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在年轻超重/肥胖受试者中,具有临床相关性的脂肪细胞因子、炎症和氧化应激标志物发生了改变。

Adipocytokines, inflammatory and oxidative stress markers of clinical relevance altered in young overweight/obese subjects.

作者信息

Ottobelli Chielle Eduardo, de Souza Willian Marciel, da Silva Thainan Paz, Moresco Rafael Noal, Moretto Maria Beatriz

机构信息

Department of Clinical and Toxicology Analysis, Center of Healthy Sciences, Federal University of Santa Maria (UFSM), 97105-900 Santa Maria, RS, Brazil; Center Healthy Sciences, University of West of Santa Catarina, UNOESC, 89900-000 São Miguel do Oeste, SC, Brazil.

Center Healthy Sciences, University of West of Santa Catarina, UNOESC, 89900-000 São Miguel do Oeste, SC, Brazil.

出版信息

Clin Biochem. 2016 May;49(7-8):548-53. doi: 10.1016/j.clinbiochem.2016.01.003. Epub 2016 Jan 12.

Abstract

OBJECTIVE

The aim of the study was to assess the influence of overweight and obesity in youth on adipocytokines levels, inflammatory and oxidative markers.

DESIGN AND METHODS

Cross-sectional study of 149 young adults (54 normal weight, 27 overweight, 68 obese).Clinical and biochemical parameters, including lipid profile, fasting glucose, insulin and HOMA were determined. The levels of adipocytokines(adiponectin, retinol-binding protein 4 (RBP4), and resistin), markers of inflammation (high-sensitivity C-reactive protein (hs-CRP) adenosine deaminase (ADA), dipeptidyl peptidase-IV (DPP-IV) activities, serum IL-6 levels and oxidative stress (malondialdehyde and ferric reducing antioxidant power - FRAP) were measured.

RESULTS

Obese subjects presented significantly lower levels of Sulfhydryl groups (SH groups), adiponectin, HDL-C and the highest levels of RBP4, hs-CRP, resistin, IL-6, ADA, DPP-IV activities, and oxidative markers than compared to those who were of normal weight. There was a positive correlation between hs-CRP, IL-6, DDP-IV activity, anthropometric measurements and biochemical parameters.

CONCLUSIONS

This analysis shows that resistin, RBP4, IL-6, ADA and DPP-IV activities and the reduction of adiponectin can promote inflammation, impairment of insulin sensitivity, and may contribute development of the pathways involved in obesity. These findings may hold promise in identifying new inflammatory markers, benchmarks that assist in the diagnosis and monitoring of patients with overweight and obese.

摘要

目的

本研究旨在评估青年超重和肥胖对脂肪细胞因子水平、炎症和氧化指标的影响。

设计与方法

对149名青年成年人(54名体重正常、27名超重、68名肥胖)进行横断面研究。测定临床和生化参数,包括血脂谱、空腹血糖、胰岛素和稳态模型评估胰岛素抵抗(HOMA)。测量脂肪细胞因子(脂联素、视黄醇结合蛋白4(RBP4)和抵抗素)水平、炎症标志物(高敏C反应蛋白(hs-CRP)、腺苷脱氨酶(ADA)、二肽基肽酶-IV(DPP-IV)活性、血清白细胞介素-6水平)和氧化应激(丙二醛和铁还原抗氧化能力-FRAP)。

结果

与体重正常者相比,肥胖受试者的巯基(SH基团)、脂联素、高密度脂蛋白胆固醇(HDL-C)水平显著降低,而RBP4、hs-CRP、抵抗素、白细胞介素-6、ADA、DPP-IV活性和氧化指标水平最高。hs-CRP、白细胞介素-6、DPP-IV活性、人体测量指标和生化参数之间呈正相关。

结论

该分析表明,抵抗素、RBP4、白细胞介素-6、ADA和DPP-IV活性以及脂联素的减少可促进炎症、胰岛素敏感性受损,并可能促进肥胖相关通路的发展。这些发现可能有助于识别新的炎症标志物,为超重和肥胖患者的诊断和监测提供参考标准。

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