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血清趋化素与炎症和代谢参数相关——一项基于人群的研究结果。

Serum chemerin is associated with inflammatory and metabolic parameters-results of a population-based study.

机构信息

Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Germany.

German Centre for Cardiovascular Research (DZHK), Greifswald, Germany.

出版信息

Obesity (Silver Spring). 2017 Feb;25(2):468-475. doi: 10.1002/oby.21735. Epub 2017 Jan 10.

Abstract

OBJECTIVE

This study aimed to confirm existing assumptions about the associations of circulating chemerin with inflammatory and metabolic parameters in a large population-based study.

METHODS

Data of 3,986 subjects from the Study of Health in Pomerania were analyzed. Residual method was used to investigate the different associations of visceral (VAT) and subcutaneous adipose tissue (SAT) with serum chemerin levels. Multivariable regression models were applied to examine the association of chemerin with high-sensitivity C-reactive protein, fibrinogen, glucose, glycated hemoglobin, lipid profile, blood pressure, diabetes, dyslipidemia, and hypertension.

RESULTS

Positive associations with chemerin were observed for VAT and SAT with a stronger relation found for VAT. After adjustment for waist circumference, increased chemerin levels were related to higher inflammatory cytokines and glycated hemoglobin and an unfavorable lipid profile. Logistic regression revealed positive associations of chemerin with dyslipidemia [highest vs. lowest quartile: odds ratio (OR) 1.56 (95% confidence interval (CI) 1.25-1.94)] and hypertension [OR 1.31 (95% CI 1.03-1.68)].

CONCLUSIONS

Chemerin levels are significantly linked to inflammation and metabolic syndrome. The majority of the detected associations persisted even after adjustment for waist circumference, suggesting that the relation of chemerin with the analyzed traits cannot be solely explained by an accumulation of adipose tissue.

摘要

目的

本研究旨在通过一项大型基于人群的研究,证实循环趋化素与炎症和代谢参数之间关联的现有假设。

方法

对来自波罗的海健康研究的 3986 名受试者的数据进行了分析。采用残差法研究内脏(VAT)和皮下脂肪组织(SAT)与血清趋化素水平的不同关联。应用多元回归模型来检验趋化素与高敏 C 反应蛋白、纤维蛋白原、血糖、糖化血红蛋白、血脂谱、血压、糖尿病、血脂异常和高血压之间的关系。

结果

VAT 和 SAT 与趋化素呈正相关,且 VAT 的相关性更强。在调整腰围后,趋化素水平升高与更高的炎症细胞因子和糖化血红蛋白以及不利的血脂谱有关。Logistic 回归显示,趋化素与血脂异常[最高与最低四分位数:比值比 (OR) 1.56(95%置信区间 (CI) 1.25-1.94)]和高血压[OR 1.31(95% CI 1.03-1.68)]呈正相关。

结论

趋化素水平与炎症和代谢综合征密切相关。即使在调整腰围后,大多数检测到的关联仍然存在,这表明趋化素与所分析特征之间的关系不能仅仅用脂肪组织的积累来解释。

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