Associations between Serum Kallistatin Levels and Markers of Glucose Homeostasis, Inflammation, and Lipoprotein Metabolism in Patients with Type 2 Diabetes and Nondiabetic Obesity.

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  • Additional Information
    • Source:
      Publisher: MDPI Country of Publication: Switzerland NLM ID: 101092791 Publication Model: Electronic Cited Medium: Internet ISSN: 1422-0067 (Electronic) Linking ISSN: 14220067 NLM ISO Abbreviation: Int J Mol Sci Subsets: MEDLINE
    • Publication Information:
      Original Publication: Basel, Switzerland : MDPI, [2000-
    • Subject Terms:
    • Abstract:
      Kallistatin is an endogenous serine proteinase inhibitor with various functions, including antioxidative, anti-inflammatory, and anti-atherosclerotic properties. To date, associations between kallistatin and lipoprotein subfractions are poorly investigated. In this study, we enrolled 62 obese patients with type 2 diabetes (T2D), 106 nondiabetic obese (NDO) subjects matched in gender, age, and body mass index, as well as 49 gender- and age-matched healthy, normal-weight controls. Serum kallistatin levels were measured with ELISA, and lipoprotein subfractions were analyzed using Lipoprint ® (Quantimetrix Corp., Redondo Beach, CA, USA) gel electrophoresis. Kallistatin concentrations were significantly higher in T2D patients compared to NDO and control groups. We found significant positive correlations between very-low-density lipoprotein (VLDL), small high-density lipoprotein (HDL) subfractions, glucose, hemoglobin A 1c (HbA 1c ), betatrophin, and kallistatin, while negative correlations were detected between mean low-density lipoprotein (LDL) size, large and intermediate HDL subfractions, and kallistatin in the whole study population. The best predictor of kallistatin was HbA 1c in T2D patients, high-sensitivity C-reactive protein (hsCRP) and betatrophin in NDO patients, and hsCRP in controls. Our results indicate that kallistatin expression might be induced by persistent hyperglycemia in T2D, while in nondiabetic subjects, its production might be associated with systemic inflammation. The correlation of kallistatin with lipid subfractions may suggest its putative role in atherogenesis.
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    • Grant Information:
      K142273 National Research, Development and Innovation Office - NKFIH; TKP2021-EGA-18 Ministry of Innovation and Technology of Hungary from the National Research, Development and Innovation Fund; 11003 Eötvös Loránd Research Network
    • Contributed Indexing:
      Keywords: betatrophin; diabetes; kallistatin; lipid subfractions; obesity; triglyceride
    • Accession Number:
      0 (kallistatin)
      0 (Serpins)
      0 (Biomarkers)
      0 (Blood Glucose)
      0 (Lipoproteins)
      0 (Glycated Hemoglobin)
      9007-41-4 (C-Reactive Protein)
    • Publication Date:
      Date Created: 20240619 Date Completed: 20240619 Latest Revision: 20240620
    • Publication Date:
      20240620
    • Accession Number:
      PMC11173135
    • Accession Number:
      10.3390/ijms25116264
    • Accession Number:
      38892451