2008
DOI: 10.1038/ijo.2008.109
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Interleukin-18 resistance in patients with obesity and type 2 diabetes mellitus

Abstract: Objective: Interleukin-18 (IL-18) has been recently demonstrated to improve experimental hyperphagia and insulin resistance. Paradoxically, concentrations of circulating IL-18 in obese subjects and in patients with type 2 diabetes are increased. The objective of this study is to provide an explanation for this paradox. Design: We have hypothesized that cells from obese individuals or from patients with type 2 diabetes mellitus have a diminished response to stimulation with IL-18. IL-18 responsiveness was teste… Show more

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Cited by 63 publications
(56 citation statements)
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“…Some reports have shown that increased circulating IL-18 or genetic variation of IL-18 is linked with insulin resistance in patients with type 2 diabetes mellitus, obesity, or polycystic ovary syndrome [14,15,24,25]. By contrast, our study identified insulin resistance during acute endotoxemia only in the absence of IL-18.…”
Section: Discussioncontrasting
confidence: 50%
“…Some reports have shown that increased circulating IL-18 or genetic variation of IL-18 is linked with insulin resistance in patients with type 2 diabetes mellitus, obesity, or polycystic ovary syndrome [14,15,24,25]. By contrast, our study identified insulin resistance during acute endotoxemia only in the absence of IL-18.…”
Section: Discussioncontrasting
confidence: 50%
“…IL-18 is also known to have a proinflammatory effect in systemic lupus erythematosus [32,33]. Increases in both the serum levels of, and resistance to, IL-18 have been reported in obese type 2 patients with diabetes [34]. Moreover, IL-18 has been reported to play a role in the formation of inflammation and endothelial dysfunction [35], and Wong et al [36] reported that IL-18 was involved in renal dysfunction in non-diabetic patients.…”
Section: Discussionmentioning
confidence: 96%
“…Increasing concentrations of the cytokine in these patients predict increased risk for nephropathy and retinopathy. It has been suggested that the patients develop resistance to IL-18, as their PBMC produce less IFN-c in response to exogenous IL-18 as compared with the cells from healthy control subjects [64]. Clearly, further studies are required to investigate this issue.…”
Section: Metabolic Effectsmentioning
confidence: 98%