The Relationship between Adipokines, Metabolic Parameters and Insulin Resistance in Patients with Metabolic Syndrome and Type 2 Diabetes

被引:58
|
作者
Lee, J. M. [1 ]
Kim, S. R. [1 ]
Yoo, S. J. [1 ]
Hong, O. K. [1 ]
Son, H. S. [1 ]
Chang, S. A. [1 ]
机构
[1] Catholic Univ Korea, Coll Med, Dept Internal Med, Seoul 130709, South Korea
关键词
ADIPOKINES; METABOLIC SYNDROME; TYPE; 2; DIABETES; INSULIN RESISTANCE; SUBCUTANEOUS ADIPOSE-TISSUE; NECROSIS-FACTOR-ALPHA; C-REACTIVE PROTEIN; WEIGHT-LOSS; ADIPONECTIN RATIO; TNF-ALPHA; OBESE; EXPRESSION; GLUCOSE; LEPTIN;
D O I
10.1177/147323000903700616
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
This study was designed to investigate the relationship between adipokines in metabolic syndrome and insulin resistance. Sixty male and female subjects with or without metabolic syndrome and type 2 diabetes were included. The homeostasis model assessment of insulin resistance (HOMA-IR) was calculated. Compared with lean control subjects, patients with metabolic syndrome and type 2 diabetes had lower circulating levels of total adiponectin and high molecular weight (HMW) adiponectin, and higher levels of leptin and interleukin-6 (IL-6). Total and HMW adiponectin and the adiponectin/leptin (A/L) ratio were negatively correlated with HOMA-IR. After adjusting for age and sex, leptin, IL-6 and tumour necrosis factor-et (TNF-alpha) were positively correlated with HOMA-IR. After also adjusting for body mass index, HOMA-IR was found to be independently associated with leptin, A/L ratio and TNF-a levels. In conclusion, decreased total adiponectin and HMW adiponectin and increased leptin and IL-6 levels are characteristic of patients with metabolic syndrome and type 2 diabetes.
引用
收藏
页码:1803 / 1812
页数:10
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