Abstract
Although obesity may be linked to resistin, the role of resistin in humans is still
controversial. Conflicting results of the associations between resistin and BMI and
measures of insulin resistance were reported. In view of the yet unexplained role
of resistin in human obesity, the aim of this study was to examine correlations between
serum resistin concentrations and the degree of human obesity and insulin sensitivity.
For this purpose, we investigated 2 homogenous groups of obese and non obese humans,
in whom the presence of obesity was the solely differentiating factor. The WHO definition
of obesity was used. Study group consisted of 136 obese subjects (75 women and 61
men) and 48 non-obese controls (31 women, 17 men) aged 48.0±10.1, and 48.8±13.4 yrs,
respectively.
Results: Obese subjects showed higher resistin concentrations than non obese controls (24.89±9.73 ng/mL,
median 26.61 vs. 15.34±4.68 ng/mL, median 14.76, P<0.0001). Resistin concentrations
correlated with BMI in the whole cohort (r=0.4296, P<0.0001), but not in obese and
non-obese subjects separately (r=0.1418, P=0.0997; r=0.2712, P=0.0623, respectively).
Moreover, serum resistin was not influenced by insulin resistance in either group
examined.
Conclusion: Although concentrations of resistin differ between obese and non-obese humans, no
relationship between resistin concentration and insulin resistance has been found.
Correlations between resistin and BMI are present only in a mixed population but disappear
in non obese and obese subjects when analyzed separately.
Key words
obesity - adipocytokines - hormones
References
- 1
Asano H, Izawa H, Nagata K. et al .
Plasma resistin concentration determined by common variants in the resistin gene and
associated with metabolic traits in an aged Japanese population.
Diabetologia.
2010;
53
234-246
- 2
Azuma K, Katsukawa F, Oguchi S. et al .
Correlation between serum resistin level and adiposity in obese individuals.
Obes Res.
2003;
11
997-1001
- 3
Butler J, Kalogeropoulos A, Georgiopoulou V. et al .
Health ABC Study. Serum resistin concentrations and risk of new onset heart failure
in older persons: the health, aging, and body composition (Health ABC) study.
Arterioscler Thromb Vasc Biol.
2009;
29
1144-1149
- 4
Chen BH, Song Y, Ding EL. et al .
Circulating levels of resistin and risk of type 2 diabetes in men and women: results
from two prospective cohorts.
Diabetes Care.
2009;
32
329-334
- 5
Cizmecioglu FM, Etiler N, Ergen A. et al .
Association of adiponectin, resistin and high sensitive CRP level with the metabolic
syndrome in childhood and adolescence.
Exp Clin Endocrinol Diabetes.
2009;
117
622-627
- 6
Degawa-Yamauchi M, Bovenkerk JE, Juliar BE. et al .
Serum resistin (FIZZ3) protein is increased in obese humans.
J Clin Endocrinol Metab.
2003;
88
5452-5455
- 7
Fargnoli JL, Sun Q, Olenczuk D. et al .
Resistin is associated with biomarkers of inflammation while total and high-molecular
weight adiponectin are associated with biomarkers of inflammation, insulin resistance,
and endothelial function.
Eur J Endocrinol.
2010;
162
281-288
- 8
Frankel DS, Vasan RS, D'Agostino Sr RB. et al .
Resistin, adiponectin, and risk of heart failure the Framingham offspring study.
J Am Coll Cardiol.
2009;
53
754-762
- 9
Friedman JM, Halaas JL.
Leptin and the regulation of body weight in mammals.
Nature.
1998;
395
763-770
- 10
Fujinami A, Obayashi H, Ohta K. et al .
Enzyme-linked immunosorbent assay for circulating human resistin: resistin concentrations
in normal subjects and patients with type 2 diabetes.
Clin Chim Acta.
2004;
339
57-63
- 11
Heilbronn LK, Rood J, Janderova L. et al .
Relationship between serum resistin concentrations and insulin resistance in nonobese,
obese, and obese diabetic subjects.
J Clin Endocrinol Metab.
2004;
89
1844-1848
- 12
Hivert MF, Sullivan LM, Fox CS. et al .
Associations of adiponectin, resistin, and tumor necrosis factor-alpha with insulin
resistance.
J Clin Endocrinol Metab.
2008;
93
3165-3172
- 13
Jain SH, Massaro JM, Hoffmann U. et al .
Cross-sectional associations between abdominal and thoracic adipose tissue compartments
and adiponectin and resistin in the Framingham Heart Study.
Diabetes Care.
2009;
32
903-908
- 14
Janke J, Engeli S, Gorzelniak K. et al .
Resistin gene expression in human adipocytes is not related to insulin resistance.
Obes Res.
2002;
10
1-5
- 15
Juan CC, Au LC, Fang VS. et al .
Suppressed gene expression of adipocyte resistin in an insulin-resistant rat model
probably by elevated free fatty acids.
Biochem Biophys Res Commun.
2001;
289
1328-1333
- 16
Le Lay S, Boucher J, Rey A. et al .
Decreased resistin expression in mice with different sensitivities to a high-fat diet.
Biochem Biophys Res Commun.
2001;
289
564-567
- 17
Lee JH, Chan JL, Yiannakouris N. et al .
Circulating resistin levels are not associated with obesity or insulin resistance
in humans and are not regulated by fasting or leptin administration: cross-sectional
and interventional studies in normal, insulin-resistant, and diabetic subjects.
J Clin Endocrinol Metab.
2003;
88
4848-4856
- 18
Luo Z, Zhang Y, Li F. et al .
Resistin induces insulin resistance by both AMPK-dependent and AMPK-independent mechanisms
in HepG2 cells.
Endocrine.
2009;
36
60-69
- 19
Matthews DR, Hosker JP, Rudenski AS. et al .
Homeostasis model assessment: insulin resistance and beta-cell function from fasting
plasma glucose and insulin concentrations in man.
Diabetologia.
1985;
28
412-419
- 20
McTernan CL, McTernan PG, Harte AL. et al .
Resistin, central obesity, and type 2 diabetes.
Lancet.
2002;
359
46-47
- 21
McTernan PG, Fisher FM, Valsamakis G. et al .
Resistin and type 2 diabetes: regulation of resistin expression by insulin and rosiglitazone
and the effects of recombinant resistin on lipid and glucose metabolism in human differentiated
adipocytes.
J Clin Endocrinol Metab.
2003;
88
6098-6106
- 22
McTernan PG, McTernan CL, Chetty R. et al .
Increased resistin gene and protein expression in human abdominal adipose tissue.
J Clin Endocrinol Metab.
2002;
87
2407-2410
- 23
Muse ED, Lam TK, Scherer PE. et al .
Hypothalamic resistin induces hepatic insulin resistance.
J Clin Invest.
2007;
117
1670-1678
- 24
Nagaev I, Smith U.
Insulin resistance and type 2 diabetes are not related to resistin expression in human
fat cells or skeletal muscle.
Biochem Biophys Res Commun.
2001;
285
561-564
- 25
Ohmori R, Momiyama Y, Kato R. et al .
Associations between serum resistin levels and insulin resistance, inflammation, and
coronary artery disease.
J Am Coll Cardiol.
2005;
46
379-380
- 26
Osawa H, Doi Y, Makino H. et al .
Diabetes and hypertension markedly increased the risk of ischemic stroke associated
with high serum resistin concentration in a general Japanese population: the Hisayama
Study.
Cardiovasc Diabetol.
2009;
18
60
- 27
Osawa H, Tabara Y, Kawamoto R. et al .
Plasma resistin, associated with single nucleotide polymorphism-420, is correlated
with insulin resistance, lower HDL cholesterol, and high-sensitivity C-reactive protein
in the Japanese general population.
Diabetes Care.
2007;
30
1501-1506
- 28
Pang SS, Le YY.
Role of resistin in inflammation and inflammation-related diseases.
Cell Mol Immunol.
2006;
3
29-34
- 29
Patel L, Buckels AC, Kinghorn IJ. et al .
Resistin is expressed in human macrophages and directly regulated by PPAR gamma activators.
Biochem Biophys Res Commun.
2003;
300
472-476
- 30
Prins JB.
Adipose tissue as an endocrine organ.
Best Pract Res Clin Endocrinol Metab.
2002;
16
639-651
- 31
Savage DB, Sewter CP, Klenk ES. et al .
Resistin/Fizz3 expression in relation to obesity and peroxisome proliferator activated
receptor-gamma action in humans.
Diabetes.
2001;
50
2199-2202
- 32
Silha JV, Krsek M, Skrha JV. et al .
Plasma resistin, adiponectin and leptin levels in lean and obese subjects: correlations
with insulin resistance.
Eur J Endocrinol.
2003;
149
331-335
- 33
Spiegelman BM, Flier JS.
Adipogenesis and obesity: rounding out the big picture.
Cell.
1996;
87
377-389
- 34
Steppan CM, Bailey ST, Bhat S. et al .
The hormone resistin links obesity to diabetes.
Nature.
2001;
409
307-312
- 35
Steppan CM, Brown EJ, Wright CM. et al .
A family of tissue-specific resistin-like molecules.
Proc Natl Acad Sci USA.
2001;
98
502-506
- 36
Steppan CM, Lazar MA.
Resistin and obesity-associated insulin resistance.
Trends Endocrinol Metab.
2002;
13
18-23
- 37
Vozarova de Court, Degawa-Yamauchi M, Considine RV. et al .
High serum resistin is associated with an increase in adiposity but not a worsening
of insulin resistance in Pima Indians.
Diabetes.
2004;
53
1279-1284
- 38
Walcher D, Hess K, Berger R. et al .
Resistin: a newly identified chemokine for human CD4-positive lymphocytes.
Cardiovasc Res.
2010;
85
167-174
- 39
Wang H, Chen DY, Cao J. et al .
High serum resistin level may be an indicator of the severity of coronary disease
in acute coronary syndrome.
Chin Med Sci J.
2009;
24
161-166
- 40
Way JM, Görgün CZ, Tong Q. et al .
Adipose tissue resistin expression is severely suppressed in obesity and stimulated
by peroxisome proliferator-activated receptor gamma agonists.
J Biol Chem.
2001;
276
25651-25653
- 41
Won JC, Park CY, Lee WY. et al .
Association of plasma levels of resistin with subcutaneous fat mass and markers of
inflammation but not with metabolic determinants or insulin resistance.
J Korean Med Sci.
2009;
24
695-700
- 42
Youn BS, Yu KY, Park HJ. et al .
Plasma resistin concentrations measured by enzyme-linked immunosorbent assay using
a newly developed monoclonal antibody are elevated in individuals with type 2 diabetes
mellitus.
J Clin Endocrinol Metab.
2004;
89
150-156
Correspondence
M. OweckiMD
Department of Endocrinology
ul. Przybyszewskiego 49
60-355 Poznań
Poland
Phone: +48/61/869 1330
Fax: +48/61/869 1682
Email: mowecki@ump.edu.pl