PMID- 32588382 OWN - NLM STAT- MEDLINE DCOM- 20211011 LR - 20221207 IS - 1720-8386 (Electronic) IS - 0391-4097 (Linking) VI - 44 IP - 3 DP - 2021 Mar TI - Association between lower plasma adiponectin levels and higher plasma thrombin generation parameters in men with type 2 diabetes: role of plasma triglycerides. PG - 547-555 LID - 10.1007/s40618-020-01340-3 [doi] AB - OBJECTIVE: Previous studies showed a significant association between lower plasma adiponectin levels and higher risk of adverse cardiovascular outcomes in patients with and without type 2 diabetes mellitus (T2DM). Presently, it is uncertain whether lower plasma adiponectin levels are associated with greater plasma thrombin generation in patients with T2DM. PATIENTS AND METHODS: We studied 82 middle-aged men with non-insulin-treated T2DM [mean age +/- SD: 64.1 +/- 8 years; median duration of diabetes: 12.5 (inter-quartile range 6-19) years; mean hemoglobin A1c 7.0 +/- 0.7%], consecutively attending our diabetes outpatient service over a 6-month period. Using the newly developed fully automated thrombin generation analyzer ST Genesia(R), we measured the plasma parameters lag time (LT), time to peak (TP), peak height (PH) and endogenous thrombin potential (ETP) in all participants. RESULTS: In univariable linear regression analyses, lower plasma adiponectin levels were significantly associated with higher plasma thrombin generation parameters, as reflected by higher values of PH (Pearson's r coefficient = - 0.228, p = 0.039) and EPT (r = - 0.293, p = 0.007). Plasma adiponectin levels were not significantly associated with other thrombin generation parameters (LT and TP). Notably, the significant associations of plasma adiponectin levels with thrombin PH and EPT values persisted after adjustment for age and adiposity measures, but they were lost after additional adjustment for plasma triglycerides. CONCLUSION: Our findings show for the first time the existence of a significant association between lower levels of plasma adiponectin and greater plasma thrombin generation (as assessed by the ST Genesia(R) analyzer) in men with non-insulin-treated T2DM, which appears to be largely mediated by plasma triglycerides. FAU - Mantovani, A AU - Mantovani A AD - Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Piazzale Stefani, 1, 37126, Verona, Italy. alessandro.mantovani@univr.it. FAU - Danese, E AU - Danese E AD - Section of Clinical Biochemistry, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy. FAU - Salvagno, G L AU - Salvagno GL AD - Section of Clinical Biochemistry, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy. FAU - Gelati, M AU - Gelati M AD - Section of Clinical Biochemistry, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy. FAU - Turino, T AU - Turino T AD - Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Piazzale Stefani, 1, 37126, Verona, Italy. FAU - Bovo, C AU - Bovo C AD - Medical Direction, University and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy. FAU - Lippi, G AU - Lippi G AD - Section of Clinical Biochemistry, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy. FAU - Targher, G AU - Targher G AD - Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University and Azienda Ospedaliera Universitaria Integrata of Verona, Piazzale Stefani, 1, 37126, Verona, Italy. LA - eng PT - Journal Article DEP - 20200625 PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 RN - 0 (ADIPOQ protein, human) RN - 0 (Adiponectin) RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Triglycerides) RN - EC 3.4.21.5 (Thrombin) SB - IM MH - Adiponectin/*blood MH - Aged MH - Biomarkers/*blood MH - Blood Glucose/analysis MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/blood/*pathology MH - Follow-Up Studies MH - Glycated Hemoglobin/analysis MH - Humans MH - Male MH - Middle Aged MH - Prognosis MH - Prospective Studies MH - Thrombin/*analysis MH - Triglycerides/*blood OTO - NOTNLM OT - Adiponectin OT - Plasma thrombin generation OT - Triglycerides OT - Type 2 diabetes EDAT- 2020/06/27 06:00 MHDA- 2021/10/12 06:00 CRDT- 2020/06/27 06:00 PHST- 2020/05/14 00:00 [received] PHST- 2020/06/19 00:00 [accepted] PHST- 2020/06/27 06:00 [pubmed] PHST- 2021/10/12 06:00 [medline] PHST- 2020/06/27 06:00 [entrez] AID - 10.1007/s40618-020-01340-3 [pii] AID - 10.1007/s40618-020-01340-3 [doi] PST - ppublish SO - J Endocrinol Invest. 2021 Mar;44(3):547-555. doi: 10.1007/s40618-020-01340-3. Epub 2020 Jun 25.