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循环趋化素水平与代谢、生化和血液学参数的关系——一项基于人群的研究。

Circulating chemerin level is associated with metabolic, biochemical and haematological parameters-A population-based study.

作者信息

Chou Hsin-Hua, Teng Ming-Sheng, Hsu Lung-An, Er Leay-Kiaw, Wu Semon, Ko Yu-Lin

机构信息

Division of Cardiology, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan.

School of Medicine, Tzu Chi University, Hualien, Taiwan.

出版信息

Clin Endocrinol (Oxf). 2021 Jun;94(6):927-939. doi: 10.1111/cen.14441. Epub 2021 Feb 23.

Abstract

OBJECTIVE

This study aims to analyse the association of chemerin levels with several metabolic, biochemical and haematological parameters in a large Taiwanese population with relative healthy status.

DESIGN

Cross-sectional study.

METHODS

Data of 4101 healthy participants without history of hypertension, diabetes, dyslipidaemia and renal insufficiency from Taiwan Biobank were analysed. The demographic, biochemical and haematologic parameters were retrieved from the database. Chemerin levels were measured using commercially available enzyme-linked immunosorbent assay. Univariate and multivariate analysis was performed to test the independent correlates of chemerin.

RESULTS

In the univariate analysis, circulating chemerin levels were positively associated with body mass index (BMI), waist circumference, waist-to-hip ratio (WHR), systolic (SBP) and diastolic blood pressure (DBP), haemoglobin A1C (HbA1C), total cholesterol, triglyceride, low-density lipoprotein cholesterol (LDL-C), creatinine, uric acid, alanine aminotransferase (ALT), gamma-glutamyl transferase (γ-GT), leucocyte and platelet counts both in men and women and negatively associated with high-density lipoprotein cholesterol (HDL-C), estimated glomerular filtration rate (eGFR) and total bilirubin. In the multivariate analysis, BMI, HbA1C, triglyceride, uric acid, γ-GT and platelet counts predicted chemerin levels independently both in men and in women with positive correlation, while eGFR, total bilirubin and HDL-C predicted circulating chemerin levels independently with negative correlation.

CONCLUSIONS

Chemerin level is independently associated with multiple metabolic, biochemical and haematological parameters. This study provides further evidence on the molecular basis linking obesity with several human diseases.

摘要

目的

本研究旨在分析在台湾相对健康的大规模人群中,chemerin水平与多种代谢、生化及血液学参数之间的关联。

设计

横断面研究。

方法

分析了来自台湾生物银行的4101名无高血压、糖尿病、血脂异常及肾功能不全病史的健康参与者的数据。从数据库中获取人口统计学、生化及血液学参数。使用市售酶联免疫吸附测定法测量chemerin水平。进行单因素和多因素分析以检验chemerin的独立相关因素。

结果

在单因素分析中,循环chemerin水平在男性和女性中均与体重指数(BMI)、腰围、腰臀比(WHR)、收缩压(SBP)和舒张压(DBP)、糖化血红蛋白(HbA1C)、总胆固醇、甘油三酯、低密度脂蛋白胆固醇(LDL-C)、肌酐、尿酸、丙氨酸转氨酶(ALT)、γ-谷氨酰转移酶(γ-GT)、白细胞和血小板计数呈正相关,与高密度脂蛋白胆固醇(HDL-C)、估算肾小球滤过率(eGFR)和总胆红素呈负相关。在多因素分析中,BMI、HbA1C、甘油三酯、尿酸、γ-GT和血小板计数在男性和女性中均独立预测chemerin水平,呈正相关,而eGFR、总胆红素和HDL-C独立预测循环chemerin水平,呈负相关。

结论

chemerin水平与多种代谢、生化及血液学参数独立相关。本研究为肥胖与多种人类疾病之间的分子联系提供了进一步证据。

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