2008
DOI: 10.1111/j.1365-2362.2008.02028.x
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Effect of obesity and insulin sensitivity on adiponectin isoform distribution

Abstract: Our results underline that determination of adiponectin isoforms are more useful than measurement of total adiponectin in clinical settings. Our data suggest that adiponectin concentrations are strongly associated with visceral fat area but not with insulin sensitivity. Thus, we hypothesize that insulin resistance is a consequence rather than the cause of hypoadiponectinaemia in obese subjects.

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Cited by 80 publications
(65 citation statements)
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References 46 publications
(62 reference statements)
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“…Several evidences indicate that both total ACRP30 and HMW oligomer levels decrease in obesity (31,32,33) and increase after weight loss (34). Interestingly, the present study also reveals an involvement of MMW, LMW, and monomeric forms of ACRP30 in the improvement of obesity state.…”
Section: Discussionsupporting
confidence: 72%
“…Several evidences indicate that both total ACRP30 and HMW oligomer levels decrease in obesity (31,32,33) and increase after weight loss (34). Interestingly, the present study also reveals an involvement of MMW, LMW, and monomeric forms of ACRP30 in the improvement of obesity state.…”
Section: Discussionsupporting
confidence: 72%
“…Overall, these data reflect the insulin resistant state generally associated with old age (Narimiya et al 1984;DeFronzo 1981). Interestingly, the [HMW/ total adiponectin] ratio was significantly lower in aged compared to adult mice, supporting a role for HMW adiponectin as the insulin-sensitizing form of this hormone (Kaser et al 2008). However, the ratio of [total adiponectin/leptin], another suggested indicator of insulin sensitivity ) tended to increase in aged mice compared to the adult group.…”
Section: Discussionmentioning
confidence: 51%
“…Regarding leptin and insulin, the observed correlations with fat mass were consistent with previous data (Considine et al 1996;Frederich et al 1995;Maffei et al 1995;Carantoni et al 1998). However, for circulating adiponectin, an inverse relationship with body fat mass is usually observed (Kaser et al 2008). Also, although mainly related to advanced disease states, adiponectin levels increase in cachexia and may predict mortality (Diez and Iglesias 2010).…”
Section: Discussionmentioning
confidence: 99%
“…17,18 Plasma levels of the HMW isoform and the ratio of HMW to total adiponectin are more closely associated with glucose tolerance and insulin sensitivity than total adiponectin. 19,20 Taking into account the selective decreased levels of circulating HMW adiponectin in individuals with obesity 21,22 and the different endocrine activity of SAT and VAT, 23 the fat depot-specific alterations of adiponectin isoforms production may be expected.…”
Section: Introductionmentioning
confidence: 99%