PMID- 27784852 OWN - NLM STAT- MEDLINE DCOM- 20171003 LR - 20171116 IS - 1348-4540 (Electronic) IS - 0918-8959 (Linking) VI - 64 IP - 3 DP - 2017 Mar 31 TI - Mast cell specific immunological biomarkers and metabolic syndrome among middle-aged and older Chinese adults. PG - 245-253 LID - 10.1507/endocrj.EJ16-0388 [doi] AB - The main aim of this study is to explore whether these mast cell specific immunological biomarkers [immunoglobulin E (IgE), chymase and tryptase] is an independent risk factor of MetS and whether the combined action of these biomarkers increased the associations with MetS. Three mast cell-specific immunological biomarkers were measured using enzyme linked immunosorbent assay (ELISA). One-way analysis of covariance and logistic regression models were used for analyzing the associations between immunological biomarkers with MetS. A total of 340 participants, 82 (24.1%) individuals had diabetes mellitus, 31 (9.1%) had MetS (without diabetes mellitus) and 110 had MetS plus diabetes mellitus. After adjusting by multivariable (age, gender, smoking, and family history for hypertension), compared with no diabetes mellitus or MetS group (reference group), hs-CRP was associated with diabetes mellitus [OR (odds ratio): 2.29 (1.15-4.57, 95% CI (confidence interval), p=0.019] and MetS plus diabetes mellitus [OR: 2.20 (1.05-4.61, 95% CI), p=0.036], IgE was associated with MetS plus diabetes mellitus [OR: 2.38 (1.13-5.02, 95% CI), p=0.023]. After adjusting by multivariable, compared with reference group, most of combined elevated inflammatory or immunological biomarkers were significantly associated with diabetes mellitus or MetS with or without diabetes mellitus. Patients with established diabetes mellitus or MetS had different inflammatory or immunological cytokine profile (such as hs-CRP, IgE, chymase, tryptase), which indicated that there is an alteration in the function of the immune system in diabetes mellitus or MetS patient. But these results are requested to be further demonstrated for large sample population-based cohort study. FAU - Wang, Zhen AU - Wang Z AD - Department of Clinical Medicine, School of Nursing & Medicine, Huzhou University, Huzhou, Zhejiang 313000, China. FAU - Shen, Xu-Hui AU - Shen XH FAU - Feng, Wen-Ming AU - Feng WM FAU - Qiu, Wei AU - Qiu W LA - eng PT - Journal Article DEP - 20161027 PL - Japan TA - Endocr J JT - Endocrine journal JID - 9313485 RN - 0 (Biomarkers) RN - 37341-29-0 (Immunoglobulin E) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.21.39 (CMA1 protein, human) RN - EC 3.4.21.39 (Chymases) RN - EC 3.4.21.59 (Tryptases) SB - IM MH - Aged MH - Biomarkers/blood MH - Body Mass Index MH - C-Reactive Protein/*analysis MH - China/epidemiology MH - Chymases/blood/metabolism MH - Cross-Sectional Studies MH - Female MH - Humans MH - Hyperlipidemias/physiopathology MH - Hypertension/physiopathology MH - Immunoglobulin E/*analysis MH - *Insulin Resistance MH - Male MH - Mass Screening MH - Mast Cells/*immunology/metabolism MH - Metabolic Syndrome/epidemiology/etiology/*immunology/metabolism MH - Middle Aged MH - Obesity/physiopathology MH - Overweight/physiopathology MH - Prediabetic State/diagnosis/etiology MH - Risk Factors MH - Tryptases/blood/metabolism MH - *Up-Regulation EDAT- 2016/10/28 06:00 MHDA- 2017/10/04 06:00 CRDT- 2016/10/28 06:00 PHST- 2016/10/28 06:00 [pubmed] PHST- 2017/10/04 06:00 [medline] PHST- 2016/10/28 06:00 [entrez] AID - 10.1507/endocrj.EJ16-0388 [doi] PST - ppublish SO - Endocr J. 2017 Mar 31;64(3):245-253. doi: 10.1507/endocrj.EJ16-0388. Epub 2016 Oct 27.