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2018 ; 17
(1
): 60
Nephropedia Template TP
gab.com Text
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Plasma angiopoietin-like 4 is related to phospholipid transfer protein activity
in diabetic and non-diabetic subjects: role of enhanced low grade inflammation
#MMPMID29587751
Gruppen EG
; Kersten S
; Dullaart RPF
Lipids Health Dis
2018[Mar]; 17
(1
): 60
PMID29587751
show ga
BACKGROUND: Angiopoietin-like 4 (ANGPTL4) inhibits lipoprotein lipase, whereas
phospholipid transfer protein (PLTP) enhances hepatic triglyceride secretion.
Both factors may be upregulated by inflammatory pathways. Since the extent to
which these circulating factors are interrelated is unknown, we determined the
relationship between plasma ANGPTL4 and PLTP activity, and assessed whether such
a relationship could be explained by high sensitivity C-reactive protein (hsCRP)
levels as a marker of low-grade chronic inflammation. METHODS: Fasting plasma
ANGPTL4, PLTP activity (liposome-vesicle high density lipoprotein system) and
hsCRP were measured in 41 type 2 diabetic (T2DM) subjects and 36 non-diabetic
subjects. RESULTS: Plasma ANGPTL4 and PLTP activity were increased in T2DM
(p?0.001 for each), coinciding with elevated hsCRP, triglycerides and
non-esterified fatty acids (NEFA) (p?=?0.031 to 0.001). In univariate analysis,
ANGTLP4 was correlated with PLTP activity (Rs?=?0.309, p?=?0.006), whereas both
factors were related to hsCRP and NEFA levels (Rs?=?0.304 to 0.411, p?0.01 to
0.001). In multivariable linear regression analysis adjusting for age, sex,
glucose, total cholesterol, triglycerides and NEFA, ANGPTL4 and PLTP activity
each remained positively associated with hsCRP (??=?0.315, p?=?0.003 and
??=?0.299, p?=?0.034, respectively). Plasma ANGPTL4 remained positively
associated with PLTP activity when taking account of age, sex, glucose, total
cholesterol, triglycerides and NEFA (??=?0.315, p?=?0.003). Notably, this
association disappeared after further adjustment for hsCRP (??=?0.131, p?=?0.25).
CONCLUSIONS: In conclusion, plasma ANGPTL4 and PLTP activity are interrelated,
which may at least in part be explained by low-grade chronic inflammation. A
pro-inflammatory state could affect triglyceride metabolism via concerted effects
on ANGPTL4 and PLTP.
|Aged
[MESH]
|Angiopoietin-Like Protein 4/*blood/*metabolism
[MESH]
|Blood Glucose/metabolism
[MESH]
|C-Reactive Protein/metabolism
[MESH]
|Cholesterol, HDL/blood
[MESH]
|Diabetes Mellitus, Type 2/*blood/*metabolism
[MESH]