Document Detail


Adipokines and cardiometabolic function: How are they interlinked?
MedLine Citation:
PMID:  20615436     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Adipokines contribute directly to the coexistence of insulin resistance and endothelial dysfunction. Most studies focus on a single adipokine. We therefore investigated the independent relationships of leptin, adiponectin, tumor necrosis factor-alpha, resistin and visfatin, as well as the gut hormone ghrelin with blood pressure and insulin resistance. Secondly we evaluated the interrelationships of adipokines and ghrelin in concert with various cardiometabolic markers.
METHODS AND RESULTS: Caucasian women (N=115) with varying levels of obesity (aged 31.3 + or - 9.18 years) were included. Significant correlations of leptin, adiponectin, ghrelin and visfatin with mean arterial pressure (p<0.05) disappeared after adjustment for age, body mass index and waist circumference. But significant correlations with insulin resistance (HOMA) (for leptin, adiponectin and ghrelin) remained significant after adjustments. Factor analyses yielded five factors, but two main clusters, namely a metabolic syndrome cluster (including leptin, adiponectin and ghrelin) and a vascular atherosclerotic cluster (including tumor necrosis factor-alpha, visfatin and resistin).
CONCLUSION: Factor analyses identified patterns which indicate specific roles of the various adipokines. Leptin, adiponectin and ghrelin were more closely related to insulin resistance and central obesity as core components of the metabolic syndrome. Visfatin, tumor necrosis factor-alpha and resistin seem to direct their effects onto the vascular system possibly by means of mechanisms such as inflammation, vasoconstriction and coagulation.
Authors:
Aletta Elisabeth Schutte; Hugo Willem Huisman; Rudolph Schutte; Johannes Marthinus van Rooyen; Leoné Malan; Catharina Maria Theresia Fourie; Nicolaas Theodore Malan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-07-06
Journal Detail:
Title:  Regulatory peptides     Volume:  164     ISSN:  1873-1686     ISO Abbreviation:  Regul. Pept.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-23     Completed Date:  2011-01-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8100479     Medline TA:  Regul Pept     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  133-8     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier B.V. All rights reserved.
Affiliation:
Hypertension in Africa Research Team (HART), North-West University, Potchefstroom, South Africa. Alta.Schutte@nwu.ac.za
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MeSH Terms
Descriptor/Qualifier:
Adipokines / blood*
Adiponectin / blood
Adult
Blood Pressure / physiology
Body Mass Index
Female
Ghrelin / blood
Humans
Insulin Resistance / physiology
Leptin / blood
Middle Aged
Nicotinamide Phosphoribosyltransferase / blood
Obesity / blood
Resistin / blood
Tumor Necrosis Factor-alpha
Young Adult
Chemical
Reg. No./Substance:
0/Adipokines; 0/Adiponectin; 0/Ghrelin; 0/Leptin; 0/Resistin; 0/Tumor Necrosis Factor-alpha; EC 2.4.2.12/Nicotinamide Phosphoribosyltransferase

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