PMID- 33930896 OWN - NLM STAT- MEDLINE DCOM- 20220429 LR - 20221207 IS - 1439-3646 (Electronic) IS - 0947-7349 (Linking) VI - 130 IP - 4 DP - 2022 Apr TI - Increased Serum WISP1 Levels are Associated with Lower Extremity Atherosclerotic Disease in Patients with Type 2 Diabetes Mellitus. PG - 248-253 LID - 10.1055/a-1474-8220 [doi] AB - BACKGROUND: Serum wnt1-induced signaling pathway protein 1 (WISP1) levels are increased with obesity, which is a common complication associated with lower extremity atherosclerotic disease (LEAD). However, to date, the relationship between elevated WISP1 levels and the incidence of lower extremity atherosclerotic disease (LEAD) in type 2 diabetes mellitus (T2DM) remains unclear. METHODS: 174 newly diagnosed type 2 diabetic patients were enrolled in our study. Patients were divided into two groups, LEAD group (n=100) and control group (n=74). Anthropometric parameters, blood pressure and some biochemical parameters were obtained. Body composition was detected by bioelectrical impedance analysis (BIA). Levels of serum insulin were determined by radioimmunoassay. Serum WISP1 and interleukin 6 (IL-6) levels were determined using an enzyme-linked immunosorbent assay. RESULTS: It was shown that serum WISP1 levels in diabetic patients with LEAD were higher than those without LEAD (P<0.001). Serum WISP1 levels were positively related with waist circumference (r=0.237, P=0.003), waist-hip ratio (r=0.22, P=0.006), visceral fat area (r=0.354, P<0.001), serum creatinine (r=0.192, P=0.012), interleukin 6 (r=0.182, P=0.032), c-reactive protein (r=0.681, P<0.001), triglycerides (r=0.119, P<0.001), fasting glucose (r=0.196, P=0.011), glycated hemoglobin (r=0.284, P<0.001), and HOMA-IR (r=0.285, P<0.026). Compared with the lowest tertile, the odds ratio of the middle tertile for LEAD incidence was 3.27 (95% CI, 1.24-8.64) and 4.46 (95% CI, 1.62-12.29) for the highest tertile after adjusting confounding factors. CONCLUSION: The results suggest that increased serum WISP1 levels independently contribute to the incidence of LEAD in patients with newly diagnosed T2DM. CI - Thieme. All rights reserved. FAU - Cheng, Yangyang AU - Cheng Y AD - Department of Endocrinology, Central Theater Command General Hospital of the Chinese People's Liberation Army, Wuhan, 430070, Hubei, China. FAU - Du, Xiaohui AU - Du X AD - Department of Endocrinology, Central Theater Command General Hospital of the Chinese People's Liberation Army, Wuhan, 430070, Hubei, China. FAU - Zhang, Bilin AU - Zhang B AD - Department of Endocrinology, Central Theater Command General Hospital of the Chinese People's Liberation Army, Wuhan, 430070, Hubei, China. FAU - Zhang, Junxia AU - Zhang J AD - Department of Endocrinology, Central Theater Command General Hospital of the Chinese People's Liberation Army, Wuhan, 430070, Hubei, China. LA - eng GR - Bethune-Merck Diabetes Research Foundation/NO. G2018030/ GR - China Diabetes Young Scientific Talent Research Project/Number 2020-N-01/ PT - Journal Article DEP - 20210430 PL - Germany TA - Exp Clin Endocrinol Diabetes JT - Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association JID - 9505926 RN - 0 (CCN Intercellular Signaling Proteins) RN - 0 (CCN4 protein, human) RN - 0 (Glycated Hemoglobin A) RN - 0 (Interleukin-6) RN - 0 (Proto-Oncogene Proteins) SB - IM MH - *Atherosclerosis/epidemiology/etiology MH - Body Mass Index MH - CCN Intercellular Signaling Proteins MH - *Diabetes Mellitus, Type 2 MH - Glycated Hemoglobin/analysis MH - Humans MH - *Insulin Resistance MH - Interleukin-6 MH - Lower Extremity MH - Proto-Oncogene Proteins MH - Signal Transduction COIS- All authors declare no conflict of interest and grant to submission. EDAT- 2021/05/01 06:00 MHDA- 2022/04/30 06:00 CRDT- 2021/04/30 20:38 PHST- 2021/05/01 06:00 [pubmed] PHST- 2022/04/30 06:00 [medline] PHST- 2021/04/30 20:38 [entrez] AID - 10.1055/a-1474-8220 [doi] PST - ppublish SO - Exp Clin Endocrinol Diabetes. 2022 Apr;130(4):248-253. doi: 10.1055/a-1474-8220. Epub 2021 Apr 30.