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Obesity, Inflammation and Metabolic Disorders


Affiliations
1 Department of Genetics, Dr. ALM PG Institute of Basic Medical Sciences, University of Madras, Taramani, Chennai - 113, Tamilnadu, India
 

The incidence of obesity worldwide has increased drastically during recent decades. Currently, obesity is viewed as a pro-inflammatory state with a rise in inflammatory parameters such as C-reactive protein (CRP), nitric oxide (NO) along with the increase in the secretion of leptin. Evaluation of these parameters in lean and obese subjects might enable us to understand the link between obesity, BMI and inflammation. In this connection, we have estimated serum leptin, CRP, NO, serum triglycerides, cholesterol, and lipid profile in normal, underweight, overweight and obese subjects. Interestingly leptin level is found to be higher in obese and overweight subjects. A profound positive correlation has been observed between obesity, serum leptin and CRP suggesting a possible link between obesity, inflammation and metabolic syndrome.

Keywords

Inflammation, Cardiovascular Disease (CVD), Nitric Oxide (NO), Leptin, C–Reactive Protein (CRP)
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  • Aruna D. Pradhan, JoAnn E. Manson, Nader Rifai, Julie E. Buring, Paul M. Ridker (2001) C-Reactive Protein, Interleukin 6, and Risk of Developing Type 2 Diabetes Mellitus. JAMA. 286, 327-334.
  • Beamount JL, Crison LA, Cooper GR, Feifar Z, Frederickson DS, Strasser T (1972) Classification of hyperlipidemias and hyperlipoproteinemias. In: Standard Methods of Clinical Chemistry, New York: Academic Press, Vol. 9.
  • Bridget Canavan, Raneem O. Salem, Sunitha Schurgin, Polyxeni Koutkia, Izabella Lipinska, Michael Laposata and Steven Grinspoon (2005) Effect of physiological leptin administration on markers of inflammation, platelet activation and platelet aggregation during caloric deprivation. J. Clin. Endocrinol. Metab. 90 (10), 5779-5785.
  • Caro JF, Sinha MK, Kolaczynski W, Zhang PL and Considine RV (1996) Leptin: the tale of an obesity gene. Diabetes, 45, 1455–1462.
  • Cole TG, Klotzsch SG and McNamara J (1997) Measurement of triglyceride concentration. Handbook of Lipoprotein Testing. Washington: AACC Press.
  • Danesh J, Whincup P and Wlaker M (2000) Low grade inflammation and coronary heart disease: prospective study and updated metaanalyses. BMJ, 321, 199–204.
  • Freeman DJ, Norrie J and Caslake MJ (2002) C-reactive protein is an independent predictor of risk for the development of diabetes in the West of Scotland Coronary Prevention Study. Diabetes, 51, 1596–1600.
  • Friedman JM and Halas JL (1998) Leptin and the regulation of body weight in mammals. Nature, 395, 763–770.
  • Holvey DN (1972) The Merck Manual of Diagnosis and Therapy. Rahyway, NJ: Merck Inc.
  • Hotamisligil and Gökhan S (2006) Inflammation and metabolic disorders. Nature, 444, 860-867.
  • Julius S, Valentini M and Palatini P (2000) Overweight and hypertension: a 2-way street? Hypertension, 35, 807–813.
  • Koenig W, Sund M and Froelich M (1999) Creactive protein, a sensitive marker of inflammation, predicts future risk of coronary heart disease in initially healthy middleaged men: results from the MONICA (Monitoring trends and determinants in cardiovascular disease) Augsberg Cohort Study, 1984 to 1992. Circulation. 99, 237–242.
  • Kuo JJ, Jones OB and Hall JE (2003) Chronic cardiovascular and renal actions of leptin during hyperinsulinemia. Am. J. Physiol. Regulatory, Integrative and Comparative Physiology. 284, 1037–1042.
  • Leibel RL, Chung WK and Chua CS Jr (1997) The molecular genetics of rodent single gene obesities. J. Biol. Chem., 272, 31937–31940.
  • Libby P and Ridker PM (1999) Novel inflammatory markers of coronary risk. Circulation, 100, 1148–1150.
  • Mani Ravishankar Ram, Pulliangudi Gokulakrishnan Sundaraman and Raghunathan Malathi (2005) Body fat distribution and leptin correlation in women with polycystic ovary syndrome: Endocrine and biochemical evaluation in south Indian population. Reprod. Med. Biol. 4, 71– 78.
  • Mani Ravishankar Ram M, Sundararaman PG, Selvi M, and Malathi Raghunathan (2005) Cytokines and leptin correlation in patient’s with PCOS: Biochemical evaluation in South Indian population; Reprod. Med. Biol. 4, 247- 254.
  • Plutzky J (2001) Inflammatory pathways in atherosclerosis and acute coronary syndromes. American J. Cardiology. 88, 10– 15.
  • Ren J (2004) Leptin and hyperleptinemia – from friend to foe for Cardiovascular function. J. Endocrinol. 181, 1–10.
  • Ridker PM, Stampfer MJ and Rifai N (2001) Novel risk factors for systemic atherosclerosis: a comparison of C-reactive protein, fibrinogen, homocysteine, lipoprotein(a), and standard cholesterol screening as predictors of peripheral arterial disease. JAMA. 285, 2481–2485.
  • Ridker PM, Hennekens CH, Buring JE (2000) C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women. N. Engl. J. Med. 342, 836–843.
  • Ridker PM, Rifai N and Clearfield M (2001) For the Air Force/Texas Coronary Atherosclerosis Prevention Study Investigators. Measurement of C-reactive protein for the targeting of statin therapy in the primary prevention of acute coronary events. N. Engl. J. Med. 344, 1959–1965.
  • Ridker PM, Rifai N and Rose L (2002) Comparison of C-reactive protein and lowdensity lipoprotein cholesterol in the prediction of first cardiovascular events. N. Engl J Med. 347,1557–1565.
  • Ridker PM, Cushman M and Stampfer MJ (1997) Inflammation, aspirin, and the risk of cardiovascular disease in apparently healthy men. N. Engl. J. Med. 336, 973– 979.
  • Ross, R (1999) Atherosclerosis: an inflammatory disease. N. Engl. J. Med. 340, 115-126.
  • Sowers JR (1998) Obesity and cardiovascular disease. Clin. Chem. 44, 1821-1825.
  • Steinberg HO, Chaker H, Leaming R, Johnson A, Brechtel G and Baron AD (1996) Obesity/ insulin resistance is associated with endothelial dysfunction: implications for the syndrome of insulin resistance. J. Clin. Invest. 97, 2601– 2610.
  • Thomas A. Pearson, George A. Mensah, R. Wayne Alexander, Jeffrey L. Anderson, Richard O. Cannon, Michael Criqui, Yazid Y. Fadl, Stephen P. Fortmann, Yuling Hong, Gary L. Myers, Nader Rifai, Sidney C. Smith, Jr, Kathryn Taubert, Russell P. Tracy and Frank Vinicor (2003) Markers of Inflammation and Cardiovascular Disease. Circulation,107, 499.
  • Tracy RP (1998) Inflammation in cardiovascular disease. Circulation. 97, 2000– 2002.
  • Tracy RP, Lemaitre RN and Psaty BM (1997) Relationship of C-reactive protein to risk of cardiovascular disease in the elderly: results from the Cardiovascular Health Study and the Rural Health Promotion Project. Arterioscler Thromb. Vasc. Biol. 17, 1121– 1127.
  • Trinder P (1959) Determination of blood glucose using aminophenazone. J Clin Path; 22: 246.
  • Unger RH and Orci L (2001) Diseases of liporegulation:new perspective on obesity and related disorders. FASEB J. 15, 312-321.
  • Zhang Y, Proenca R, Maffei M, Barone M, Leopold L and Friedman J (1994) Positional cloning of the mouse obese gene and its human homologue. Nature, 372, 425– 432.

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  • Obesity, Inflammation and Metabolic Disorders

Abstract Views: 356  |  PDF Views: 68

Authors

R. Raskin Erusan
Department of Genetics, Dr. ALM PG Institute of Basic Medical Sciences, University of Madras, Taramani, Chennai - 113, Tamilnadu, India
D. Nalini
Department of Genetics, Dr. ALM PG Institute of Basic Medical Sciences, University of Madras, Taramani, Chennai - 113, Tamilnadu, India
R. Malathi
Department of Genetics, Dr. ALM PG Institute of Basic Medical Sciences, University of Madras, Taramani, Chennai - 113, Tamilnadu, India

Abstract


The incidence of obesity worldwide has increased drastically during recent decades. Currently, obesity is viewed as a pro-inflammatory state with a rise in inflammatory parameters such as C-reactive protein (CRP), nitric oxide (NO) along with the increase in the secretion of leptin. Evaluation of these parameters in lean and obese subjects might enable us to understand the link between obesity, BMI and inflammation. In this connection, we have estimated serum leptin, CRP, NO, serum triglycerides, cholesterol, and lipid profile in normal, underweight, overweight and obese subjects. Interestingly leptin level is found to be higher in obese and overweight subjects. A profound positive correlation has been observed between obesity, serum leptin and CRP suggesting a possible link between obesity, inflammation and metabolic syndrome.

Keywords


Inflammation, Cardiovascular Disease (CVD), Nitric Oxide (NO), Leptin, C–Reactive Protein (CRP)

References





DOI: https://doi.org/10.17485/ijst%2F2008%2Fv1i4%2F29236