Abstract
Objectives
Investigation the association of pro-inflammatory markers interleukin (IL)-1β and IL- 10 expression, serum levels of C-reactive protein (CRP), cyclooxygenase-2 (COX2), High-density lipoprotein (HDL), Apolipoprotein A1 (ApoA1), and ATP Binding Cassette Subfamily A Member 1 (ABCA1) inflammatory proteins with atherosclerosis index (homocysteine) in normal-weight and obese male subjects.
Methods
59 males including 30 obese (Body mass index (BMI) of ≥30 kg/m2) and 29 normal-weight (BMI of 18.5–24.9 kg/m2) were joined to this study. Plasma levels of IL-1β and IL-10 (pg/mL), CRP (pg/mL), COX-2 (ng/mL), APOA1 (mg/dL), ABCA1 (ng/mL), HDL, Cholesterol, and Triglyceride (TG) (mg/dL), and homocysteine (µmol/L) was measured. Association of these biomarkers with homocysteine was determined.
Results
Obese subjects had higher serum levels of IL10, IL1β, CRP, COX-2, TG, and cholesterol concentrations (all p<0.05 except IL-10 and cholesterol) and low levels of HDL, APOA1, and ABCA1 (non-significant differences) in comparison to normal-weight group. Homocysteine levels were high in obese men with no significant differences between the two groups. In obese subjects, homocysteine had a significant inverse correlation with APOA1, ABCA1, and HDL, and a strong and moderate positive correlation was found with CRP and TG levels, respectively.
Conclusions
High level of homocysteine and its correlation with inflammation proteins and markers in obese subjects appear to be contributed with atherosclerosis development.
Funding source: Stem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Award Identifier / Grant number: 65834
-
Research funding: This work was supported by Stem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran (65834).
-
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
-
Declaring of the competing interest: We have no conflict of interest.
References
1. Amiri, P, Baradaran, B, Saghafi-Asl, M, Naghizadeh, M, Shanehbandi, D, Karamzad, N, et al.. Association of proinflammatory genes expression with serum interleukin 1β and free fatty acids in metabolically healthy and unhealthy abdominally obese individuals: a case-control study. BMC Immunol 2019;20:1–10. https://doi.org/10.1186/s12865-019-0303-2.Search in Google Scholar PubMed PubMed Central
2. Beaulieu, LM, Lin, E, Mick, E, Koupenova, M, Weinberg, EO, Kramer, CD, et al.. Interleukin 1 receptor 1 and interleukin 1β regulate megakaryocyte maturation, platelet activation, and transcript profile during inflammation in mice and humans. Arterioscler Thromb Vasc Biol 2014;34:552–64. https://doi.org/10.1161/atvbaha.113.302700.Search in Google Scholar PubMed PubMed Central
3. Rodrigues, KF, Pietrani, NT, Bosco, AA, Campos, FMF, Sandrim, VC, Gomes, KB. IL-6, TNF-α, and IL-10 levels/polymorphisms and their association with type 2 diabetes mellitus and obesity in Brazilian individuals. Archives Endocrinol Metabol 2017;61:438–46. https://doi.org/10.1590/2359-3997000000254.Search in Google Scholar PubMed
4. Zhou, H, Urso, CJ, Jadeja, V. Saturated fatty acids in obesity-associated inflammation. J Inflamm Res 2020;13:1–14. https://doi.org/10.2147/jir.s229691.Search in Google Scholar
5. Chang, JS, Chang, CC, Chien, EY, Lin, SSH, Cheng-Shiuan, T, Bai, CH, et al.. Association between interleukin 1β and interleukin 10 concentrations: a cross-sectional study in young adolescents in Taiwan. BMC Pediatr 2013;13:1–10. https://doi.org/10.1186/1471-2431-13-123.Search in Google Scholar PubMed PubMed Central
6. Sharma, M, Boytard, L, Hadi, T, Koelwyn, G, Simon, R, Ouimet, M, et al.. Enhanced glycolysis and HIF-1α activation in adipose tissue macrophages sustains local and systemic interleukin-1β production in obesity. Sci Rep 2020;10:1–12. https://doi.org/10.1038/s41598-020-62272-9.Search in Google Scholar PubMed PubMed Central
7. Kochumon, S, Al Madhoun, A, Al-Rashed, F, Thomas, R, Sindhu, S, Al-Ozairi, E, et al.. Elevated adipose tissue associated IL-2 expression in obesity correlates with metabolic inflammation and insulin resistance. Sci Rep 2020;10:1–13. https://doi.org/10.1038/s41598-020-73347-y.Search in Google Scholar PubMed PubMed Central
8. Straub, RH, Hense, HW, Andus, T, Schölmerich, J, Riegger, GAJ, Schunkert, H. Hormone replacement therapy and interrelation between serum interleukin-6 and body mass index in postmenopausal women: a population-based study. J Clin Endocrinol Metab 2000;85:1340–4. https://doi.org/10.1210/jcem.85.3.6355.Search in Google Scholar PubMed
9. Bruun, JM, Verdich, C, Toubro, S, Astrup, A, Richelsen, B. Association between measures of insulin sensitivity and circulating levels of interleukin-8, interleukin-6 and tumor necrosis factor-α. Effect of weight loss in obese men. Eur J Endocrinol 2003;148:535–42. https://doi.org/10.1530/eje.0.1480535.Search in Google Scholar PubMed
10. Esposito, K, Pontillo, A, Giugliano, F, Giugliano, G, Marfella, R, Nicoletti, G, et al.. Association of low interleukin-10 levels with the metabolic syndrome in obese women. J Clin Endocrinol Metab 2003;88:1055–8. https://doi.org/10.1210/jc.2002-021437.Search in Google Scholar PubMed
11. Pahwa, R, Adams-Huet, B, Jialal, I. The effect of increasing body mass index on cardio-metabolic risk and biomarkers of oxidative stress and inflammation in nascent metabolic syndrome. J Diabetes Complicat 2017;31:810–3. https://doi.org/10.1016/j.jdiacomp.2017.02.010.Search in Google Scholar PubMed
12. Ataey, A, Jafarvand, E, Adham, D, Moradi-Asl, E. The relationship between obesity, overweight, and the human development index in world health organization eastern mediterranean region countries. J Prev Med and Public Health 2020;53:98–105. https://doi.org/10.3961/jpmph.19.100.Search in Google Scholar PubMed PubMed Central
13. Satoh-Asahara, N, Shimatsu, A, Sasaki, Y, Nakaoka, H, Himeno, A, Tochiya, M, et al.. Highly purified eicosapentaenoic acid increases interleukin-10 levels of peripheral blood monocytes in obese patients with dyslipidemia. Diabetes Care 2012;35:2631–9. https://doi.org/10.2337/dc12-0269.Search in Google Scholar PubMed PubMed Central
14. Bosutti, A, Malaponte, G, Zanetti, M, Castellino, P, Heer, M, Guarnieri, G, et al.. Calorie restriction modulates inactivity-induced changes in the inflammatory markers C-reactive protein and pentraxin-3. J Clin Endocrinol Metab 2008;93:3226–9. https://doi.org/10.1210/jc.2007-1684.Search in Google Scholar PubMed
15. Han, X, Kitamoto, S, Wang, H, Boisvert, WA. Interleukin-10 overexpression in macrophages suppresses atherosclerosis in hyperlipidemic mice. Faseb J 2010;24:2869–80. https://doi.org/10.1096/fj.09-148155.Search in Google Scholar PubMed PubMed Central
16. Chan, PC, Liao, MT, Hsieh, PS. The dualistic effect of COX-2-mediated signaling in obesity and insulin resistance. Int J Mol Sci 2019;20:1–13. https://doi.org/10.3390/ijms20133115.Search in Google Scholar PubMed PubMed Central
17. Xu, H, Fu, JL, Miao, YF, Wang, CJ, Han, QF, Li, S, et al.. Prostaglandin E2 receptor EP3 regulates both adipogenesis and lipolysis in mouse white adipose tissue. J Mol Cell Biol 2016;8:518–29. https://doi.org/10.1093/jmcb/mjw035.Search in Google Scholar PubMed PubMed Central
18. Shimomura, T, Nakano, T, Goto, K, Wakabayashi, I. COX-2 expression in the aorta of obese zucker rats. J Metab Syndrome 2018;07:1–4. https://doi.org/10.4172/2167-0943.1000238.Search in Google Scholar
19. Zhang, T, Chen, J, Tang, X, Luo, Q, Xu, D, Yu, B. Interaction between adipocytes and high-density lipoprotein:new insights into the mechanism of obesity-induced dyslipidemia and atherosclerosis. Lipids Health Dis 2019;18:1–11. https://doi.org/10.1186/s12944-019-1170-9.Search in Google Scholar PubMed PubMed Central
20. Ruan, X, Li, Z, Zhang, Y, Yang, L, Pan, Y, Wang, Z, et al.. Apolipoprotein A-I possesses an anti-obesity effect associated with increase of energy expenditure and up-regulation of UCP1 in brown fat. J Cell Mol Med 2011;15:763–72. https://doi.org/10.1111/j.1582-4934.2010.01045.x.Search in Google Scholar PubMed PubMed Central
21. Garrison, RJ, Wilson, PW, Castelli, WP, Feinleib, M, Kannel, WB, McNamara, PM. Obesity and lipoprotein cholesterol in the Framingham offspring study. Metab Clin Exp 1980;29:1053–60. https://doi.org/10.1016/0026-0495(80)90216-4.Search in Google Scholar PubMed
22. Shao, B, Tang, C, Sinha, A, Mayer, PS, Davenport, GD, Brot, N, et al.. Humans with atherosclerosis have impaired ABCA1 cholesterol efflux and enhanced high-density lipoprotein oxidation by myeloperoxidase. Circ Res 2014;114:1733–42. https://doi.org/10.1161/circresaha.114.303454.Search in Google Scholar PubMed PubMed Central
23. Vincent, V, Thakkar, H, Aggarwal, S, Mridha, AR, Ramakrishnan, L, Singh, A. ATP-binding cassette transporter A1 (ABCA 1) expression in adipose tissue and its modulation with insulin resistance in obesity. Diabetes, Metab Syndrome Obes Targets Ther 2019;12:275–84. https://doi.org/10.2147/dmso.s186565.Search in Google Scholar
24. Xu, R, Huang, F, Wang, Y, Liu, Q, Lv, Y, Zhang, Q. Gender- and age-related differences in homocysteine concentration: a cross-sectional study of the general population of China. Sci Rep 2020;10:1–11. https://doi.org/10.1038/s41598-020-74596-7.Search in Google Scholar PubMed PubMed Central
25. Hayden, MR, Tyagi, SC. Homocysteine and reactive oxygen species in metabolic syndrome, type 2 diabetes mellitus, and atheroscleropathy: the pleiotropic effects of folate supplementation. Nutr J 2004;3:1–23. https://doi.org/10.1186/1475-2891-3-4.Search in Google Scholar PubMed PubMed Central
26. Mursleen, MT, Riaz, S. Implication of homocysteine in diabetes and impact of folate and vitamin B12 in diabetic population. Diabetes Metabol Syndr: Clin Res Rev 2017;11:S141–6. https://doi.org/10.1016/j.dsx.2016.12.023.Search in Google Scholar PubMed
27. Brasileiro, RS, Escrivão, MAMS, Taddei, JAAC, D’Almeida, V, Ancona-Lopez, F, JTA, C. Plasma total homocysteine in Brazilian overweight and non-overweight adolescents: a case-control study. Nutr Hosp 2005;20:313–9.Search in Google Scholar
28. Hu, H, Wang, C, Jin, Y, Meng, Q, Liu, Q, Liu, Z, et al.. Catalpol inhibits homocysteine-induced oxidation and inflammation via inhibiting Nox4/NF-κB and GRP78/PERK pathways in human aorta endothelial cells. Inflammation 2019;42:64–80. https://doi.org/10.1007/s10753-018-0873-9.Search in Google Scholar PubMed PubMed Central
29. Xie, L, Ding, N, Zhang, H, Liu, K, Xiong, J, Ma, S, et al.. SNF5 promotes IL-1β expression via H3K4me1 in atherosclerosis induced by homocysteine. Int J Biochem Cell Biol 2021;135:105974. https://doi.org/10.1016/j.biocel.2021.105974.Search in Google Scholar PubMed
30. Hajer, GR, Van Der Graaf, Y, Olijhoek, JK, Verhaar, MC, Visseren, FLJ. Levels of homocysteine are increased in metabolic syndrome patients but are not associated with an increased cardiovascular risk, in contrast to patients without the metabolic syndrome. Heart 2007;93:216–20. https://doi.org/10.1136/hrt.2006.093971.Search in Google Scholar PubMed PubMed Central
31. Roeters Van Lennep, JE, Westerveld, HT, Erkelens, DW, Van Der Wall, EE. Risk factors for coronary heart disease: implications of gender. Cardiovasc Res 2002;53:538–49. https://doi.org/10.1016/s0008-6363(01)00388-1.Search in Google Scholar PubMed
32. Tayefi, M, Shabani, N, Saberi-Karimian, M, Oladi, M, Mouhebati, M, Farjami, Z, et al.. Systolic and diastolic blood pressure percentiles by age and gender in Northeastern Iran. J Am Soc Hypertens 2018;12:e85–e91. https://doi.org/10.1016/j.jash.2018.11.003.Search in Google Scholar PubMed
33. Song, P, Fang, Z, Wang, H, Cai, Y, Rahimi, K, Zhu, Y, et al.. Global and regional prevalence, burden, and risk factors for carotid atherosclerosis: a systematic review, meta-analysis, and modelling study. Lancet Global Health 2020;8:e721–9. https://doi.org/10.1016/s2214-109x(20)30117-0.Search in Google Scholar
34. Omrani-Nava, V, Hedayatizadeh-Omran, A, Alizadeh-Navaei, R, Mokhberi, V, Jalalian, R. Gender distribution of atherosclerosis risk factors and its relation with the number of involved vessels. J Mazand Univ Med Sci 2018;28:83–90.Search in Google Scholar
35. Oh, MS, Jeong, MH. Sex differences in cardiovascular disease risk factors among Korean adults. Kor J Med 2020;95:266–75. https://doi.org/10.3904/kjm.2020.95.4.266.Search in Google Scholar
36. Chen, Y, Chen, L, Deng, Q, Zhang, G, Wu, K, Ni, L, et al.. The presence of SARS-CoV-2 RNA in the feces of COVID-19 patients. J Med Virol 2020;92:833–40. https://doi.org/10.1002/jmv.25825.Search in Google Scholar PubMed
37. Muazzam, N. 乳鼠心肌提取 HHS public access. Physiol Behav 2016;176:139–48.Search in Google Scholar
38. Sproston, NR, Ashworth, JJ. Role of C-reactive protein at sites of inflammation and infection. Front Immunol 2018;9:1–11. https://doi.org/10.3389/fimmu.2018.00754.Search in Google Scholar PubMed PubMed Central
39. Chang, JS, Bai, CH, Huang, ZC, Owaga, E, Chao, KC, Chang, CC, et al.. Interleukin 10 and clustering of metabolic syndrome components in pediatrics. Eur J Clin Invest 2014;44:384–94. https://doi.org/10.1111/eci.12247.Search in Google Scholar PubMed
40. Gozal, D, Serpero, LD, Sans Capdevila, O, Kheirandish-Gozal, L. Systemic inflammation in non-obese children with obstructive sleep apnea. Sleep Med 2008;9:254–9. https://doi.org/10.1016/j.sleep.2007.04.013.Search in Google Scholar PubMed PubMed Central
41. Calcaterra, V, de Amici, M, Klersy, C, Torre, C, Brizzi, V, Scaglia, F, et al.. Adiponectin, IL-10 and metabolic syndrome in obese children and adolescents. Acta Bio-Med Ateneo Parmense 2009;80:117–23.Search in Google Scholar
42. Autieri, MV. Pro- and anti-inflammatory cytokine networks in atherosclerosis. ISRN Vasc Med 2012;2012:1–17. https://doi.org/10.5402/2012/987629.Search in Google Scholar
43. Sterpetti, AV. Inflammatory cytokines and atherosclerotic plaque progression. Therapeutic implications. Curr Atherosclerosis Rep 2020;22:75. https://doi.org/10.1007/s11883-020-00891-3.Search in Google Scholar PubMed PubMed Central
44. Iyer, SS, Cheng, G. Role of interleukin 10 transcriptional regulation in inflammation and autoimmune disease. Crit Rev Immunol 2012;32:23–63. https://doi.org/10.1615/critrevimmunol.v32.i1.30.Search in Google Scholar PubMed PubMed Central
45. Dansinger, ML, Williams, PT, Superko, HR, Schaefer, EJ. Effects of weight change on apolipoprotein B-containing emerging atherosclerotic cardiovascular disease (ASCVD) risk factors. Lipids Health Dis 2019;18:1–11. https://doi.org/10.1186/s12944-019-1094-4.Search in Google Scholar PubMed PubMed Central
46. Thakkar, H, Vincent, V, Sukhla, S, Sra, M, Kanga, U, Aggarwal, S, et al.. Improvements in cholesterol efflux capacity of HDL and adiponectin contribute to mitigation in cardiovascular disease risk after bariatric surgery in a cohort with morbid obesity. Diabetol Metab Syndrome 2021;13:1–11. https://doi.org/10.1186/s13098-021-00662-3.Search in Google Scholar PubMed PubMed Central
47. Chen, WM, Sheu, WHH, Tseng, PC, Lee, TS, Lee, WJ, Chang, PJ, et al.. Modulation of microRNA expression in subjects with metabolic syndrome and decrease of cholesterol efflux from macrophages via microRNA-33-mediated attenuation of ATP-binding cassette transporter A1 expression by statins. PLoS One 2016;11. https://doi.org/10.1371/journal.pone.0154672.Search in Google Scholar PubMed PubMed Central
48. Lu, SS, Xie, J, Su, CQ, Ge, S, Shi, HB, Hong, XN. Plasma homocysteine levels and intracranial plaque characteristics: association and clinical relevance in ischemic stroke. BMC Neurol 2018;18:1–7. https://doi.org/10.1186/s12883-018-1203-4.Search in Google Scholar PubMed PubMed Central
49. Wang, H, Fan, D, Zhang, H, Fu, Y, Zhang, J, Shen, Y. Serum level of homocysteine is correlated to carotid artery atherosclerosis in Chinese with ischemic stroke. Neurol Res 2006;28:25–30. https://doi.org/10.1179/016164106x91834.Search in Google Scholar PubMed
50. Taskinen, MR, Sullivan, DR, Ehnholm, C, Whiting, M, Zannino, D, Simes, RJ, et al.. Relationships of HDL cholesterol, ApoA-I, and ApoA-II with homocysteine and creatinine in patients with type 2 diabetes treated with fenofibrate. Arterioscler Thromb Vasc Biol 2009;29:950–5. https://doi.org/10.1161/atvbaha.108.178228.Search in Google Scholar
51. Liang, X, Yang, LX, Guo, R, Shi, Y, Hou, X, Yang, Z, et al.. Atorvastatin attenuates plaque vulnerability by downregulation of EMMPRIN expression via COX-2/PGE2 pathway. Exp Ther Med 2017;13:835–44. https://doi.org/10.3892/etm.2017.4062.Search in Google Scholar PubMed PubMed Central
52. Raval, M, Frank, PG, Laury-Kleintop, L, Yan, G, Lanza-Jacoby, S. Celecoxib combined with atorvastatin prevents progression of atherosclerosis. J Surg Res 2010;163:e113–22. https://doi.org/10.1016/j.jss.2010.03.011.Search in Google Scholar PubMed
53. Grosser, T, Yu, Y, Fitzgerald, GA. Emotion recollected in tranquility: lessons learned from the cox-2 saga. Annu Rev Med 2010;61:17–33. https://doi.org/10.1146/annurev-med-011209-153129.Search in Google Scholar PubMed
© 2022 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Letter to the Editor
- The role of gut microbiota in etiopathogenesis of long COVID syndrome
- Original Articles
- Risk factors and inflammatory markers in acute coronary syndrome-ST elevation myocardial infarction (STEMI)
- Association of pro-inflammatory cytokines, inflammatory proteins with atherosclerosis index in obese male subjects
- Exploration of meteorin-like peptide (metrnl) predictors in type 2 diabetic patients: the potential role of irisin, and other biochemical parameters
- Distinct urinary progesterone metabolite profiles during the luteal phase
- Promoter methylation levels of RASSF1 and ATIC genes are associated with lung cancer in Iranian patients
- Population status of selenium in Colombia and associated factors: a cross-sectional study
- Bambusa vulgaris leaves reverse mitochondria dysfunction in diabetic rats through modulation of mitochondria biogenic genes
- Increased expression of androgen receptor and PSA genes in LNCaP (prostate cancer) cell line due to high concentrations of EGCG, an active ingredient in green tea
- The effects of endurance exercise and metformin on memory impairment caused by diabetes
- Exercise modulation in inflammation and metabolic hormonal disorders of COVID-19 to decrease risk factors in coronary heart disease
- The effect of co-administration of artemisinin and N-acetyl cysteine on antioxidant status, spermatological parameters and histopathology of testis in adult male mice
- Case Report
- Unilateral ovarian agenesis with ipsilateral tubal presence – report of a case
- Review Articles
- Brown adipose tissue as an endocrine organ: updates on the emerging role of batokines
- Zuranolone and its role in treating major depressive disorder: a narrative review
Articles in the same Issue
- Frontmatter
- Letter to the Editor
- The role of gut microbiota in etiopathogenesis of long COVID syndrome
- Original Articles
- Risk factors and inflammatory markers in acute coronary syndrome-ST elevation myocardial infarction (STEMI)
- Association of pro-inflammatory cytokines, inflammatory proteins with atherosclerosis index in obese male subjects
- Exploration of meteorin-like peptide (metrnl) predictors in type 2 diabetic patients: the potential role of irisin, and other biochemical parameters
- Distinct urinary progesterone metabolite profiles during the luteal phase
- Promoter methylation levels of RASSF1 and ATIC genes are associated with lung cancer in Iranian patients
- Population status of selenium in Colombia and associated factors: a cross-sectional study
- Bambusa vulgaris leaves reverse mitochondria dysfunction in diabetic rats through modulation of mitochondria biogenic genes
- Increased expression of androgen receptor and PSA genes in LNCaP (prostate cancer) cell line due to high concentrations of EGCG, an active ingredient in green tea
- The effects of endurance exercise and metformin on memory impairment caused by diabetes
- Exercise modulation in inflammation and metabolic hormonal disorders of COVID-19 to decrease risk factors in coronary heart disease
- The effect of co-administration of artemisinin and N-acetyl cysteine on antioxidant status, spermatological parameters and histopathology of testis in adult male mice
- Case Report
- Unilateral ovarian agenesis with ipsilateral tubal presence – report of a case
- Review Articles
- Brown adipose tissue as an endocrine organ: updates on the emerging role of batokines
- Zuranolone and its role in treating major depressive disorder: a narrative review