PMID- 25176938 OWN - NLM STAT- MEDLINE DCOM- 20150723 LR - 20171116 IS - 1942-3268 (Electronic) IS - 1942-3268 (Linking) VI - 7 IP - 6 DP - 2014 Dec TI - Plasma concentrations of afamin are associated with the prevalence and development of metabolic syndrome. PG - 822-9 LID - 10.1161/CIRCGENETICS.113.000654 [doi] AB - BACKGROUND: Afamin is a human plasma vitamin E-binding glycoprotein primarily expressed in the liver and secreted into the bloodstream. Because little is known about (patho)-physiological functions of afamin, we decided to identify phenotypes associated with afamin by investigating transgenic mice overexpressing the human afamin gene and performing large-scale human epidemiological studies. METHODS AND RESULTS: Transgenic mice overexpressing afamin revealed increased body weight and serum concentrations of lipids and glucose. We applied a random-effects meta-analysis using age- and sex-adjusted baseline and follow-up investigations in the population-based Bruneck (n=826), Salzburg Atherosclerosis Prevention Program in Subjects at High Individual Risk (SAPHIR; n=1499), and KOoperative Gesundheitsforschung in der Region Augsburg (KORA) F4 studies (n=3060). Mean afamin concentrations were 62.5+/-15.3, 66.2+/-14.3, and 70.6+/-17.2 mg/L in Bruneck, SAPHIR, and KORA F4, respectively. Per 10 mg/L increment in afamin measured at baseline, the number of metabolic syndrome components increased by 19% (incidence rate ratio=1.19; 95% confidence interval [CI], 1.16-1.21; P=5.62x10(-64)). With the same afamin increment used at baseline, we observed an 8% gain in metabolic syndrome components between baseline and follow-up (incidence rate ratio=1.08; 95% CI, 1.06-1.10; P=8.87x10(-16)). Afamin concentrations at baseline were highly significantly related to all individual metabolic syndrome components at baseline and at follow-up. This observation was most pronounced for elevated waist circumference (odds ratio, 1.79; 95% CI, 1.54-2.09; P=4.15x10(-14) at baseline and odds ratio, 1.46; 95% CI, 1.31-1.63; P=2.84x10(-11) for change during follow-up) and for elevated fasting glucose concentrations (odds ratio, 1.46; 95% CI, 1.40-1.52; P=1.87x10(-69) and odds ratio, 1.46; 95% CI, 1.24-1.71; P=5.13x10(-6), respectively). CONCLUSIONS: This study in transgenic mice and >5000 participants in epidemiological studies shows that afamin is strongly associated with the prevalence and development of metabolic syndrome and all its components. CI - (c) 2014 American Heart Association, Inc. FAU - Kronenberg, Florian AU - Kronenberg F AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Kollerits, Barbara AU - Kollerits B AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Kiechl, Stefan AU - Kiechl S AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Lamina, Claudia AU - Lamina C AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Kedenko, Lyudmyla AU - Kedenko L AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Meisinger, Christa AU - Meisinger C AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Willeit, Johann AU - Willeit J AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Huth, Cornelia AU - Huth C AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Wietzorrek, Georg AU - Wietzorrek G AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Altmann, Maria E AU - Altmann ME AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Thorand, Barbara AU - Thorand B AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Melmer, Andreas AU - Melmer A AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Dahnhardt, Doreen AU - Dahnhardt D AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Santer, Peter AU - Santer P AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Rathmann, Wolfgang AU - Rathmann W AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Paulweber, Bernhard AU - Paulweber B AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Koenig, Wolfgang AU - Koenig W AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Peters, Annette AU - Peters A AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Adham, Ibrahim M AU - Adham IM AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). FAU - Dieplinger, Hans AU - Dieplinger H AD - From the Division of Genetic Epidemiology (F.K., B.K., C.L., D.D., H.D.), Division of Molecular and Cellular Pharmacology, Department of Medical Genetics, Molecular, and Clinical Pharmacology (G.W.), Department of Neurology (S.K., J.W.), Department of Internal Medicine I (A.M.), Innsbruck Medical University, Innsbruck, Austria; First Department of Internal Medicine, Paracelsus Private Medical University, Salzburg, Austria (L.K., B.P.); Institute of Epidemiology II, Helmholtz Zentrum Munchen-German Research Center for Environmental Health, Oberschleissheim, Germany (C.M., C.H., B.T., A.P.); German Center for Diabetes Research (DZD), Neuherberg, Germany (C.M., C.H., B.T., A.P.); Institute of Human Genetics, University of Gottingen, Gottingen, Germany (M.E.A. I.M.A.); Department of Laboratory Medicine, Bruneck Hospital, Bruneck, Italy (P.S.); Institute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine, University Dusseldorf, Dusseldorf, Germany (W.R.); Department of Internal Medicine II-Cardiology, University of Ulm Medical Center, Ulm, Germany (W.K.); and Vitateq Biotechnology GmbH, Innsbruck, Austria (H.D.). hans.dieplinger@i-med.ac.at. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't DEP - 20140831 PL - United States TA - Circ Cardiovasc Genet JT - Circulation. Cardiovascular genetics JID - 101489144 RN - 0 (AFM protein, human) RN - 0 (Blood Glucose) RN - 0 (Carrier Proteins) RN - 0 (Glycoproteins) RN - 0 (Serum Albumin) RN - ZIF514RVZR (Serum Albumin, Human) SB - IM MH - Adult MH - Aged MH - Animals MH - Blood Glucose/analysis MH - Body Weight MH - Carrier Proteins/*blood MH - Databases, Factual MH - Female MH - Follow-Up Studies MH - Glycoproteins/*blood MH - Humans MH - Logistic Models MH - Male MH - Metabolic Syndrome/*epidemiology/pathology MH - Mice MH - Mice, Transgenic MH - Middle Aged MH - Odds Ratio MH - Phenotype MH - Prevalence MH - Serum Albumin MH - Serum Albumin, Human OTO - NOTNLM OT - afamin protein, human OT - epidemiology OT - glucose OT - lipoproteins OT - metabolic syndrome X OT - metabolism OT - obesity EDAT- 2014/09/02 06:00 MHDA- 2015/07/24 06:00 CRDT- 2014/09/02 06:00 PHST- 2014/09/02 06:00 [entrez] PHST- 2014/09/02 06:00 [pubmed] PHST- 2015/07/24 06:00 [medline] AID - CIRCGENETICS.113.000654 [pii] AID - 10.1161/CIRCGENETICS.113.000654 [doi] PST - ppublish SO - Circ Cardiovasc Genet. 2014 Dec;7(6):822-9. doi: 10.1161/CIRCGENETICS.113.000654. Epub 2014 Aug 31.