Chemical Pathology of Chemerin and Its Link to Obesity and Type 2 Diabetes Mellitus: A Review

To study the association and possible predictive role of visfatin, resistin, fetuin-A and chemerin with incident type 2 diabetes (T2DM) among Asian Indians with prediabetes. Their association with insulin resistance, β-cell function, glycaemia and anthropometry were also studied. This is a nested case–control study of a large 2-year prospective prevention trial in persons at high risk of developing T2DM. Baseline HbA1c values between 6.0% (42 mmol/mol) and 6.2% (44 mmol/mol) were chosen for this analysis (n = 144). At follow-up, persons with incident T2DM (HbA1c ≥ 6.5%, 48 mmol/mol) were grouped as cases (n = 72) and those reverted to normoglycaemia, (HbA1c < 5.7% (39 mmol/mol) as controls (n = 72). Insulin resistance showed the strongest association with incident T2DM ((Odds Ratio (OR): 23.22 [95%CI 6.36–84.77]; p < 0.0001). Baseline visfatin (OR: 6.56 [95%CI 2.21–19.5]; p < 0.001) and fetuin-A (OR: 1.01 [95%CI (1.01–1.04)]; p < 0.0001) independently contributed to the conversion of prediabetes to T2DM. The contribution was significantly higher when their elevated levels coexisted (OR: 12.63 [95%CI 3.57–44.63]; p < 0.0001). The area under the curve was 0.77 ± SE 0.4 (95%CI 0.69–0.85) and 0.80 ± SE 0.04 (95%CI 0.73–0.88) for visfatin (median 17.7 ng/ml, sensitivity and specificity: 75%, p < 0.0001) and fetuin-A (mean 236.2 µg/ml, sensitivity: 71%, specificity: 75%, p < 0.0001) respectively. Higher baseline visfatin and fetuin-A concentrations are strongly associated with incident T2DM and are predictive of future diabetes.

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Analysis of Serum Chemerin Levels in Type 2 Diabetes Mellitus Patients

Fauziah,

Aprianti,

Kurniawan

2023

Indonesian J. Clin. Pathol. Med. Lab.

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Chemerin is an adipokine involved in inflammation, adipogenesis, angiogenesis, and energy metabolism. Diabetes Mellitus (DM) is a group of metabolic diseases with hyperglycemia characteristics that occur due to abnormalities in insulin secretion, insulin action, or both. This study aimed to determine serum chemerin levels in patients with Type 2 Diabetes Mellitus (T2DM) between controlled and uncontrolled groups. This study was an analytical observational study with a cross-sectional approach. The study samples were all patients diagnosed with T2DM who had HbA1c test results and met the inclusion and exclusion criteria. Serum chemerin was measured using the ELISA method. The Kolmogorov-Smirnov, Chi-Square, Pearson, and independent T-test statistically analyzed the data. The subjects were 60 controlled and uncontrolled DM patients, 29 males and 31 females. There was a difference in serum chemerin levels in the controlled and uncontrolled DM group (5.73±2.3 ng/mL with 6.87±1.7 ng/mL, p=0.40). There was a positive correlation between chemerin levels and HbA1c (r=0.266; p=0.040). Serum chemerin levels of patients with uncontrolled DM were higher than in patients with controlled DM. Serum chemerin will increase along with the increase of HbA1c level.

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Chemical Pathology of Chemerin and Its Link to Obesity and Type 2 Diabetes Mellitus: A Review

Cited by 3 publications

References 17 publications

Treatment with combination of pioglitazone and glimepiride decreases levels of chemerin and asymmetric dimethylarginine (ADMA) in obese type 2 diabetic patients

Treatment with combination of pioglitazone and glimepiride decreases levels of chemerin and asymmetric dimethylarginine (ADMA) in obese type 2 diabetic patients

Analysis of an Indian diabetes prevention programme on association of adipokines and a hepatokine with incident diabetes

Analysis of Serum Chemerin Levels in Type 2 Diabetes Mellitus Patients

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