OBJECTIVE: This study investigates the associations of body mass index (BMI) and waist circumference (WC) with markers of systemic inflammation in midlife by race and gender. DESIGN: Data were obtained from the Survey of Midlife in the United States, a cross-sectional, observational study of Americans 35 years old or older (White men: N = 410; White women: N = 490; Black men: N = 58; Black women: N = 117). Inflammation was measured by concentrations of fibrinogen and C-reactive protein (CRP) in fasting plasma and concentrations of E-selectin and interleukin-6 (IL-6) in fasting serum. Anthropometric data were used to obtain BMI and WC. Socio-demographic and health-related factors were assessed with a survey. Multivariate models by race and gender were estimated to test the roles of BMI and WC for each inflammation marker. RESULTS: Compared to White men, Black women have higher BMI and higher levels of all four inflammation markers; White women have lower BMI, lower WC, and lower E-selectin and fibrinogen but higher CRP; and Black men have higher fibrinogen. After adjusting for socio-demographic and health-related covariates as well as perceived discrimination, WC is associated with all four markers of inflammation among White men and women; with three markers (fibrinogen, CRP, and IL-6) of inflammation among Black women; and with CRP (and marginally with fibrinogen and E-selectin) among Black men. BMI is associated with higher CRP and fibrinogen among Black men (marginally so for White men) but not for women of either race. CONCLUSIONS: WC shows more consistent associations with inflammation markers than BMI, although the relationships vary by inflammation marker and population group. Our findings suggest that WC is a risk factor for systemic inflammation among White and Black men and women, and BMI is an additional risk factor for Black men.
- MeSH
- běloši statistika a číselné údaje MeSH
- biologické markery MeSH
- C-reaktivní protein biosyntéza MeSH
- černoši nebo Afroameričané statistika a číselné údaje MeSH
- dospělí MeSH
- E-selektin biosyntéza MeSH
- fibrinogen biosyntéza MeSH
- index tělesné hmotnosti * MeSH
- interleukin-6 biosyntéza MeSH
- lidé středního věku MeSH
- lidé MeSH
- mediátory zánětu MeSH
- obvod pasu * MeSH
- průřezové studie MeSH
- rizikové faktory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- sexuální faktory MeSH
- socioekonomické faktory MeSH
- tělesné váhy a míry MeSH
- zánět etnologie patofyziologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- pozorovací studie MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- Geografické názvy
- Spojené státy americké MeSH
Chronic low-grade inflammation plays an important role in the pathogenesis of insulin resistance. In the current study, we tested the effects of salsalate, a non-steroidal anti-inflammatory drug, in an animal model of inflammation and metabolic syndrome using spontaneously hypertensive rats (SHR) that transgenically express human C-reactive protein (SHR-CRP rats). We treated 15-month-old male transgenic SHR-CRP rats and nontransgenic SHR with salsalate (200 mg/kg/day) mixed as part of a standard diet for 4 weeks. A corresponding untreated control group of male transgenic SHR-CRP and SHR rats were fed a standard diet without salsalate. In the SHR-CRP transgenic strain, salsalate treatment decreased circulating concentrations of the inflammatory markers TNF-α and MCP-1, reduced oxidative stress in the liver and kidney, increased sensitivity of skeletal muscles to insulin action and improved tolerance to glucose. In SHR controls with no CRP-induced inflammation, salsalate treatment reduced body weight, decreased concentrations of serum free fatty acids and total and HDL cholesterol and increased palmitate oxidation and incorporation in brown adipose tissue. Salsalate regulated inflammation by affecting the expression of genes from MAPK signalling and NOD-like receptor signalling pathways and lipid metabolism by affecting hepatic expression of genes that favour lipid oxidation from PPAR-α signalling pathways. These findings suggest that salsalate has metabolic effects beyond suppressing inflammation.
- MeSH
- C-reaktivní protein biosyntéza genetika MeSH
- geneticky modifikovaná zvířata genetika MeSH
- hnědá tuková tkáň metabolismus MeSH
- hypertenze farmakoterapie genetika patologie MeSH
- inzulinová rezistence genetika MeSH
- játra metabolismus MeSH
- krysa rodu rattus MeSH
- kyseliny mastné neesterifikované metabolismus MeSH
- lidé MeSH
- metabolický syndrom farmakoterapie genetika patologie MeSH
- metabolismus lipidů účinky léků MeSH
- NLR proteiny biosyntéza MeSH
- oxidační stres účinky léků MeSH
- PPAR alfa biosyntéza MeSH
- salicylany aplikace a dávkování MeSH
- TNF-alfa biosyntéza MeSH
- zánět farmakoterapie genetika patologie MeSH
- zvířata MeSH
- Check Tag
- krysa rodu rattus MeSH
- lidé MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
Inflammation and oxidative and dicarbonyl stress play important roles in the pathogenesis of type 2 diabetes. Metformin is the first-line drug of choice for the treatment of type 2 diabetes because it effectively suppresses gluconeogenesis in the liver. However, its "pleiotropic" effects remain controversial. In the current study, we tested the effects of metformin on inflammation, oxidative and dicarbonyl stress in an animal model of inflammation and metabolic syndrome, using spontaneously hypertensive rats that transgenically express human C-reactive protein (SHR-CRP). We treated 8-month-old male transgenic SHR-CRP rats with metformin (5 mg/kg/day) mixed as part of a standard diet for 4 weeks. A corresponding untreated control group of male transgenic SHR-CRP rats were fed a standard diet without metformin. In a similar fashion, we studied a group of nontransgenic SHR treated with metformin and an untreated group of nontransgenic SHR controls. In each group, we studied 6 animals. Parameters of glucose and lipid metabolism and oxidative and dicarbonyl stress were measured using standard methods. Gene expression profiles were determined using Affymetrix GeneChip Arrays. Statistical significance was evaluated by two-way ANOVA. In the SHR-CRP transgenic strain, we found that metformin treatment decreased circulating levels of inflammatory response marker IL-6, TNFα and MCP-1 while levels of human CRP remained unchanged. Metformin significantly reduced oxidative stress (levels of conjugated dienes and TBARS) and dicarbonyl stress (levels of methylglyoxal) in left ventricles, but not in kidneys. No significant effects of metformin on oxidative and dicarbonyl stress were observed in SHR controls. In addition, metformin treatment reduced adipose tissue lipolysis associated with human CRP. Possible molecular mechanisms of metformin action-studied by gene expression profiling in the liver-revealed deregulated genes from inflammatory and insulin signaling, AMP-activated protein kinase (AMPK) signaling and gluconeogenesis pathways. It can be concluded that in the presence of high levels of human CRP, metformin protects against inflammation and oxidative and dicarbonyl stress in the heart, but not in the kidney. Accordingly, these cardioprotective effects of metformin might be especially effective in diabetic patients with high levels of CRP.
- MeSH
- C-reaktivní protein biosyntéza genetika MeSH
- cytokiny metabolismus MeSH
- exprese genu MeSH
- glukosa metabolismus MeSH
- krysa rodu rattus MeSH
- lidé MeSH
- lipolýza účinky léků genetika MeSH
- metformin farmakologie MeSH
- myokard metabolismus MeSH
- oxidační stres účinky léků genetika MeSH
- potkani inbrední SHR MeSH
- potkani transgenní MeSH
- proteinkinasy aktivované AMP genetika metabolismus MeSH
- pyruvaldehyd metabolismus MeSH
- srdeční komory metabolismus MeSH
- zvířata MeSH
- Check Tag
- krysa rodu rattus MeSH
- lidé MeSH
- mužské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- MeSH
- antioxidancia MeSH
- aplikace orální MeSH
- biologické markery * krev metabolismus MeSH
- C-reaktivní protein biosyntéza diagnostické užití fyziologie MeSH
- chronická nemoc MeSH
- intravenózní podání * využití MeSH
- kurděje diagnóza komplikace prevence a kontrola terapie MeSH
- kvalita života MeSH
- kyselina askorbová * aplikace a dávkování farmakologie fyziologie metabolismus terapeutické užití MeSH
- lidé MeSH
- mediátory zánětu MeSH
- metabolické nemoci MeSH
- nádory * diagnóza farmakoterapie MeSH
- nedostatek vitaminu C * diagnóza dietoterapie farmakoterapie komplikace krev patofyziologie MeSH
- nežádoucí účinky léčiv MeSH
- oxidační stres * MeSH
- reaktivní formy kyslíku MeSH
- scavengerové receptory MeSH
- zánět farmakoterapie patofyziologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- novinové články MeSH
- MeSH
- antibakteriální látky aplikace a dávkování MeSH
- C-reaktivní protein biosyntéza MeSH
- infekce spojené se zdravotní péčí diagnóza prevence a kontrola terapie MeSH
- lidé MeSH
- peritoneální dialýza škodlivé účinky MeSH
- peritonitida diagnóza mikrobiologie terapie MeSH
- rizikové faktory MeSH
- zaváděcí katétry MeSH
- Check Tag
- lidé MeSH
- MeSH
- C-reaktivní protein biosyntéza MeSH
- dospělí MeSH
- hepatitida B imunologie krev MeSH
- jaterní cirhóza imunologie krev MeSH
- karcinom metabolismus MeSH
- lidé MeSH
- mladiství MeSH
- nádory jater metabolismus MeSH
- proteiny MeSH
- proteosyntéza MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH