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Oxford University Press (OUP), The Journal of Clinical Endocrinology & Metabolism, 5(100), p. 1949-1956

DOI: 10.1210/jc.2014-3846

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Effect of Short-Term Hyperglycemia on Adipose Tissue Fluxes of Selected Cytokines In Vivo During Multiple Phases of Diet-Induced Weight Loss in Obese Women

Journal article published in 2015 by Michaela Siklova ORCID, Lene Simonsen, Jan Polak, Vladimir Stich, Jens Bülow
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Context: Hyperglycemia is suggested to be one of the drivers of the pro-inflammatory state observed in obese and diabetic patients. Objective: To investigate 1) whether subcutaneous abdominal adipose tissue (scAT) could be one of the important sources of pro-inflammatory cytokines released in response to short-term hyperglycemia and 2) whether this secretion capacity could be influenced by weight loss. Design, Patients, and Interventions: Output of cytokines and proteins of acute phase from scAT in response to a 3 hours' hyperglycemic clamp was evaluated in 9 obese women in vivo using Fick's Principle. Moreover, the output of cytokines was analyzed during a multi-phase dietary intervention consisting of 1 month very-low calorie diet and subsequent 5 months weight stabilization phase. Main Outcome Measure(s): The levels of cytokines and proteins of acute phase (IL-6, IL-8, IL-1Ra, TNF-α, monocyte chemoattractant protein-1 (MCP-1), serum amyloid A and C-reactive protein) in arterial and venous plasma were measured during each dietary phase. The insulin sensitivity of scAT in respect to anti-lipolytic effect of insulin during the clamp was assessed. Results: Hyperglycemia increased the output of cytokines IL-6, MCP-1 and IL-1Ra from scAT. This effect had a tendency to be reduced after weight loss. The output of other pro-inflammatory substances from scAT into circulation was not detected. The diet-induced weight loss was associated with the improvement of antilipolytic insulin sensitivity in scAT. Conclusions: The results suggest that short-term hyperglycemia induces an increase of the output of cytokines IL-6, IL-1Ra and MCP-1 from adipose tissue and this deleterious hyperglycemia effect may be attenuated by the diet-induced weight reduction. This lowered responsiveness of the inflammation related system may be an important feature of the weight-reduction-induced improvement of metabolic status of obese prediabetic individuals.