Elevated plasma interleukin-18 is a marker of insulin-resistance in type 2 diabetic and non-diabetic humans

Elevated plasma IL-18 is present in several conditions sharing insulin-resistance as common trait, but the association with insulin-resistance per se is not established. Plasma/serum IL-6, IL-18, TNF-alpha, soluble TNF receptor II (sTNFR2), and C-reactive protein (CRP) were measured in 97 patients w...

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Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 117(2005), 2 vom: 05. Nov., Seite 152-60
1. Verfasser: Fischer, Christian P (VerfasserIn)
Weitere Verfasser: Perstrup, Lisbeth B, Berntsen, Annika, Eskildsen, Peter, Pedersen, Bente K
Format: Aufsatz
Sprache:English
Veröffentlicht: 2005
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Comparative Study Journal Article Research Support, Non-U.S. Gov't Biomarkers Interleukin-18 Interleukin-6 Receptors, Tumor Necrosis Factor, Type II Tumor Necrosis Factor-alpha C-Reactive Protein 9007-41-4
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100 1 |a Fischer, Christian P  |e verfasserin  |4 aut 
245 1 0 |a Elevated plasma interleukin-18 is a marker of insulin-resistance in type 2 diabetic and non-diabetic humans 
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520 |a Elevated plasma IL-18 is present in several conditions sharing insulin-resistance as common trait, but the association with insulin-resistance per se is not established. Plasma/serum IL-6, IL-18, TNF-alpha, soluble TNF receptor II (sTNFR2), and C-reactive protein (CRP) were measured in 97 patients with type 2 diabetes (DM) and 84 non-diabetic controls (CON). The association with insulin-resistance-estimated using the homeostasis model assessment (HOMA-IR)-was analyzed using multivariate linear and logistic regression. Compared to CON, DM demonstrated higher plasma levels of IL-18 (P = 0.001), IL-6 (P < 0.001), sTNFR2 (P = 0.005), and CRP (P < 0.001), while TNF-alpha was lower (P = 0.017). Plasma IL-18 increased across HOMA-IR quartiles in both DM and CON, both with and without adjustment for confounders (all P < 0.05). In contrast, neither IL-6, TNF-alpha, sTNFR2, nor CRP was associated with HOMA-IR in CON when adjusting for confounders. Accordingly, 50% increase of IL-18 corresponded to a marked increase of HOMA-IR in both DM and CON (DM: 26%, P = 0.014; CON: 25%, P = 0.003) after adjustment for confounders. Our results show that plasma IL-18 was associated with HOMA-IR independent of obesity and type 2 diabetes 
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650 4 |a Research Support, Non-U.S. Gov't 
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650 7 |a Interleukin-18  |2 NLM 
650 7 |a Interleukin-6  |2 NLM 
650 7 |a Receptors, Tumor Necrosis Factor, Type II  |2 NLM 
650 7 |a Tumor Necrosis Factor-alpha  |2 NLM 
650 7 |a C-Reactive Protein  |2 NLM 
650 7 |a 9007-41-4  |2 NLM 
700 1 |a Perstrup, Lisbeth B  |e verfasserin  |4 aut 
700 1 |a Berntsen, Annika  |e verfasserin  |4 aut 
700 1 |a Eskildsen, Peter  |e verfasserin  |4 aut 
700 1 |a Pedersen, Bente K  |e verfasserin  |4 aut 
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