PMID- 34657898 OWN - NLM STAT- MEDLINE DCOM- 20220404 LR - 20220531 IS - 1348-4540 (Electronic) IS - 0918-8959 (Linking) VI - 69 IP - 3 DP - 2022 Mar 28 TI - Clinical significance of high mobility group box 1/toll-like receptor 4 in obese diabetic patients. PG - 235-242 LID - 10.1507/endocrj.EJ21-0381 [doi] AB - High mobility group box 1 (HMGB1) is an alarmin that may link to obesity and type 2 diabetes mellitus (T2DM). The present study analyzed the correlation between HMGB1/ Toll-like receptor 4 (TLR4) and certain biochemical parameters in obese (OB) diabetic patients. 40 normal glucose tolerant subjects (NGT) and 40 patients with newly diagnosed T2DM were enrolled. All patients were further divided into non-obese NGT (NGT-NOB), obese NGT (NGT-OB), non-obese T2DM (T2DM-NOB) and obese T2DM (T2DM-OB) groups according to body mass index (BMI).The levels of HMGB1 in serum were quantified using ELISA, whereas the mRNA expression levels of TLR4 in peripheral blood mononuclear cells were assessed using reverse transcription-quantitative PCR. The results suggested that the levels of HMGB1 and TLR4 were higher in NGT-OB and T2DM-NOB groups compared with those in NGT-NOB group. Similarly, the levels of these two markers were higher in T2DM-OB group compared with those in NGT-OB group. Correlation analysis indicated that the levels of HMGB1 and TLR4 were positively correlated with triglyceride (TG), fasting plasma glucose (FPG) levels and BMI, whereas a negative correlation between HMGB1 and high density lipoprotein (HDL) was noted. Linear regression analysis suggested that HMGB1 was associated with FPG and TG levels, whereas TLR4 was strongly associated with TG levels and BMI. The results demonstrated that the expression levels of HMGB1 and TLR4 in patients with T2DM or obesity were increased, which were associated with glycolipid metabolism disorders. Therefore, the HMGB1/TLR4 may serve a role in inflammatory process associated with obesity and T2DM. FAU - Liu, Shuai AU - Liu S AD - Department of Blood Transfusion, the Third Affiliated Hospital of Xinxiang Medical University, Henan Xinxiang, 453003, China. FAU - Wang, Xianchun AU - Wang X AD - Clinical laboratory, the Third Affiliated Hospital of Xinxiang Medical University, Henan Xinxiang, 453003, China. FAU - Kai, Yue AU - Kai Y AD - Department of Immunology, School of Basic Medical Sciences, Xinxiang Medical University, Henan Xinxiang, 453003, China. AD - Xinxiang Key Laboratory of Tumor Vaccine and Immunotherapy, Xinxiang Medical University, Henan Xinxiang, 453000, China. FAU - Tian, Chenrui AU - Tian C AD - Department of Immunology, School of Basic Medical Sciences, Xinxiang Medical University, Henan Xinxiang, 453003, China. AD - Xinxiang Key Laboratory of Tumor Vaccine and Immunotherapy, Xinxiang Medical University, Henan Xinxiang, 453000, China. FAU - Guo, Sheng AU - Guo S AD - Department of Immunology, School of Basic Medical Sciences, Xinxiang Medical University, Henan Xinxiang, 453003, China. AD - Xinxiang Key Laboratory of Tumor Vaccine and Immunotherapy, Xinxiang Medical University, Henan Xinxiang, 453000, China. FAU - He, Ling AU - He L AD - Department of Ophthalmology, the 371 Affiliated Hospital of Xinxiang Medical University, Henan Xinxiang, 453003, China. FAU - Zhai, Desheng AU - Zhai D AD - Department of Epidemiology and Biostatistics, School of Public Health, Xinxiang Medical University, Henan Xinxiang, 453003, China. FAU - Song, Xiangfeng AU - Song X AD - Department of Immunology, School of Basic Medical Sciences, Xinxiang Medical University, Henan Xinxiang, 453003, China. AD - Xinxiang Key Laboratory of Tumor Vaccine and Immunotherapy, Xinxiang Medical University, Henan Xinxiang, 453000, China. LA - eng PT - Journal Article DEP - 20211015 PL - Japan TA - Endocr J JT - Endocrine journal JID - 9313485 RN - 0 (HMGB1 Protein) RN - 0 (HMGB1 protein, human) RN - 0 (TLR4 protein, human) RN - 0 (Toll-Like Receptor 4) SB - IM MH - Body Mass Index MH - *Diabetes Mellitus, Type 2/complications MH - HMGB1 Protein MH - Humans MH - Leukocytes, Mononuclear MH - Obesity/complications MH - *Toll-Like Receptor 4/genetics OTO - NOTNLM OT - High mobility group box 1 OT - Obesity OT - Regression analysis OT - Toll-like receptor 4 OT - Type 2 diabetes mellitus EDAT- 2021/10/19 06:00 MHDA- 2022/04/05 06:00 CRDT- 2021/10/18 05:36 PHST- 2021/10/19 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] PHST- 2021/10/18 05:36 [entrez] AID - 10.1507/endocrj.EJ21-0381 [doi] PST - ppublish SO - Endocr J. 2022 Mar 28;69(3):235-242. doi: 10.1507/endocrj.EJ21-0381. Epub 2021 Oct 15.