PMID- 27801417 OWN - NLM STAT- MEDLINE DCOM- 20170302 LR - 20181023 IS - 0040-3660 (Print) IS - 0040-3660 (Linking) VI - 88 IP - 10 DP - 2016 TI - [Acute-phase serum proteins and adipocytokines in women with type 2 diabetes mellitus: Relationships with body composition and blood glucose fluctuations]. PG - 35-41 LID - 10.17116/terarkh2016881035-41 [doi] AB - AIM: To estimate the relationships between the serum concentrations of acute-phase proteins (APPs) and adipocytokines, body composition (BC), and blood glucose (BG) fluctuations in women with type 2 diabetes mellitus (T2DM). SUBJECTS AND METHODS: A total of 165 women with T2DM and 22 with a normal body mass index (BMI) at the age of 40 to 70 years were examined. The concentrations of high-sensitivity C-reactive protein (hs-CRP) and acid alpha1-glycoprotein (alpha1-AGP) were determined by ELISA. The levels of interleukins 6, 8, and 18 (IL-6, IL-8, IL-18), tumor necrosis factor-alpha (TNF-alpha), and plasminogen activator inhibitor type 1 (PAI-1) were measured by a multiplex analysis. Dual energy X-ray absorptiometry was used to estimate BC parameters. BG fluctuations were estimated via continuous glucose monitoring. RESULTS: The levels of hs-CRP, alpha1-AGP, IL-6, IL-8, IL-18, TNF-alpha, and PAI-1 were significantly higher in the obese women with T2DM than those in the control group. In the diabetic normal weight women, only hs-CRP, alpha1-AGP, and IL-8 concentrations exceeded those in the controls. The level of hs-CRP (other than alpha1-AGP) correlated positively with BMI, the mass of adipose tissue, body trunk (android), and gynoid fats. A multivariate regression analysis showed that adipose tissue mass and trunk fat proportion were independent predictors of hs-CRP levels. The concentrations of IL-6, IL-8, IL-18, PAI-1, and TNF-alpha correlated positively with waist-to-hip ratio, but demonstrated no associations with BMI and BC. Only the serum alpha1-AGP level showed a positive association with mean BG and its variability parameters. CONCLUSION: In the women with T2DM, the serum concentrations of APPs and adipocytokines correlate differently with the mass of adipose tissue, its distribution, and BG fluctuations. The findings indicate the multifactorial genesis of chronic inflammation in these patients. FAU - Klimontov, V V AU - Klimontov VV AD - Research Institute of Clinical and Experimental Lymphology, Novosibirsk, Russia. FAU - Tyan, N V AU - Tyan NV AD - Research Institute of Clinical and Experimental Lymphology, Novosibirsk, Russia. FAU - Fazullina, O N AU - Fazullina ON AD - Research Institute of Clinical and Experimental Lymphology, Novosibirsk, Russia. FAU - Myakina, N E AU - Myakina NE AD - Research Institute of Clinical and Experimental Lymphology, Novosibirsk, Russia. FAU - Orlov, N B AU - Orlov NB AD - Research Institute of Clinical and Experimental Lymphology, Novosibirsk, Russia. FAU - Konenkov, V I AU - Konenkov VI AD - Research Institute of Clinical and Experimental Lymphology, Novosibirsk, Russia. LA - rus PT - Journal Article TT - Belki ostroi fazy vospaleniya i adipotsitokiny v syvorotke krovi u zhenshchin s sakharnym diabetom 2-go tipa: vzaimosvyazi s sostavom tela i kolebaniyami urovnya glyukozy v krovi. PL - Russia (Federation) TA - Ter Arkh JT - Terapevticheskii arkhiv JID - 2984818R RN - 0 (Acute-Phase Proteins) RN - 0 (Adipokines) RN - 0 (Blood Glucose) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Absorptiometry, Photon/methods MH - *Acute-Phase Proteins/analysis/metabolism MH - Adipokines/*blood MH - *Blood Glucose/analysis/metabolism MH - *Body Composition MH - C-Reactive Protein MH - Diabetes Mellitus, Type 2/complications/diagnosis/metabolism MH - Female MH - Humans MH - Middle Aged MH - *Obesity/blood/complications/diagnosis MH - Statistics as Topic EDAT- 2016/11/02 06:00 MHDA- 2017/03/03 06:00 CRDT- 2016/11/02 06:00 PHST- 2016/11/02 06:00 [pubmed] PHST- 2017/03/03 06:00 [medline] PHST- 2016/11/02 06:00 [entrez] AID - 10.17116/terarkh2016881035-41 [doi] PST - ppublish SO - Ter Arkh. 2016;88(10):35-41. doi: 10.17116/terarkh2016881035-41.