PMID- 22647307 OWN - NLM STAT- MEDLINE DCOM- 20150611 LR - 20220317 IS - 1662-4033 (Electronic) IS - 1662-4025 (Linking) VI - 5 IP - 2 DP - 2012 TI - The impact of type 2 diabetes on circulating adipokines in patients with metabolic syndrome. PG - 270-6 LID - 10.1159/000338729 [doi] AB - AIM: The aim of the study was to investigate, whether type 2 diabetes independently influences adipokines and inflammatory markers in patients with metabolic syndrome. METHODS: 36 patients with metabolic syndrome without type 2 diabetes and 39 patients with metabolic syndrome with type 2 diabetes, carefully matched for age, sex, and BMI, were investigated. Primary outcome measures were circulating adipokines and inflammatory markers (adiponectin, leptin, visfatin, vaspin, resistin, TNF-alpha, IL-6, monocyte chemoattractant protein-1 (MCP-1), retinol binding protein 4 (RBP-4), growth differentiation factor-15 (GDF-15)). In addition, we determined parameters of glucose and lipid metabolism. RESULTS: Patients with metabolic syndrome and type 2 diabetes had significantly lower levels of plasma total cholesterol, low-density lipoprotein cholesterol and triglycerides (p < 0.05). They displayed higher GDF-15 concentrations (1,113 +/- 135 vs. 656 +/- 63 pg/ml, p = 0.005) and lower visfatin concentrations (3.7 +/- 0.3 vs. 4.8 +/- 0.2 ng/ml, p = 0.009). There were no differences in other adipokines and inflammatory markers between both groups. CONCLUSIONS: In patients with metabolic syndrome, type 2 diabetes leads to decreased visfatin and increased GDF-15 serum levels when compared to carefully matched non-diabetic subjects. Whether the increase in GDF-15 is an indicator or a causal factor for the increased cardiovascular risk in diabetic subjects remains to be investigated in further studies. CI - Copyright (c) 2012 S. Karger GmbH, Freiburg. FAU - Schindler, Karin AU - Schindler K AD - Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University Vienna, Vienna, Austria. FAU - Vila, Greisa AU - Vila G FAU - Hoppichler, Friedrich AU - Hoppichler F FAU - Lechleitner, Monika AU - Lechleitner M FAU - Luger, Anton AU - Luger A FAU - Anderwald, Christian AU - Anderwald C FAU - Hoefler, Jurgen AU - Hoefler J FAU - Tomasec, Goran AU - Tomasec G FAU - Kautzky-Willer, Alexandra AU - Kautzky-Willer A FAU - Ludvik, Bernhard AU - Ludvik B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120421 PL - Switzerland TA - Obes Facts JT - Obesity facts JID - 101469429 RN - 0 (Adipokines) RN - 0 (Growth Differentiation Factor 15) RN - 0 (Inflammation Mediators) RN - 0 (Lipids) RN - EC 2.4.2.12 (Nicotinamide Phosphoribosyltransferase) SB - IM MH - Adipokines/*blood MH - Cardiovascular Diseases/blood/etiology MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*blood/complications MH - Female MH - Growth Differentiation Factor 15/*blood MH - Humans MH - Inflammation Mediators/*blood MH - Lipids/blood MH - Male MH - Metabolic Syndrome/*blood/complications MH - Middle Aged MH - Nicotinamide Phosphoribosyltransferase/*blood MH - Risk Factors EDAT- 2012/06/01 06:00 MHDA- 2015/06/13 06:00 CRDT- 2012/06/01 06:00 PHST- 2011/07/27 00:00 [received] PHST- 2011/08/26 00:00 [accepted] PHST- 2012/06/01 06:00 [entrez] PHST- 2012/06/01 06:00 [pubmed] PHST- 2015/06/13 06:00 [medline] AID - 000338729 [pii] AID - 10.1159/000338729 [doi] PST - ppublish SO - Obes Facts. 2012;5(2):270-6. doi: 10.1159/000338729. Epub 2012 Apr 21.