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2017 ; 7
(1
): 11360
Nephropedia Template TP
gab.com Text
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English Wikipedia
Dominance of the hypothalamus-pituitary-adrenal axis over the
renin-angiotensin-aldosterone system is a risk factor for decreased insulin
secretion
#MMPMID28900121
Daimon M
; Kamba A
; Murakami H
; Mizushiri S
; Osonoi S
; Matsuki K
; Sato E
; Tanabe J
; Takayasu S
; Matsuhashi Y
; Yanagimachi M
; Terui K
; Kageyama K
; Tokuda I
; Kurauchi S
; Nakaji S
Sci Rep
2017[Sep]; 7
(1
): 11360
PMID28900121
show ga
How the association between the hypothalamus-pituitary-adrenal (HPA) axis and the
renin-angiotensin-aldosterone system (RAAS) affects glucose metabolism were not
well examined in a general population. Participants of the population-based 2015
Iwaki study were enrolled (n: 1,016; age: 54.4?±?15.1 years). Principal component
(PC) analysis identified two PCs: PC1 represented levels of the HPA axis (serum
cortisol) and the RAAS (plasma aldosterone) as a whole, and PC2 represented the
HPA axis relative to the RAAS (HPA axis dominance). We examined the association
between these PCs and glucose metabolism using homeostasis model assessment
indices of reduced insulin sensitivity (HOMA-R) and secretion (HOMA-?).
Univariate linear regression analyses showed a correlation between PC2 and HOMA-?
(??=?-0.248, p?0.0001), but not between PC1 and HOMA-? (??=?-0.004,
p?=?0.9048). The correration between PC2 and HOMA-? persisted after adjustment
for multiple factors (??=?-0.101, p?=?0.0003). No correlations were found between
the PCs and HOMA-R. When subjects were tertiled based on PC2, the highest tertile
was at greater risk of decreased insulin secretion (defined as the lower one
third of HOMA-? (?68.9)) than the lowest tertile after adjustment for multiple
factors (odds ratio, 2.00; 95% confidence interval, 1.35-2.97). The HPA axis
dominance is associated with decreased insulin secretion in a Japanese
population.