PMID- 23671852 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130515 LR - 20211021 IS - 2314-6745 (Print) IS - 2314-6753 (Electronic) VI - 2013 DP - 2013 TI - Impact of serum retinol-binding protein 4 levels on regulation of remnant-like particles triglyceride in type 2 diabetes mellitus. PG - 143515 LID - 10.1155/2013/143515 [doi] LID - 143515 AB - Background. Although retinol-binding protein 4 (RBP4) associates with insulin resistance and remnant-like particles triglyceride (RLP-TG) elevated in the insulin resistant state, few data exist regarding the relationship between RBP4 and RLP-TG. Subjects and Methods. The study included 92 Japanese type 2 diabetic mellitus (T2DM) male patients (age 60.5 +/- 13.6 years, body mass index (BMI) 24.7 +/- 4.1 kg/m(2), waist circumference (WC) 88.4 +/- 10.7 cm, and HbA1c (NGSP) 7.2 +/- 1.9%). Patients on medications affecting insulin sensitivity, including fibrates, biguanides, and thiazolidinedione, were excluded. Visceral fat area (VFA) and subcutaneous fat area (SFA) were measured by computed tomography. Results. RBP4 levels showed a significant positive correlation with RLP-TG (r = 0.2544 and P = 0.0056), TG (r = 0.1852 and P = 0.041), RLP-TG/TG (r = 0.23765 and P = 0.0241), and age (r = -0.2082 and P = 0.0219), although there was no significant correlation with VFA, SFA, adiponectin levels, or homeostasis model of assessment insulin resistance (HOMA-R). Multiple regression analysis revealed that RBP4 was an independent determinant of RLP-TG (P = 0.0193) but was not a determinant of TG. Conclusions. RBP4 correlates positively with serum RLP-TG independent of fat accumulation in T2DM. RBP4 may regulate remnant metabolism independent of glycemic control in T2DM. FAU - Yamaaki, Naoto AU - Yamaaki N AD - Department of Internal Medicine, Graduate School of Medical Science, Kanazawa University, 13-1 Takaramachi, Kanazawa 920-8640, Japan. FAU - Yagi, Kunimasa AU - Yagi K FAU - Kobayashi, Junji AU - Kobayashi J FAU - Nohara, Atsushi AU - Nohara A FAU - Ito, Naoko AU - Ito N FAU - Asano, Akimichi AU - Asano A FAU - Nakano, Kaoru AU - Nakano K FAU - Liu, Jianhui AU - Liu J FAU - Okamoto, Takuya AU - Okamoto T FAU - Mori, Yukiko AU - Mori Y FAU - Ohbatake, Azusa AU - Ohbatake A FAU - Okazaki, Satoko AU - Okazaki S FAU - Takeda, Yoshiyu AU - Takeda Y FAU - Yamagishi, Masakazu AU - Yamagishi M LA - eng PT - Journal Article DEP - 20130319 PL - England TA - J Diabetes Res JT - Journal of diabetes research JID - 101605237 PMC - PMC3647570 EDAT- 2013/05/15 06:00 MHDA- 2013/05/15 06:01 PMCR- 2013/03/19 CRDT- 2013/05/15 06:00 PHST- 2012/12/25 00:00 [received] PHST- 2013/02/12 00:00 [accepted] PHST- 2013/05/15 06:00 [entrez] PHST- 2013/05/15 06:00 [pubmed] PHST- 2013/05/15 06:01 [medline] PHST- 2013/03/19 00:00 [pmc-release] AID - 10.1155/2013/143515 [doi] PST - ppublish SO - J Diabetes Res. 2013;2013:143515. doi: 10.1155/2013/143515. Epub 2013 Mar 19.