超重女性血浆脂多糖结合蛋白增加及炎症介质改变提示存在亚临床内毒素血症状态。
Increased plasma lipopolysaccharide-binding protein and altered inflammatory mediators in overweight women suggest a state of subclinical endotoxemia.
作者信息
Metz Christine N, Xue Xiangying, Chatterjee Prodyot K, Adelson Robert P, Brines Michael, Tracey Kevin J, Gregersen Peter K, Pavlov Valentin A
机构信息
Northwell Health.
出版信息
Res Sq. 2023 Sep 27:rs.3.rs-3356683. doi: 10.21203/rs.3.rs-3356683/v1.
Chronic low-grade inflammation has been recognized as an underlying event linking obesity to cardiovascular disease (CVD). However, inflammatory alterations in individuals who are overweight remain understudied. To provide insight, we determined the levels of key circulating biomarkers of endotoxemia and inflammation, including lipopolysaccharide-binding protein (LBP), CRP, IL-6, leptin, and adiponectin in adult female subjects (n = 20) who were lean or overweight and had high cholesterol and/or high blood pressure - two important conventional risk factors for CVD. Plasma levels of LBP (a recognized marker of metabolic endotoxemia in obesity) were significantly higher in the overweight group compared with the lean group (P = 0.005). The levels of CRP, a general marker of inflammation, were also significantly higher in overweight subjects (P = 0.01), as were IL-6 (P = 0.02) and leptin (P = 0.002), pro-inflammatory mediators associated with cardiovascular risk. Levels of adiponectin, an adipokine with anti-inflammatory and anti-atherogenic functions, were significantly lower in the overweight group (P = 0.002). The leptin/adiponectin ratio, a preferential atherogenic marker was significantly increased in women who are overweight (P = 0.02). LBP, CRP, leptin, and adiponectin levels significantly correlated with BMI, but not with age. These results reveal the presence of subclinical endotoxemia and a pro-inflammatory state in overweight women and are of interest for further studies with the goal for improved understanding of women's cardiovascular health.
慢性低度炎症已被认为是将肥胖与心血管疾病(CVD)联系起来的潜在因素。然而,超重个体的炎症改变仍未得到充分研究。为了深入了解,我们测定了内毒素血症和炎症的关键循环生物标志物水平,包括脂多糖结合蛋白(LBP)、CRP、白细胞介素-6(IL-6)、瘦素和脂联素,这些标志物来自成年女性受试者(n = 20),她们有瘦或超重的情况,且患有高胆固醇和/或高血压——这是CVD的两个重要传统危险因素。与瘦组相比,超重组的LBP(肥胖中代谢性内毒素血症的公认标志物)血浆水平显著更高(P = 0.005)。炎症的一般标志物CRP水平在超重受试者中也显著更高(P = 0.01),与心血管风险相关的促炎介质IL-6(P = 0.02)和瘦素(P = 0.002)也是如此。具有抗炎和抗动脉粥样硬化功能的脂肪因子脂联素水平在超重组中显著更低(P = 0.002)。瘦素/脂联素比值(一种优先的动脉粥样硬化标志物)在超重女性中显著升高(P = 0.02)。LBP、CRP、瘦素和脂联素水平与体重指数(BMI)显著相关,但与年龄无关。这些结果揭示了超重女性存在亚临床内毒素血症和促炎状态,对于进一步研究以更好地理解女性心血管健康具有重要意义。
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