Changes in omentin levels and its mRNA expression in epicardial adipose tissue in patients undergoing elective cardiac surgery: the influence of type 2 diabetes and coronary heart disease
Language English Country Czech Republic Media print-electronic
Document type Journal Article
PubMed
30204471
DOI
10.33549/physiolres.933909
PII: 933909
Knihovny.cz E-resources
- MeSH
- Biomarkers blood MeSH
- Cytokines blood genetics MeSH
- Diabetes Mellitus, Type 2 blood surgery MeSH
- Adult MeSH
- Elective Surgical Procedures * MeSH
- Gene Expression MeSH
- GPI-Linked Proteins blood genetics MeSH
- Lectins blood genetics MeSH
- Middle Aged MeSH
- Humans MeSH
- RNA, Messenger blood genetics MeSH
- Coronary Artery Disease blood surgery MeSH
- Pericardium metabolism MeSH
- Aged MeSH
- Adipose Tissue metabolism MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Biomarkers MeSH
- Cytokines MeSH
- GPI-Linked Proteins MeSH
- ITLN1 protein, human MeSH Browser
- Lectins MeSH
- RNA, Messenger MeSH
Omentin is a protein produced by numerous tissues including adipose tissue. Its concentrations are decreased in patients with obesity, type 2 diabetes mellitus (DM) and coronary artery disease (CAD). Experimental studies suggest that omentin may have anti-inflammatory and insulin-sensitizing properties. In the present study, we measured circulating omentin levels and its mRNA expression in epicardial and subcutaneous fat, intercostal and heart muscle before and after elective cardiac surgery in patients with CAD (CAD+, DM-, n=18), combination of CAD and DM (CAD+, DM+, n=9) or with none of these conditions (CAD-, DM-, n=11). The groups did not differ in baseline anthropometric and biochemical characteristics with the exception of higher blood glucose and HBA(1c) in CAD+, DM+ group. Baseline circulating omentin levels tended to be lower in CAD+, DM- and CAD+, DM+ groups as compared to CAD-, DM- group and cardiac surgery increased its concentration only in CAD-, DM- group. The change in serum omentin levels during surgery inversely correlated with epicardial fat thickness. While baseline omentin mRNA expression did not differ among the groups in any of the studied tissues, its increase after surgery was present only in subcutaneous fat in CAD-, DM- and CAD+, DM- groups, but not in CAD+, DM+ group. Intercostal muscle omentin mRNA expression increased after surgery only in CAD-, DM- group. In conclusion, cardiac surgery differentially affects omentin levels and subcutaneous fat and skeletal muscle mRNA expression in patients without coronary artery disease and diabetes as compared to patients with these conditions.
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