Jin Qing-Ri, Bando Yukiko, Miyawaki Katsuyuki, Shikama Yosuke, Kosugi Chisato, Aki Nanako, Funaki Makoto, Noji Sumihare
Department of Life Systems, Institute of Technology and Science, the University of Tokushima.
J Med Invest. 2014;61(1-2):28-34. doi: 10.2152/jmi.61.28.
Since serum level of fibroblast growth factor 21 (FGF21) has been implicated as a potential biomarker for the early detection of the metabolic syndrome and type 2 diabetes, we examined how FGF21 serum levels are correlated with metabolic parameters in Japanese subjects.
FGF21 levels were analyzed by enzyme-linked immunosorbent assays. Spearman's correlation and multiple stepwise regression analyses were used to examine the relationship between serum FGF21 and other factors. A Mann-Whitney U test was performed between the normal and high groups for triglycerides and systolic blood pressure (BP) respectively.
By univariate correlation analysis, serum FGF21 levels were significantly associated with triglyceride levels, systolic BP, diastolic BP, pulse pressure, body mass index (BMI), age, fasting plasma glucose (FPG) levels, and total cholesterol levels. Multiple regression analysis (adjusted for age, gender, and BMI) showed that serum FGF21 levels were independently and significantly associated with triglyceride levels and systolic BP. Serum FGF21 levels were significantly higher in subjects with high triglyceride levels and high systolic BP compared with those who had normal triglyceride levels and normal systolic BP respectively.
This study found that FGF21 levels might be a biomarker for some metabolic disorders associated with metabolic syndrome.
鉴于成纤维细胞生长因子21(FGF21)的血清水平被认为是代谢综合征和2型糖尿病早期检测的潜在生物标志物,我们研究了日本受试者中FGF21血清水平与代谢参数之间的相关性。
采用酶联免疫吸附测定法分析FGF21水平。使用Spearman相关性分析和多元逐步回归分析来研究血清FGF21与其他因素之间的关系。分别对甘油三酯正常组和高甘油三酯组以及收缩压正常组和高收缩压组进行Mann-Whitney U检验。
单变量相关性分析显示,血清FGF21水平与甘油三酯水平、收缩压、舒张压、脉压、体重指数(BMI)、年龄、空腹血糖(FPG)水平和总胆固醇水平显著相关。多元回归分析(校正年龄、性别和BMI)表明,血清FGF21水平与甘油三酯水平和收缩压独立且显著相关。与甘油三酯水平正常和收缩压正常的受试者相比,甘油三酯水平高和收缩压高的受试者血清FGF21水平显著更高。
本研究发现FGF21水平可能是与代谢综合征相关的某些代谢紊乱的生物标志物。