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一氧化氮(NO)代谢和炎症介质在儿童肥胖中的作用。

Role of nitric oxide (NO) metabolism and inflammatory mediators in childhood obesity.

机构信息

Department of Medical Chemistry, Molecular Biology and Pathobiochemistry, Semmelweis University, Tűzoltó u. 37-47., POB 260, Budapest, 1444, Hungary.

出版信息

Inflamm Res. 2011 Nov;60(11):1061-70. doi: 10.1007/s00011-011-0367-9. Epub 2011 Aug 27.

DOI:10.1007/s00011-011-0367-9
PMID:21874355
Abstract

OBJECTIVE AND DESIGN

The role of NO and adipocytokines in childhood obesity was studied, supposing that obesity provokes inflammation. Children were admitted to the pediatric clinic for a regular check up because of obesity.

SUBJECTS

Obese (n = 79) and healthy (n = 12) children were selected and divided into subgroups according to their age, gender, glucose tolerance and nitric oxide synthase (NOS II) positivity.

METHODS

Urine and blood nitrite plus nitrate, the expression of NOS II in white blood cells, serum adipocytokines and clinical characteristics were analyzed in each group. Significance was tested by unpaired two-tailed t test and by ANOVA.

RESULTS

NOS II was only detected in the white blood cells of a subgroup (17/79) of obese children. Serum leptin and resistin concentrations were significantly higher, adiponectin was lower compared to healthy children. Significant correlations were observed between serum adiponectin and resistin levels (reciprocal, R (2) = 0.4), and between body mass index and serum leptin levels.

CONCLUSIONS

NOS II expression in white blood cells was observed in a minority of patients. Low-grade inflammation in obese children was suggested by the increased resistin levels, particularly in NOS II-positive patients. Correlation between different adipocytokines was restricted for a few subgroups.

摘要

目的和设计

研究了 NO 和脂肪细胞因子在儿童肥胖中的作用,假设肥胖会引发炎症。由于肥胖,儿童被送到儿科诊所进行常规检查。

受试者

选择了肥胖(n=79)和健康(n=12)儿童,并根据年龄、性别、葡萄糖耐量和一氧化氮合酶(NOS II)阳性情况将其分为亚组。

方法

分析了每组儿童的尿液和血液中亚硝酸盐/硝酸盐、白细胞中 NOS II 的表达、血清脂肪细胞因子和临床特征。采用非配对双尾 t 检验和方差分析进行检验。

结果

仅在肥胖儿童的一个亚组(17/79)的白细胞中检测到 NOS II。与健康儿童相比,血清瘦素和抵抗素浓度显著升高,脂联素水平降低。血清脂联素与抵抗素水平之间存在显著相关性(倒数,R(2)=0.4),并且体重指数与血清瘦素水平之间存在相关性。

结论

在少数患者中观察到白细胞中 NOS II 的表达。肥胖儿童的低度炎症由抵抗素水平升高引起,尤其是在 NOS II 阳性患者中。不同脂肪细胞因子之间的相关性仅限于少数亚组。

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本文引用的文献

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Advanced oxidation protein products induce inflammatory response and insulin resistance in cultured adipocytes via induction of endoplasmic reticulum stress.高级氧化蛋白产物通过诱导内质网应激在培养的脂肪细胞中引发炎症反应和胰岛素抵抗。
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Visfatin/PBEF/Nampt and resistin expressions in circulating blood monocytes are differentially related to obesity and type 2 diabetes in humans.人循环血液单核细胞中 visfatin/PBEF/Nampt 和 resistin 的表达与肥胖和 2 型糖尿病存在差异相关。
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Resistin is associated with biomarkers of inflammation while total and high-molecular weight adiponectin are associated with biomarkers of inflammation, insulin resistance, and endothelial function.抵抗素与炎症生物标志物相关,而总 adiponectin 和高分子量 adiponectin 与炎症、胰岛素抵抗和内皮功能的生物标志物相关。
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Distribution of fasting plasma glucose and prevalence of impaired fasting glucose, impaired glucose tolerance and type 2 diabetes in the Mexican paediatric population.墨西哥儿童人群空腹血糖分布及空腹血糖受损、糖耐量受损和2型糖尿病患病率
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