PMID- 28736442 OWN - NLM STAT- MEDLINE DCOM- 20180920 LR - 20181113 IS - 1476-5497 (Electronic) IS - 0307-0565 (Print) IS - 0307-0565 (Linking) VI - 41 IP - 11 DP - 2017 Nov TI - Family history of type 2 diabetes, abdominal adipocyte size and markers of the metabolic syndrome. PG - 1621-1626 LID - 10.1038/ijo.2017.171 [doi] AB - BACKGROUND/OBJECTIVES: A major risk factor of type 2 diabetes mellitus (T2DM) is a positive family history of diabetes. First degree relatives (FDR) of patients with T2DM are more insulin resistant and are reported to have larger abdominal subcutaneous adipocytes than adults without a family history. Our objectives were to assess whether FDR of T2DM are associated with larger abdominal adipocytes independent of age, sex and abdominal subcutaneous fat and to assess whether a family history of T2DM is also independently related to femoral adipocyte size, as well as visceral fat and fasting plasma triglyceride (TG) concentrations. METHODS: We extracted adipocyte size, body composition, plasma TG and demographic data of non-diabetic research participants of previous studies conducted in our laboratory. We ascertained the family history of T2DM from the electronic medical records. Multivariate regression analysis was used to assess whether FDR of T2DM are more likely to have other risk factors after adjusting for known covariates. RESULTS: Of 604 participants, 148 were FDR of T2DM. Although abdominal and femoral adipocyte size was greater in FDR of T2DM than those without a family history (0.74+/-0.33 vs 0.63+/-0.33 mug lipid per cell, P<0.001; 0.81+/-0.29 vs 0.72+/-0.33 mug lipid per cell, P=0.01, respectively), this was confounded by FDR of T2DM being older, having greater body mass index and percent body fat. A family history of T2DM was a significant predictor of abdominal adipocyte size after adjustment for age and body fat distribution parameters in females (total R(2)=0.5, P<0.0001), but not in males. A family history of T2DM was not independently predictive of femoral adipocyte size, visceral fat area or TG. CONCLUSIONS: Female FDR of T2DM have larger abdominal, but not femoral, adipocytes, even after accounting for age and body fat distribution. FAU - Anthanont, P AU - Anthanont P AD - Endocrine Research Unit, Mayo Clinic, 200 First Street Southwest, Room 5-194, Rochester, MN 55905, USA. FAU - Ramos, P AU - Ramos P AD - Endocrine Research Unit, Mayo Clinic, 200 First Street Southwest, Room 5-194, Rochester, MN 55905, USA. FAU - Jensen, M D AU - Jensen MD AD - Endocrine Research Unit, Mayo Clinic, 200 First Street Southwest, Room 5-194, Rochester, MN 55905, USA. FAU - Hames, K C AU - Hames KC AD - Endocrine Research Unit, Mayo Clinic, 200 First Street Southwest, Room 5-194, Rochester, MN 55905, USA. LA - eng GR - K12 HD065987/HD/NICHD NIH HHS/United States GR - P30 DK050456/DK/NIDDK NIH HHS/United States GR - R37 DK040484/DK/NIDDK NIH HHS/United States GR - R01 DK040484/DK/NIDDK NIH HHS/United States GR - UL1 TR000135/TR/NCATS NIH HHS/United States GR - R01 DK045343/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20170724 PL - England TA - Int J Obes (Lond) JT - International journal of obesity (2005) JID - 101256108 RN - 0 (Biomarkers) RN - 0 (Triglycerides) SB - IM MH - Adipocytes/*pathology MH - Adult MH - Biomarkers/metabolism MH - Body Fat Distribution MH - Body Mass Index MH - Cell Size MH - Diabetes Mellitus, Type 2/genetics/*metabolism/physiopathology MH - Female MH - Genetic Predisposition to Disease MH - Humans MH - Insulin Resistance/*genetics MH - Male MH - Metabolic Syndrome/genetics/*metabolism/physiopathology MH - Risk Factors MH - Sex Factors MH - Triglycerides/metabolism PMC - PMC5818259 MID - NIHMS892577 COIS- Conflict of interest The authors have no conflict of interest to disclose. EDAT- 2017/07/25 06:00 MHDA- 2018/09/21 06:00 PMCR- 2018/02/19 CRDT- 2017/07/25 06:00 PHST- 2017/01/26 00:00 [received] PHST- 2017/06/27 00:00 [revised] PHST- 2017/07/11 00:00 [accepted] PHST- 2017/07/25 06:00 [pubmed] PHST- 2018/09/21 06:00 [medline] PHST- 2017/07/25 06:00 [entrez] PHST- 2018/02/19 00:00 [pmc-release] AID - ijo2017171 [pii] AID - 10.1038/ijo.2017.171 [doi] PST - ppublish SO - Int J Obes (Lond). 2017 Nov;41(11):1621-1626. doi: 10.1038/ijo.2017.171. Epub 2017 Jul 24.