PMID- 31536546 OWN - NLM STAT- MEDLINE DCOM- 20200306 LR - 20221207 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 14 IP - 9 DP - 2019 TI - Clinical factors associated with bacterial translocation in Japanese patients with type 2 diabetes: A retrospective study. PG - e0222598 LID - 10.1371/journal.pone.0222598 [doi] LID - e0222598 AB - OBJECTIVE: To explore clinical factors associated with bacterial translocation in Japanese patients with type 2 diabetes mellitus (T2DM). METHODS: The data of 118 patients with T2DM were obtained from two previous clinical studies, and were retrospectively analyzed regarding the clinical parameters associated with bacterial translocation defined as detection of bacteremia and levels of plasma lipopolysaccharide binding protein (LBP), the latter of which is thought to reflect inflammation caused by endotoxemia. RESULTS: LBP level was not significantly different between patients with and without bacteremia. No clinical factors were significantly correlated with the detection of bacteremia. On the other hand, plasma LBP level was significantly correlated with HbA1c (r = 0.312), fasting blood glucose (r = 0.279), fasting C-peptide (r = 0.265), body mass index (r = 0.371), high-density lipoprotein cholesterol (r = -0.241), and inflammatory markers (high-sensitivity C-reactive protein, r = 0.543; and interleukin-6, r = 0.456). Multiple regression analysis identified body mass index, HbA1c, high-sensitivity C-reactive protein, and interleukin-6 as independent determinants of plasma LBP level. CONCLUSION: The plasma LBP level was similar in patients with and without bacteremia. While both bacteremia and LBP are theoretically associated with bacterial translocation, the detection of bacteremia was not associated with LBP level in T2DM. FAU - Tamaki, Shoko AU - Tamaki S AD - Department of Metabolism & Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan. FAU - Kanazawa, Akio AU - Kanazawa A AUID- ORCID: 0000-0003-2292-395X AD - Department of Metabolism & Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan. FAU - Sato, Junko AU - Sato J AD - Department of Metabolism & Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan. FAU - Tamura, Yoshifumi AU - Tamura Y AD - Department of Metabolism & Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan. AD - Sportology Center, Juntendo University Graduate School of Medicine, Tokyo, Japan. FAU - Asahara, Takashi AU - Asahara T AD - Probiotics Research Laboratory, Juntendo University Graduate School of Medicine, Tokyo, Japan. AD - Yakult Central Institute, Tokyo, Japan. FAU - Takahashi, Takuya AU - Takahashi T AD - Probiotics Research Laboratory, Juntendo University Graduate School of Medicine, Tokyo, Japan. AD - Yakult Central Institute, Tokyo, Japan. FAU - Matsumoto, Satoshi AU - Matsumoto S AD - Probiotics Research Laboratory, Juntendo University Graduate School of Medicine, Tokyo, Japan. AD - Yakult Central Institute, Tokyo, Japan. FAU - Yamashiro, Yuichiro AU - Yamashiro Y AD - Probiotics Research Laboratory, Juntendo University Graduate School of Medicine, Tokyo, Japan. FAU - Watada, Hirotaka AU - Watada H AD - Department of Metabolism & Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan. AD - Sportology Center, Juntendo University Graduate School of Medicine, Tokyo, Japan. AD - Center for Therapeutic Innovations in Diabetes, Juntendo University Graduate School of Medicine, Tokyo, Japan. AD - Center for Identification of Diabetic Therapeutic Targets, Juntendo University Graduate School of Medicine, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20190919 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Acute-Phase Proteins) RN - 0 (Biomarkers) RN - 0 (C-Peptide) RN - 0 (Carrier Proteins) RN - 0 (Interleukin-6) RN - 0 (Membrane Glycoproteins) RN - 0 (lipopolysaccharide-binding protein) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Acute-Phase Proteins MH - Asian People MH - Bacterial Translocation/*physiology MH - Biomarkers/blood MH - C-Peptide/blood MH - C-Reactive Protein/metabolism MH - Carrier Proteins/blood MH - Diabetes Mellitus, Type 2/blood/metabolism/*microbiology MH - Endotoxemia/blood/metabolism/microbiology MH - Female MH - Humans MH - Inflammation/blood/metabolism/microbiology MH - Interleukin-6/blood MH - Male MH - Membrane Glycoproteins/blood MH - Middle Aged MH - Retrospective Studies PMC - PMC6752875 COIS- AK has received lecture fees from Kissei Pharma, Sanofi, and Takeda Pharmaceutical Company. JS has received lecture fees from Novartis Pharmaceuticals, Novo Nordisk Pharma, Sanofi, and Takeda Pharmaceutical Company. YT has received lecture fees from Takeda Pharmaceutical Company, MSD, Eli Lilly, Kissei Pharma, and AstraZeneca. HW has received lecture fees from Novo Nordisk, Inc., Eli Lilly and Company, Sanofi, Dainippon Sumitomo Pharma Co., Fujifilm, Bayer Health Care, Kissei Pharmaceutical Company, Mochida Pharmaceutical Company, MSD, Takeda Pharmaceutical Company, Boehringer Ingelheim Pharmaceuticals, Inc., Daiichi-Sankyo, Ono Pharmaceutical Co., Ltd., Novartis Pharmaceuticals Corporation, Mitsubishi Tanabe Pharma Corporation, AstraZeneca LP, Kyowa Hakko Kirin Company, Ltd., Sanwa Kagaku Kenkyusho Company, Ltd., Kowa Company Ltd., and Astellas Pharma, Inc.; advisory fees from Novo Nordisk, Inc., Mochida Pharma Company, AstraZeneca LP, Kowa Company, Astellas Pharma, Inc., Sanofi, Boehringer Ingelheim Pharmaceuticals, Inc., MSD, Mitsubishi Tanabe Pharma Corporation, Novartis Pharmaceuticals Corporation, Dainippon Sumitomo Pharma Co., Takeda Pharmaceutical Company, Ono Pharmaceutical Co., Pfizer, Inc., and Kowa Company; and research funds from Boehringer Ingelheim, Pfizer, Mochida Pharmaceutical Co., Sanofi-Aventis, Novo Nordisk Pharma, Novartis Pharmaceuticals, Sanwakagaku Kenkyusho, Terumo Corp., Eli Lilly, Mitsubishi Tanabe Pharma, Daiichi Sankyo Inc., Takeda Pharmaceutical Co., MSD, Shionogi, Pharma, Dainippon Sumitomo Pharma, Kissei Pharma, and Astrazeneca., TA, TT, and SM are employed by the Yakult Central Institute. ST and YY have nothing to declare. This does not alter our adherence to PLOS ONE policies on sharing data and materials. EDAT- 2019/09/20 06:00 MHDA- 2020/03/07 06:00 PMCR- 2019/09/19 CRDT- 2019/09/20 06:00 PHST- 2019/03/17 00:00 [received] PHST- 2019/09/02 00:00 [accepted] PHST- 2019/09/20 06:00 [entrez] PHST- 2019/09/20 06:00 [pubmed] PHST- 2020/03/07 06:00 [medline] PHST- 2019/09/19 00:00 [pmc-release] AID - PONE-D-19-07704 [pii] AID - 10.1371/journal.pone.0222598 [doi] PST - epublish SO - PLoS One. 2019 Sep 19;14(9):e0222598. doi: 10.1371/journal.pone.0222598. eCollection 2019.