Unhealthy Phenotype as Indicated by Salivary Biomarkers: Glucose, Insulin, VEGF-A, and IL-12p70 in Obese Kuwaiti Adolescents

Objective. Here, we investigated the relationships between obesity and the salivary concentrations of insulin, glucose, and 20 metabolic biomarkers in Kuwaiti adolescents. Previously, we have shown that certain salivary metabolic markers can act as surrogates for blood concentrations. Methods. Saliv...

Full description

Saved in:
Bibliographic Details
Main Authors: Mor-Li Hartman, J. Max Goodson, Ping Shi, Jorel Vargas, Tina Yaskell, Danielle Stephens, Maryann Cugini, Hatice Hasturk, Roula Barake, Osama Alsmadi, Sabiha Al-Mutawa, Jitendra Ariga, Pramod Soparkar, Jawad Behbehani, Kazem Behbehani, Francine Welty
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2016/6860240
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564389622841344
author Mor-Li Hartman
J. Max Goodson
Ping Shi
Jorel Vargas
Tina Yaskell
Danielle Stephens
Maryann Cugini
Hatice Hasturk
Roula Barake
Osama Alsmadi
Sabiha Al-Mutawa
Jitendra Ariga
Pramod Soparkar
Jawad Behbehani
Kazem Behbehani
Francine Welty
author_facet Mor-Li Hartman
J. Max Goodson
Ping Shi
Jorel Vargas
Tina Yaskell
Danielle Stephens
Maryann Cugini
Hatice Hasturk
Roula Barake
Osama Alsmadi
Sabiha Al-Mutawa
Jitendra Ariga
Pramod Soparkar
Jawad Behbehani
Kazem Behbehani
Francine Welty
author_sort Mor-Li Hartman
collection DOAJ
description Objective. Here, we investigated the relationships between obesity and the salivary concentrations of insulin, glucose, and 20 metabolic biomarkers in Kuwaiti adolescents. Previously, we have shown that certain salivary metabolic markers can act as surrogates for blood concentrations. Methods. Salivary samples of whole saliva were collected from 8,317 adolescents. Salivary glucose concentration was measured by a high-sensitivity glucose oxidase method implemented on a robotic chemical analyzer. The concentration of salivary insulin and 20 other metabolic biomarkers was assayed in 744 randomly selected saliva samples by multiplexed bead-based immunoassay. Results. Obesity was seen in 26.5% of the adolescents. Salivary insulin predicting hyperinsulinemia occurred in 4.3% of normal-weight adolescents, 8.3% of overweight adolescents, and 25.7% of obese adolescents (p<0.0001). Salivary glucose predicting hyperglycemia was found in only 3% of obese children and was not predictive (p=0.89). Elevated salivary glucose and insulin occurring together was associated with elevated vascular endothelial growth factor and reduced salivary interleukin-12. Conclusion. Considering the surrogate nature of salivary insulin and glucose, this study suggests that elevated insulin may be a dominant sign of metabolic disease in adolescent populations. It also appears that a proangiogenic environment may accompany elevated glucose in obese adolescents.
format Article
id doaj-art-1ffb954ab6ac45b7b5607666645b16fe
institution Kabale University
issn 2090-0708
2090-0716
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Journal of Obesity
spelling doaj-art-1ffb954ab6ac45b7b5607666645b16fe2025-02-03T01:11:03ZengWileyJournal of Obesity2090-07082090-07162016-01-01201610.1155/2016/68602406860240Unhealthy Phenotype as Indicated by Salivary Biomarkers: Glucose, Insulin, VEGF-A, and IL-12p70 in Obese Kuwaiti AdolescentsMor-Li Hartman0J. Max Goodson1Ping Shi2Jorel Vargas3Tina Yaskell4Danielle Stephens5Maryann Cugini6Hatice Hasturk7Roula Barake8Osama Alsmadi9Sabiha Al-Mutawa10Jitendra Ariga11Pramod Soparkar12Jawad Behbehani13Kazem Behbehani14Francine Welty15Department of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USADepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USADepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USADepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USADepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USADepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USADepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USADepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USADepartment of Nutrition, Dasman Diabetes Institute, 15462 Dasman, KuwaitGenome Center, The Dasman Diabetes Institute, 15462 Dasman, KuwaitMinistry of Health, 13001 Safat, KuwaitMinistry of Health, 13001 Safat, KuwaitDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USAFaculty of Dentistry, Kuwait University, 13060 Safat, KuwaitDasman Diabetes Institute, 15462 Dasman, KuwaitDivision of Cardiology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USAObjective. Here, we investigated the relationships between obesity and the salivary concentrations of insulin, glucose, and 20 metabolic biomarkers in Kuwaiti adolescents. Previously, we have shown that certain salivary metabolic markers can act as surrogates for blood concentrations. Methods. Salivary samples of whole saliva were collected from 8,317 adolescents. Salivary glucose concentration was measured by a high-sensitivity glucose oxidase method implemented on a robotic chemical analyzer. The concentration of salivary insulin and 20 other metabolic biomarkers was assayed in 744 randomly selected saliva samples by multiplexed bead-based immunoassay. Results. Obesity was seen in 26.5% of the adolescents. Salivary insulin predicting hyperinsulinemia occurred in 4.3% of normal-weight adolescents, 8.3% of overweight adolescents, and 25.7% of obese adolescents (p<0.0001). Salivary glucose predicting hyperglycemia was found in only 3% of obese children and was not predictive (p=0.89). Elevated salivary glucose and insulin occurring together was associated with elevated vascular endothelial growth factor and reduced salivary interleukin-12. Conclusion. Considering the surrogate nature of salivary insulin and glucose, this study suggests that elevated insulin may be a dominant sign of metabolic disease in adolescent populations. It also appears that a proangiogenic environment may accompany elevated glucose in obese adolescents.http://dx.doi.org/10.1155/2016/6860240
spellingShingle Mor-Li Hartman
J. Max Goodson
Ping Shi
Jorel Vargas
Tina Yaskell
Danielle Stephens
Maryann Cugini
Hatice Hasturk
Roula Barake
Osama Alsmadi
Sabiha Al-Mutawa
Jitendra Ariga
Pramod Soparkar
Jawad Behbehani
Kazem Behbehani
Francine Welty
Unhealthy Phenotype as Indicated by Salivary Biomarkers: Glucose, Insulin, VEGF-A, and IL-12p70 in Obese Kuwaiti Adolescents
Journal of Obesity
title Unhealthy Phenotype as Indicated by Salivary Biomarkers: Glucose, Insulin, VEGF-A, and IL-12p70 in Obese Kuwaiti Adolescents
title_full Unhealthy Phenotype as Indicated by Salivary Biomarkers: Glucose, Insulin, VEGF-A, and IL-12p70 in Obese Kuwaiti Adolescents
title_fullStr Unhealthy Phenotype as Indicated by Salivary Biomarkers: Glucose, Insulin, VEGF-A, and IL-12p70 in Obese Kuwaiti Adolescents
title_full_unstemmed Unhealthy Phenotype as Indicated by Salivary Biomarkers: Glucose, Insulin, VEGF-A, and IL-12p70 in Obese Kuwaiti Adolescents
title_short Unhealthy Phenotype as Indicated by Salivary Biomarkers: Glucose, Insulin, VEGF-A, and IL-12p70 in Obese Kuwaiti Adolescents
title_sort unhealthy phenotype as indicated by salivary biomarkers glucose insulin vegf a and il 12p70 in obese kuwaiti adolescents
url http://dx.doi.org/10.1155/2016/6860240
work_keys_str_mv AT morlihartman unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT jmaxgoodson unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT pingshi unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT jorelvargas unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT tinayaskell unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT daniellestephens unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT maryanncugini unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT haticehasturk unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT roulabarake unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT osamaalsmadi unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT sabihaalmutawa unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT jitendraariga unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT pramodsoparkar unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT jawadbehbehani unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT kazembehbehani unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents
AT francinewelty unhealthyphenotypeasindicatedbysalivarybiomarkersglucoseinsulinvegfaandil12p70inobesekuwaitiadolescents