Milajerdi Alireza, Maghbooli Zhila, Mohammadi Farzad, Hosseini Banafsheh, Mirzaei Khadijeh
Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Arch Endocrinol Metab. 2018 Apr 5;62(2):179-186. doi: 10.20945/2359-3997000000022. Print 2018 Mar-Apr.
Adipose tissue, particularly visceral adipose tissue, secretes a variety of cytokines, among which progranulin is a glycoprotein related to the immune system. Along with other secreted proteins, progranulin may be associated with bone mineral density. The aim of this study was to find out whether there are associations between the progranulin and bone mineral density among obese people.
This cross-sectional study was conducted on 244 obese participants (aged 22-52). Serum progranulin, high sensitive C-reactive protein, oxidised-low dencity lipoprotein, tumor necrosis factor-α, parathormone, vitamin D, and interleukins of 1 β, 4, 6, 10, 13, and 17 concentrations were measured. Anthropometric measurements, body composition and bone mineral density were also assessed.
Serum progranulin was directly associated with interleukin-6 and interleukin-1β, while it had a negative association with interleukin-17 and tumor necrosis factor-α. We also observed a statistically significant direct association between progranulin concentration and visceral fat, abdominal fat, waist, abdominal and hip circumferences, hip T-score, and Z-score and T-score for the lumbar region. A partial correlation test has also shown a significant positive correlation regarding serum progranulin and the hip Z-score. Moreover, progranulin level is inversely associated with ospteopenia (P = 0.04 and CI: 0.17,0.96).
Our study revealed that central obesity may be related to increased progranulin concentration. In addition, progranulin concentration was directly related to bone formation parameters, which indicates the protective effects of progranulin on bone density. Further studies are needed to clarify the exact mechanisms underlying these associations.
脂肪组织,尤其是内脏脂肪组织,会分泌多种细胞因子,其中前颗粒蛋白是一种与免疫系统相关的糖蛋白。与其他分泌蛋白一起,前颗粒蛋白可能与骨矿物质密度有关。本研究的目的是查明肥胖人群中前颗粒蛋白与骨矿物质密度之间是否存在关联。
本横断面研究对244名肥胖参与者(年龄22 - 52岁)进行。测量了血清前颗粒蛋白、高敏C反应蛋白、氧化型低密度脂蛋白、肿瘤坏死因子-α、甲状旁腺激素、维生素D以及白细胞介素1β、4、6、10、13和17的浓度。还评估了人体测量指标、身体成分和骨矿物质密度。
血清前颗粒蛋白与白细胞介素-6和白细胞介素-1β直接相关,而与白细胞介素-17和肿瘤坏死因子-α呈负相关。我们还观察到前颗粒蛋白浓度与内脏脂肪、腹部脂肪、腰围、腹围和臀围、髋部T值、Z值以及腰椎区域的T值之间存在统计学上显著的直接关联。偏相关检验也显示血清前颗粒蛋白与髋部Z值之间存在显著正相关。此外,前颗粒蛋白水平与骨质减少呈负相关(P = 0.04,置信区间:0.17,0.96)。
我们的研究表明,中心性肥胖可能与前颗粒蛋白浓度升高有关。此外,前颗粒蛋白浓度与骨形成参数直接相关,这表明前颗粒蛋白对骨密度具有保护作用。需要进一步研究以阐明这些关联背后的确切机制。