PMID- 30059659 OWN - NLM STAT- MEDLINE DCOM- 20190212 LR - 20190215 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 486 DP - 2018 Nov TI - Blood concentrations of lipopolysaccharide-binding protein, high-sensitivity C-reactive protein, tumor necrosis factor-alpha, and Interleukin-6 in relation to insulin resistance in young adolescents. PG - 115-121 LID - S0009-8981(18)30389-9 [pii] LID - 10.1016/j.cca.2018.07.042 [doi] AB - BACKGROUND: We assessed the association of insulin resistance as indicated by the homeostatic model assessment of insulin resistance (HOMA-IR) with inflammatory molecules, lipopolysaccharide-binding protein (LBP), high sensitivity C-reactive protein (hs-CRP), Tumor necrosis factor-alpha (TNF-alpha), and Interleukin-6 (IL-6) in urban young adolescents. METHODS: Seventy-six adolescents (36 subjects with HOMA-IR >/= 2.6 and 40 subjects with HOMA-IR < 2.6) were included in the study. We assessed anthropometric and laboratory measures, such as BMI, blood pressure, insulin sensitivity, liver enzymes, and lipid profiles along with the aforementioned inflammatory biomarkers. The diagnostic accuracy of LBP, hs-CRP, TNF-alpha, and IL-6 for insulin resistance was evaluated by using the receiver operating characteristic (ROC) curve analysis. RESULTS: The mean age of the study subjects was 12.0 [12.0-13.0] y. Circulating LBP plasma concentration and hs-CRP were significantly increased in subjects with HOMA-IR >/= 2.6 when compared with those with HOMA-IR < 2.6 (P < .0001). There was no difference in TNF-alpha or IL-6 concentrations between groups. Comparisons based on the area under the ROC curve for LBP, hs-CRP, TNF-alpha, and IL-6 with regard to insulin resistance (HOMA-IR >/= 2.6) were 0.8384 (95% CI: 0.7380 to 0.9388), 0.7907 (95% CI: 0.6701 to 0.9113), 0.6207 (95% CI: 0.4770 to 0.7643), and 0.5763 (95% CI: 0.4285 to 0.7241), respectively. CONCLUSIONS: Among LBP, hs-CRP, TNF-alpha, and IL-6, plasma LBP has the greatest diagnostic accuracy for insulin resistance in young adolescents. Prospective studies are warranted to delineate the value of LBP in the prediction of insulin resistance. CI - Copyright (c) 2018. Published by Elsevier B.V. FAU - Kim, Ki Eun AU - Kim KE AD - Department of Pediatrics, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Republic of Korea. FAU - Heo, Ju Sun AU - Heo JS AD - Department of Pediatrics, Korea University Anam Hospital, Seoul, Republic of Korea. FAU - Han, Sol AU - Han S AD - Department of Pediatrics, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Republic of Korea. FAU - Kwon, Seul-Ki AU - Kwon SK AD - Department of Biomedical Science, CHA University, CHA Bundang Medical Center, Seongnam, Republic of Korea. FAU - Kim, Soo-Yeon AU - Kim SY AD - Department of Biomedical Science, CHA University, CHA Bundang Medical Center, Seongnam, Republic of Korea. FAU - Kim, Jung Hyun AU - Kim JH AD - Atmin Radiology and Health Promotion Center, Seoul, Republic of Korea. FAU - Baek, Kwang-Hyun AU - Baek KH AD - Department of Biomedical Science, CHA University, CHA Bundang Medical Center, Seongnam, Republic of Korea. FAU - Sheen, Youn Ho AU - Sheen YH AD - Department of Pediatrics, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Republic of Korea. Electronic address: epirubicin13@gmail.com. LA - eng PT - Journal Article DEP - 20180729 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Acute-Phase Proteins) RN - 0 (Biomarkers) RN - 0 (Carrier Proteins) RN - 0 (Interleukin-6) RN - 0 (Membrane Glycoproteins) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (lipopolysaccharide-binding protein) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Acute-Phase Proteins MH - Adolescent MH - Biomarkers/blood MH - C-Reactive Protein/*analysis MH - Carrier Proteins/*blood MH - Child MH - Female MH - Humans MH - *Insulin Resistance MH - Interleukin-6/*blood MH - Male MH - Membrane Glycoproteins/*blood MH - ROC Curve MH - Tumor Necrosis Factor-alpha/*blood OTO - NOTNLM OT - Adolescent OT - Body mass index OT - Inflammation OT - Insulin resistance OT - Lipopolysaccharide-binding protein OT - Obesity EDAT- 2018/07/31 06:00 MHDA- 2019/02/13 06:00 CRDT- 2018/07/31 06:00 PHST- 2018/05/26 00:00 [received] PHST- 2018/07/26 00:00 [revised] PHST- 2018/07/26 00:00 [accepted] PHST- 2018/07/31 06:00 [pubmed] PHST- 2019/02/13 06:00 [medline] PHST- 2018/07/31 06:00 [entrez] AID - S0009-8981(18)30389-9 [pii] AID - 10.1016/j.cca.2018.07.042 [doi] PST - ppublish SO - Clin Chim Acta. 2018 Nov;486:115-121. doi: 10.1016/j.cca.2018.07.042. Epub 2018 Jul 29.