Increased activity of interleukin-23/interleukin-17 proinflammatory axis in obese women

Increased activity of interleukin-23/interleukin-17 proinflammatory axis in obese women
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DOI:
10.1038/ijo.2008.216
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发表时间:
2009-01-01
影响因子:
4.9
通讯作者:
Micic, D.
Micic, D.
中科院分区:
医学2区
文献类型:
--
作者:
Sumarac-Dumanovic, M.;Stevanovic, D.;Micic, D.

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目的:比较Th 17轴细胞因子浓度(白细胞介素(IL)-17和IL-23)和Th 1轴(IL-12和干扰素(IFN)-γ)在肥胖和消瘦妇女中的作用,并研究它们与促炎脂肪因子瘦素、促炎细胞因子巨噬细胞移动抑制因子(MIF)和肥胖的人体测量和代谢参数的关系。26名肥胖女性(年龄20-52岁,体重指数(BMI):30-48 kg/m2)和20名健康瘦女性(年龄23-46岁,BMI:18-25 kg/m2)。测量:血浆细胞因子和瘦素水平、BMI、腰围(WC)和胰岛素抵抗指数HOMA结果:肥胖组IL-17、IL-23、MIF和瘦素的血药浓度均高于消瘦组(P值分别为0.002、0.046、0.006和0.002),而IL-12和IFN-γ的血药浓度则无明显差异。IL-17与IL-23之间存在正相关(r(s)= 0.530),处于统计学显著性边界(P = 0.065)。IL-17、IL-23与瘦素、MIF均无相关性,IL-17、IL-23水平与BMI、WC、HOMA指数均无相关性。结论:肥胖妇女IL-23/IL-17轴的激活与腹脂增加、胰岛素抵抗、瘦素、MIF水平无关。
Objective: To compare the concentrations of cytokines belonging to Th17 axis ( interleukin (IL)-17 and IL-23) and Th1 axis (IL-12 and interferon (IFN)-gamma) in obese and lean women, and to investigate their relationships with the proinflammatory adipokine leptin, proinflammatory cytokine macrophage migration inhibitory factor (MIF) and anthropometric and metabolic parameters of obesity.Design: Cross-sectional study.Subjects: Twenty-six obese women (age 20-52 years, body mass index (BMI): 30-48 kg/m(2)) and 20 healthy lean women (age 23-46 years, BMI: 18-25 kg/m(2)).Measurements: Plasma levels of cytokines and leptin, BMI, waist circumference ( WC) and insulin resistance index HOMA (homeostatic model assessment).Results: Blood concentrations of IL-17, IL-23, MIF and leptin, but not IL-12 or IFN-gamma, were higher in obese compared with lean women (P = 0.002, 0.046, 0.006 and 0.002, respectively). There was a positive correlation between IL-17 and IL-23 (r(s) = 0.530), which was at the border of statistical significance (P = 0.065). Neither IL-17 nor IL-23 correlated with leptin or MIF, and there was no association between IL-17 and IL-23 levels with BMI, WC or HOMA index.Conclusion: Interleukin-23/IL-17 axis is stimulated in obese women independently of the increase in abdominal fat, insulin resistance, leptin and MIF levels.