scholarly journals Insulin Resistance Predicts Atherogenic Lipoprotein Profile in Nondiabetic Subjects

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Flávia De C. Cartolano ◽  
Gabriela D. Dias ◽  
Maria C. P. de Freitas ◽  
Antônio M. Figueiredo Neto ◽  
Nágila R. T. Damasceno
Keyword(s):  
Insulin Resistance ◽  
Biochemical Analysis ◽  
Strong Predictor ◽  
Lower Percentage ◽  
Lipoprotein Profile ◽  
Reduced Frequency ◽  
Atherogenic Lipoprotein Profile ◽  
The Impact ◽  
Apo Ai ◽  
Atherogenic Lipid

Background. Atherogenic diabetes is associated with an increased cardiovascular risk and mortality in diabetic individuals; however, the impact of insulin resistance (IR) in lipid metabolism in preclinical stages is generally underreported. For that, we evaluated the capacity of IR to predict an atherogenic lipid subfraction profile.Methods. Complete clinical evaluation and biochemical analysis (lipid, glucose profile, LDL, and HDL subfractions and LDL phenotype and size) were performed in 181 patients. The impact of IR as a predictor of atherogenic lipoproteins was tested by logistic regression analysis in raw and adjusted models.Results. HDL-C and Apo AI were significantly lower in individuals with IR. Individuals with IR had a higher percentage of small HDL particles, lower percentage in the larger ones, and reduced frequency of phenotype A (IR = 62%; non-IR = 83%). IR individuals had reduced probability to have large HDL (OR = 0.213; CI = 0.999–0.457) and had twice more chances to show increased small HDL (OR = 2.486; CI = 1.341–7.051). IR was a significant predictor of small LDL (OR = 3.075; CI = 1.341–7.051) and atherogenic phenotype (OR = 3.176; CI = 1.469–6.867).Conclusion. IR, previously DM2 diagnosis, is a strong predictor of quantitative and qualitative features of lipoproteins directly associated with an increased atherogenic risk.

scholarly journals Advanced Lipoprotein Analysis Shows Atherogenic Lipid Profile That Improves After Metreleptin in Patients with Lipodystrophy

2019 ◽  
Vol 3 (8) ◽  
pp. 1503-1517 ◽  
Author(s):  
Alexandra B Kinzer ◽  
Robert D Shamburek ◽  
Marissa Lightbourne ◽  
Ranganath Muniyappa ◽  
Rebecca J Brown
Keyword(s):  
Insulin Resistance ◽  
High Density Lipoprotein ◽  
Lipid Profile ◽  
Density Lipoprotein ◽  
High Density ◽  
Lipoprotein Profile ◽  
Cvd Risk ◽  
Lipoprotein Particles ◽  
Atherogenic Lipid Profile ◽  
Atherogenic Lipid

Abstract Context Patients with lipodystrophy have dyslipidemia and insulin resistance. Leptin treatment with metreleptin in lipodystrophy decreases insulin resistance and lowers triglycerides without changing high-density lipoprotein. Detailed measurement of lipoprotein particles with nuclear magnetic resonance (NMR) spectroscopy can offer insights into cardiovascular disease (CVD) risk and lipid metabolism beyond a standard lipid panel. We hypothesized that patients with lipodystrophy would have a more atherogenic lipid profile than controls at baseline, which would be ameliorated with metreleptin treatment. Objective To characterize the lipoprotein profile in patients with lipodystrophy compared with controls and to evaluate effects of metreleptin treatment. Design, Setting, Patients, and Intervention Patients with lipodystrophy (N = 17) were studied before and after metreleptin for 2 weeks and 6 months and compared with 51 insulin-sensitive sex-matched controls. Main Outcome Measures Lipoprotein profiles were measured by NMR with the LP4 deconvolution algorithm, which reports triglyceride-rich lipoprotein particles (TRLPs), high-density lipoprotein particles (HDLPs), and low-density lipoprotein particles (LDLPs). Results Patients with lipodystrophy had elevated large TRLPs and smaller HDLPs and LDLPs compared with controls. Five patients with lipodystrophy had chylomicrons, compared with zero controls. Metreleptin decreased the size and concentration of TRLPs, eliminated chylomicrons in all but one patient, decreased LDLPs, and increased LDLP size. Metreleptin treatment did not have major effects on HDLPs. Conclusions Patients with lipodystrophy had an atherogenic lipoprotein profile at baseline consistent with elevated CVD risk, which improved after metreleptin treatment. The presence of fasting chylomicrons in a subset of patients with lipodystrophy suggests saturation of chylomicron clearance by lipoprotein lipase.

scholarly journals The Atherogenic Lipoprotein Profile Associated With Obesity and Insulin Resistance Is Largely Attributable to Intra-Abdominal Fat

Diabetes ◽  
2003 ◽  
Vol 52 (1) ◽  
pp. 172-179 ◽  
Author(s):  
D. J. Nieves ◽  
M. Cnop ◽  
B. Retzlaff ◽  
C. E. Walden ◽  
J. D. Brunzell ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Abdominal Fat ◽  
Lipoprotein Profile ◽  
Atherogenic Lipoprotein ◽  
Atherogenic Lipoprotein Profile

The impact of testosterone and the androgen receptor (AR) CAG length polymorphism on insulin resistance in men

2007 ◽  
Vol 115 (S 1) ◽  
Author(s):  
M Möhlig ◽  
J Spranger ◽  
MO Weickert ◽  
AM Arafat ◽  
AFH Pfeiffer ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Androgen Receptor ◽  
Length Polymorphism ◽  
The Impact

Insulin Therapy in Pregnancy Hypertensive Diseases and its Effect on the Offspring and Mother Later in Life

2019 ◽  
Vol 17 (5) ◽  
pp. 455-464 ◽  
Author(s):  
Alfonso Mate ◽  
Antonio J. Blanca ◽  
Rocío Salsoso ◽  
Fernando Toledo ◽  
Pablo Stiefel ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Resistance ◽  
Polycystic Ovary Syndrome ◽  
Insulin Therapy ◽  
Polycystic Ovary ◽  
Ovary Syndrome ◽  
Insulin Resistant ◽  
Hypertensive Disorders ◽  
The Impact ◽  
In Pregnancy

Pregnancy hypertensive disorders such as Preeclampsia (PE) are strongly correlated with insulin resistance, a condition in which the metabolic handling of D-glucose is deficient. In addition, the impact of preeclampsia is enhanced by other insulin-resistant disorders, including polycystic ovary syndrome and obesity. For this reason, there is a clear association between maternal insulin resistance, polycystic ovary syndrome, obesity and the development of PE. However, whether PE is a consequence or the cause of these disorders is still unclear. Insulin therapy is usually recommended to pregnant women with diabetes mellitus when dietary and lifestyle measures have failed. The advantage of insulin therapy for Gestational Diabetes Mellitus (GDM) patients with hypertension is still controversial; surprisingly, there are no studies in which insulin therapy has been used in patients with hypertension in pregnancy without or with an established GDM. This review is focused on the use of insulin therapy in hypertensive disorders in the pregnancy and its effect on offspring and mother later in life. PubMed and relevant medical databases have been screened for literature covering research in the field especially in the last 5-10 years.

scholarly journals Numerical analysis of high-lift configurations with oscillating flaps

2021 ◽  
Author(s):  
Johannes Ruhland ◽  
Christian Breitsamter
Keyword(s):  
Reynolds Number ◽  
Flow Separation ◽  
Separated Flow ◽  
Navier Stokes ◽  
Rotational Axis ◽  
High Lift ◽  
Hinge Point ◽  
Reduced Frequency ◽  
Flap Deflection ◽  
The Impact

AbstractThis study presents two-dimensional aerodynamic investigations of various high-lift configuration settings concerning the deflection angles of droop nose, spoiler and flap in the context of enhancing the high-lift performance by dynamic flap movement. The investigations highlight the impact of a periodically oscillating trailing edge flap on lift, drag and flow separation of the high-lift configuration by numerical simulations. The computations are conducted with regard to the variation of the parameters reduced frequency and the position of the rotational axis. The numerical flow simulations are conducted on a block-structured grid using Reynolds Averaged Navier Stokes simulations employing the shear stress transport $$k-\omega $$ k - ω turbulence model. The feature Dynamic Mesh Motion implements the motion of the oscillating flap. Regarding low-speed wind tunnel testing for a Reynolds number of $$0.5 \times 10^{6}$$ 0.5 × 10 6 the flap movement around a dropped hinge point, which is located outside the flap, offers benefits with regard to additional lift and delayed flow separation at the flap compared to a flap movement around a hinge point, which is located at 15 % of the flap chord length. Flow separation can be suppressed beyond the maximum static flap deflection angle. By means of an oscillating flap around the dropped hinge point, it is possible to reattach a separated flow at the flap and to keep it attached further on. For a Reynolds number of $$20 \times 10^6$$ 20 × 10 6 , reflecting full scale flight conditions, additional lift is generated for both rotational axis positions.

scholarly journals The Impact of Differentiation on Cytotoxicity and Insulin Sensitivity in Streptozotocin Treated SH-SY5Y Cells

2021 ◽  
Vol 46 (6) ◽  
pp. 1350-1358
Author(s):  
Fruzsina Bagaméry ◽  
Kamilla Varga ◽  
Kitti Kecsmár ◽  
István Vincze ◽  
Éva Szökő ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Insulin Sensitivity ◽  
Insulin Signaling ◽  
Glycogen Synthase ◽  
Insulin Metabolism ◽  
Relative Significance ◽  
Differentiated Cells ◽  
Mature Neuron ◽  
The Right ◽  
The Impact

AbstractRecently neuronal insulin resistance was suggested playing a role in Alzheimer’s disease. Streptozotocin (STZ) is commonly used to induce impairment in insulin metabolism. In our previous work on undifferentiated SH-SY5Y cells the compound exerted cytotoxicity without altering insulin sensitivity. Nevertheless, differentiation of the cells to a more mature neuron-like phenotype may considerably affect the significance of insulin signaling and its sensitivity to STZ. We aimed at studying the influence of STZ treatment on insulin signaling in SH-SY5Y cells differentiated by retinoic acid (RA). Cytotoxicity of STZ or low serum (LS) condition and protective effect of insulin were compared in RA differentiated SH-SY5Y cells. The effect of insulin and an incretin analogue, exendin-4 on insulin signaling was also examined by assessing glycogen synthase kinase-3 (GSK-3) phosphorylation. STZ was found less cytotoxic in the differentiated cells compared to our previous results in undifferentiated SH-SY5Y cells. The cytoprotective concentration of insulin was similar in the STZ and LS groups. However, the right-shifted concentration–response curve of insulin induced GSK-3 phosphorylation in STZ-treated differentiated cells is suggestive of the development of insulin resistance that was further confirmed by the insulin potentiating effect of exendin-4. Differentiation reduced the sensitivity of SH-SY5Y cells for the non-specific cytotoxicity of STZ and enhanced the relative significance of development of insulin resistance. The differentiated cells thus serve as a better model for studying the role of insulin signaling in neuronal survival. However, direct cytotoxicity of STZ also contributes to the cell death.

scholarly journals Potential Impacts of Future Climate Change Scenarios on Ground Subsidence

Water ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 219 ◽  
Author(s):  
Antonio-Juan Collados-Lara ◽  
David Pulido-Velazquez ◽  
Rosa María Mateos ◽  
Pablo Ezquerro
Keyword(s):  
Climate Change ◽  
Land Subsidence ◽  
Ground Subsidence ◽  
Lower Percentage ◽  
Future Climate Change ◽  
Climate Change Scenarios ◽  
Fine Grained ◽  
Fine Grained Material ◽  
The Impact

In this work, we developed a new method to assess the impact of climate change (CC) scenarios on land subsidence related to groundwater level depletion in detrital aquifers. The main goal of this work was to propose a parsimonious approach that could be applied for any case study. We also evaluated the methodology in a case study, the Vega de Granada aquifer (southern Spain). Historical subsidence rates were estimated using remote sensing techniques (differential interferometric synthetic aperture radar, DInSAR). Local CC scenarios were generated by applying a bias correction approach. An equifeasible ensemble of the generated projections from different climatic models was also proposed. A simple water balance approach was applied to assess CC impacts on lumped global drawdowns due to future potential rainfall recharge and pumping. CC impacts were propagated to drawdowns within piezometers by applying the global delta change observed with the lumped assessment. Regression models were employed to estimate the impacts of these drawdowns in terms of land subsidence, as well as to analyze the influence of the fine-grained material in the aquifer. The results showed that a more linear behavior was observed for the cases with lower percentage of fine-grained material. The mean increase of the maximum subsidence rates in the considered wells for the future horizon (2016–2045) and the Representative Concentration Pathway (RCP) scenario 8.5 was 54%. The main advantage of the proposed method is its applicability in cases with limited information. It is also appropriate for the study of wide areas to identify potential hot spots where more exhaustive analyses should be performed. The method will allow sustainable adaptation strategies in vulnerable areas during drought-critical periods to be assessed.

scholarly journals Inflammatory Mediators and Insulin Resistance in Obesity: Role of Nuclear Receptor Signaling in Macrophages

2010 ◽  
Vol 2010 ◽  
pp. 1-10 ◽  
Author(s):  
Lucía Fuentes ◽  
Tamás Rőszer ◽  
Mercedes Ricote
Keyword(s):  
Insulin Resistance ◽  
Nuclear Receptor ◽  
Cytokine Production ◽  
Current Knowledge ◽  
Liver Steatosis ◽  
Visceral Obesity ◽  
M2 Macrophage ◽  
Low Grade ◽  
The Impact

Visceral obesity is coupled to a general low-grade chronic inflammatory state characterized by macrophage activation and inflammatory cytokine production, leading to insulin resistance (IR). The balance between proinflammatory M1 and antiinflammatory M2 macrophage phenotypes within visceral adipose tissue appears to be crucially involved in the development of obesity-associated IR and consequent metabolic abnormalities. The ligand-dependent transcription factors peroxisome proliferator activated receptors (PPARs) have recently been implicated in the determination of the M1/M2 phenotype. Liver X receptors (LXRs), which form another subgroup of the nuclear receptor superfamily, are also important regulators of proinflammatory cytokine production in macrophages. Disregulation of macrophage-mediated inflammation by PPARs and LXRs therefore underlies the development of IR. This review summarizes the role of PPAR and LXR signaling in macrophages and current knowledge about the impact of these actions in the manifestation of IR and obesity comorbidities such as liver steatosis and diabetic osteopenia.

Impact of Glucose Metabolism Disorders on IGF-1 Levels in Patients with Acromegaly

2018 ◽  
Vol 50 (05) ◽  
pp. 408-413 ◽  
Author(s):  
Sema Dogansen ◽  
Gulsah Yalin ◽  
Seher Tanrikulu ◽  
Sema Yarman
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Resistance ◽  
Glucose Metabolism ◽  
Glucose Tolerance ◽  
Normal Glucose Tolerance ◽  
Glucose Metabolism Disorders ◽  
Insulin Resistant ◽  
Normal Glucose ◽  
Resistant Group ◽  
The Impact

AbstractIn this study, we aimed to evaluate the presence of glucose metabolism abnormalities and their impact on IGF-1 levels in patients with acromegaly. Ninety-three patients with acromegaly (n=93; 52 males/41 females) were included in this study. Patients were separated into three groups such as; normal glucose tolerance (n=23, 25%), prediabetes (n=38, 41%), and diabetes mellitus (n=32, 34%). Insulin resistance was calculated with homeostasis model assessment (HOMA). HOMA-IR > 2.5 or ≤2.5 were defined as insulin resistant or noninsulin resistant groups, respectively. Groups were compared in terms of factors that may be associated with glucose metabolism abnormalities. IGF-1% ULN (upper limit of normal)/GH ratios were used to evaluate the impact of glucose metabolism abnormalities on IGF-1 levels. Patients with diabetes mellitus were significantly older with an increased frequency of hypertension (p<0.001, p=0.01, respectively). IGF-1% ULN/GH ratio was significantly lower in prediabetes group than in normal glucose tolerance group (p=0.04). Similarly IGF-1% ULN/GH ratio was significantly lower in insulin resistant group than in noninsulin resistant group (p=0.04). Baseline and suppressed GH levels were significantly higher in insulin resistant group than in noninsulin resistant group (p=0.024, p<0.001, respectively). IGF-1% ULN/GH ratio is a useful marker indicating glucose metabolism disorders and IGF-1 levels might be inappropriately lower in acromegalic patients with insulin resistance or prediabetes. We suggest that IGF-1 levels should be re-evaluated after the improvement of insulin resistance or glycemic regulation for the successful management of patients with acromegaly.

scholarly journals The Impact of Exercise Training Compared to Caloric Restriction on Hepatic and Peripheral Insulin Resistance in Obesity

2009 ◽  
Vol 94 (11) ◽  
pp. 4258-4266 ◽  
Author(s):  
Robert H. Coker ◽  
Rick H. Williams ◽  
Sophie E. Yeo ◽  
Patrick M. Kortebein ◽  
Don L. Bodenner ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Exercise Training ◽  
Caloric Restriction ◽  
Peripheral Insulin Resistance ◽  
The Impact
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