Adipocytokine Associations with Insulin Resistance in British South Asians

Aims. Adipocytokines are implicated in the pathogenesis of type 2 diabetes and may represent identifiable precursors of metabolic disease within high-risk groups. We investigated adiponectin, leptin, and TNF-α and assessed the contribution of these molecules to insulin resistance in south Asians. H...

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Main Authors: D. R. Webb, K. Khunti, S. Chatterjee, J. Jarvis, M. J. Davies
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2013/561016
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author D. R. Webb
K. Khunti
S. Chatterjee
J. Jarvis
M. J. Davies
author_facet D. R. Webb
K. Khunti
S. Chatterjee
J. Jarvis
M. J. Davies
author_sort D. R. Webb
collection DOAJ
description Aims. Adipocytokines are implicated in the pathogenesis of type 2 diabetes and may represent identifiable precursors of metabolic disease within high-risk groups. We investigated adiponectin, leptin, and TNF-α and assessed the contribution of these molecules to insulin resistance in south Asians. Hypothesis. South Asians have adverse adipocytokine profiles which associate with an HOMA-derived insulin resistance phenotype. Methods. We measured adipocytokine concentrations in south Asians with newly diagnosed impaired glucose tolerance or Type 2 Diabetes Mellitus in a case-control study. 158 (48.5% males) volunteers aged 25–75 years with risk factors for diabetes but no known vascular or metabolic disease provided serum samples for ELISA and bioplex assays. Results. Total adiponectin concentration progressively decreased across the glucose spectrum in both sexes. A reciprocal trend in leptin concentration was observed only in south Asian men. Adiponectin but not leptin independently associated with HOMA-derived insulin resistance after logistic multivariate regression. Conclusion. Diasporic south Asian populations have an adverse adipocytokine profile which deteriorates further with glucose dysregulation. Insulin resistance is inversely associated with adiponectin independent of BMI and waist circumference in south Asians, implying that adipocytokine interplay contributes to the pathogenesis of metabolic disease in this group.
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spelling doaj-art-af3d43f3456d44f78f9edd1c0d91c4b42025-02-03T07:24:11ZengWileyJournal of Diabetes Research2314-67452314-67532013-01-01201310.1155/2013/561016561016Adipocytokine Associations with Insulin Resistance in British South AsiansD. R. Webb0K. Khunti1S. Chatterjee2J. Jarvis3M. J. Davies4Department of Cardiovascular Sciences, University of Leicester, Leicester LE3 9QP, UKLeicester Diabetes Center, Leicester General Hospital, Ward 5 (Broadleaf), Gwendolen Road, Leicester LE5 4PW, UKBuckinghamshire Hospitals NHS Trust, Buckinghamshire HP7 OJD, UKLeicester Diabetes Center, Leicester General Hospital, Ward 5 (Broadleaf), Gwendolen Road, Leicester LE5 4PW, UKDepartment of Cardiovascular Sciences, University of Leicester, Leicester LE3 9QP, UKAims. Adipocytokines are implicated in the pathogenesis of type 2 diabetes and may represent identifiable precursors of metabolic disease within high-risk groups. We investigated adiponectin, leptin, and TNF-α and assessed the contribution of these molecules to insulin resistance in south Asians. Hypothesis. South Asians have adverse adipocytokine profiles which associate with an HOMA-derived insulin resistance phenotype. Methods. We measured adipocytokine concentrations in south Asians with newly diagnosed impaired glucose tolerance or Type 2 Diabetes Mellitus in a case-control study. 158 (48.5% males) volunteers aged 25–75 years with risk factors for diabetes but no known vascular or metabolic disease provided serum samples for ELISA and bioplex assays. Results. Total adiponectin concentration progressively decreased across the glucose spectrum in both sexes. A reciprocal trend in leptin concentration was observed only in south Asian men. Adiponectin but not leptin independently associated with HOMA-derived insulin resistance after logistic multivariate regression. Conclusion. Diasporic south Asian populations have an adverse adipocytokine profile which deteriorates further with glucose dysregulation. Insulin resistance is inversely associated with adiponectin independent of BMI and waist circumference in south Asians, implying that adipocytokine interplay contributes to the pathogenesis of metabolic disease in this group.http://dx.doi.org/10.1155/2013/561016
spellingShingle D. R. Webb
K. Khunti
S. Chatterjee
J. Jarvis
M. J. Davies
Adipocytokine Associations with Insulin Resistance in British South Asians
Journal of Diabetes Research
title Adipocytokine Associations with Insulin Resistance in British South Asians
title_full Adipocytokine Associations with Insulin Resistance in British South Asians
title_fullStr Adipocytokine Associations with Insulin Resistance in British South Asians
title_full_unstemmed Adipocytokine Associations with Insulin Resistance in British South Asians
title_short Adipocytokine Associations with Insulin Resistance in British South Asians
title_sort adipocytokine associations with insulin resistance in british south asians
url http://dx.doi.org/10.1155/2013/561016
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AT kkhunti adipocytokineassociationswithinsulinresistanceinbritishsouthasians
AT schatterjee adipocytokineassociationswithinsulinresistanceinbritishsouthasians
AT jjarvis adipocytokineassociationswithinsulinresistanceinbritishsouthasians
AT mjdavies adipocytokineassociationswithinsulinresistanceinbritishsouthasians