High serum C1q-adiponectin/total adiponectin ratio correlates with coronary artery disease in Japanese type 2 diabetics

被引:14
作者
Hirata, Ayumu [1 ]
Kishida, Ken [1 ]
Nakatsuji, Hideaki [1 ]
Kobayashi, Hironori [2 ]
Funahashi, Tohru [1 ,3 ]
Shimomura, Iichiro [1 ]
机构
[1] Osaka Univ, Grad Sch Med, Dept Metab Med, Osaka, Japan
[2] Otsuka Pharmaceut Co Ltd, Div Diagnost, Dept Res & Dev, Tokushima 77101, Japan
[3] Osaka Univ, Grad Sch Med, Dept Metab & Atherosclerosis, Osaka, Japan
来源
METABOLISM-CLINICAL AND EXPERIMENTAL | 2013年 / 62卷 / 04期
关键词
Adiponectin; C1q; C1q-binding adiponectin; Coronary artery disease; ADIPOSE-SPECIFIC PROTEIN; PLASMA-CONCENTRATIONS; ATHEROSCLEROSIS; COMPLEMENT; ASSOCIATION; DECREASE; MICE; C1Q;
D O I
10.1016/j.metabol.2012.10.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. Adiponectin, an adipocyte-derived protein, has potential antiatherogenic properties. Low levels of serum total-adiponectin (Total-APN) correlate with diabetes and coronary artery disease (CAD). Adiponectin and C1q form a protein complex in blood, and serum C1q-binding adiponectin (C1q-APN) can be measured. We investigated the correlation between C1q-APN and CAD in patients with type 2 diabetes mellitus (T2DM). Methods. The study subjects were 107 outpatients with T2DM who underwent evaluation for CAD. Blood C1q, Total-APN, high-molecular weight-adiponectin (HMW-APN) and C1q-APN were measured by enzyme-linked immunosorbent assays. Results. Serum levels of C1q-APN/Total-APN ratio were higher in patients diagnosed with CAD (10.47 +/- 0.59, mean +/- SEM, n=54) than those without CAD (8.88 +/- 0.60, n=53, p=0.0482). Age- and sex-adjusted logistic regression analysis identified serum C1q-APN/Total-APN ratio and hypertension as significant and independent determinants of CAD. A high serum C1q-APN/Total-APN ratio was associated with 3.965-fold increase in CAD prevalence. Conclusions. High serum C1q-APN/Total-APN ratio correlates with CAD in T2DM. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:578 / 585
页数:8
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