-Binding Proteins
Journal Article
Research Support, Non-U.S. Gov't
Type 2 diabetes

Anmerkungen:

Date Completed 10.05.2019

Date Revised 10.05.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1089/met.2017.0179

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM283651369