PMID- 16770329 OWN - NLM STAT- MEDLINE DCOM- 20070423 LR - 20231212 IS - 0307-0565 (Print) IS - 0307-0565 (Linking) VI - 31 IP - 2 DP - 2007 Feb TI - Increased serum interleukin-18 concentration is associated with hypoadiponectinemia in obesity, independently of insulin resistance. PG - 221-5 AB - OBJECTIVE: Interleukin-18 (IL-18) is a cytokine with proinflammatory and proatherogenic properties, which might be associated with the development of insulin resistance. In contrast, adiponectin, a protein secreted by adipose tissue, might exert insulin-sensitizing and antiatherogenic effects. The aim of the present study was to analyze the association between serum IL-18 and adiponectin in lean and obese subjects, in relation to insulin resistance. DESIGN: Cross-sectional study. SUBJECTS: One hundred and thirty individuals, 62 lean (body mass index (BMI)<25 kg/m(2), 30 men and 32 women) and 68 with overweight or obesity (BMI>25 kg/m(2), 24 men and 44 women), with normal glucose tolerance and without concomitant diseases. MEASUREMENTS: Oral glucose tolerance test, euglycemic hyperinsulinemic clamp, serum concentrations of IL-18, IL-6, soluble tumor necrosis factor-alpha receptors and adiponectin. RESULTS: Obese subjects had lower insulin sensitivity (M value, P=0.00029) and serum adiponectin (P=0.01) and higher levels of serum IL-18 (P=0.00055). Circulating IL-18 was negatively related to adiponectin (r=-0.31, P=0.00027) and insulin sensitivity (r=-0.33, P=0.00012). Subgroup analysis revealed that these associations were present in the obese (adiponectin, r=-0.38, P=0.0014; M, r=-0.29, P=0.016), but not in lean individuals (r=-0.17, P=0.18 and r=-0.20, P=0.12, respectively). Association of IL-18 with adiponectin remained significant after adjustment for other estimated parameters, including insulin sensitivity. Also, relationship between IL-18 and insulin sensitivity was independent of other estimated parameters. CONCLUSION: Serum IL-18 is inversely related to serum adiponectin, independently of insulin resistance. The relationships of IL-18 with adiponectin and insulin sensitivity are influenced by the presence of overweight/obesity. FAU - Straczkowski, M AU - Straczkowski M AD - Department of Endocrinology, Diabetology and Internal Medicine, Medical University of Bialystok, Bialystok, Poland. mstraczkowski@poczta.onet.pl FAU - Kowalska, I AU - Kowalska I FAU - Nikolajuk, A AU - Nikolajuk A FAU - Otziomek, E AU - Otziomek E FAU - Adamska, A AU - Adamska A FAU - Karolczuk-Zarachowicz, M AU - Karolczuk-Zarachowicz M FAU - Gorska, M AU - Gorska M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060613 PL - England TA - Int J Obes (Lond) JT - International journal of obesity (2005) JID - 101256108 RN - 0 (Adiponectin) RN - 0 (Blood Glucose) RN - 0 (Interleukin-18) SB - IM MH - Adiponectin/*blood MH - Adult MH - Anthropometry MH - Blood Glucose/metabolism MH - Body Mass Index MH - Cross-Sectional Studies MH - Female MH - Glucose Tolerance Test MH - Humans MH - *Insulin Resistance MH - Interleukin-18/*blood MH - Male MH - Obesity/*blood EDAT- 2006/06/14 09:00 MHDA- 2007/04/24 09:00 CRDT- 2006/06/14 09:00 PHST- 2006/06/14 09:00 [pubmed] PHST- 2007/04/24 09:00 [medline] PHST- 2006/06/14 09:00 [entrez] AID - 0803421 [pii] AID - 10.1038/sj.ijo.0803421 [doi] PST - ppublish SO - Int J Obes (Lond). 2007 Feb;31(2):221-5. doi: 10.1038/sj.ijo.0803421. Epub 2006 Jun 13.