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Published in: Inflammation 3/2013

Open Access 01-06-2013

Association Between IL-6 Concentration and Diabetes-Related Variables in DM1 Patients with and without Microvascular Complications

Authors: Malgorzata Wegner, Aleksandra Araszkiewicz, Maria Piorunska-Stolzmann, Bogna Wierusz-Wysocka, Dorota Zozulinska-Ziolkiewicz

Published in: Inflammation | Issue 3/2013

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Abstract

Interleukin 6 (IL-6) plays an important role in the initiation and acceleration of chronic inflammation and could contribute to development of microvascular complications in patients with type 1 diabetes (DM1). Therefore, this study was aimed to investigate the association between concentration of IL-6 in relation to glucose control, lipid profile, and body mass index (BMI) in 69 DM1 patients subdivided according to the absence or presence of microvascular complications. BMI, level of fasting plasma glucose (FPG), and concentrations of total cholesterol (TCH), LDL cholesterol (LDL-C), and IL-6 were higher in DM1 patients compared to the control group. In DM1 patients, IL-6 concentration was positively correlated with level of FPG, LDL-C, TCH concentrations, and BMI. These correlations were stronger in the subgroup of patients with microvascular complications. In addition, BMI independently influences IL-6 concentration in DM1 patients. In conclusion, elevated IL-6 concentration is associated with diabetes-related variables which could accelerate progression of microvascular complications in DM1 patients.
Literature
1.
go back to reference Abi Khalil, C., R. Roussel, K. Mohammedi, et al. 2012. Cause-specific mortality in diabetes: recent changes in trend mortality. Eur J Prev Cardiol 19: 374–381.PubMedCrossRef Abi Khalil, C., R. Roussel, K. Mohammedi, et al. 2012. Cause-specific mortality in diabetes: recent changes in trend mortality. Eur J Prev Cardiol 19: 374–381.PubMedCrossRef
2.
go back to reference Brownlee, M. 2001. Biochemistry and molecular cell biology of diabetic complications. Nature 414: 813–820.PubMedCrossRef Brownlee, M. 2001. Biochemistry and molecular cell biology of diabetic complications. Nature 414: 813–820.PubMedCrossRef
3.
go back to reference Wegner, M., A. Araszkiewicz, A. Pioruńska-Mikołajczak, et al. 2009. The evaluation of IL-12 concentration, PAF-AH, and PLA(2) activity in patients with type 1 diabetes treated with intensive insulin therapy. Clinical Biochemistry 42: 1621–1627.PubMedCrossRef Wegner, M., A. Araszkiewicz, A. Pioruńska-Mikołajczak, et al. 2009. The evaluation of IL-12 concentration, PAF-AH, and PLA(2) activity in patients with type 1 diabetes treated with intensive insulin therapy. Clinical Biochemistry 42: 1621–1627.PubMedCrossRef
4.
go back to reference Marcovecchio, M.L., R.N. Dalton, A.T. Prevost, et al. 2009. Prevalence of abnormal lipid profiles and the relationship with the development of microalbuminuria in adolescents with type 1 diabetes. Diabetes Care 32: 658–663.PubMedCrossRef Marcovecchio, M.L., R.N. Dalton, A.T. Prevost, et al. 2009. Prevalence of abnormal lipid profiles and the relationship with the development of microalbuminuria in adolescents with type 1 diabetes. Diabetes Care 32: 658–663.PubMedCrossRef
5.
go back to reference Aguiar, L.G., N.R. Villela, and E. Bonskela. 2007. Microcirculation in diabetes implications for chronic complications and treatment of the disease. Arg Bras Endorcrinol Metabol 51: 204–211. Aguiar, L.G., N.R. Villela, and E. Bonskela. 2007. Microcirculation in diabetes implications for chronic complications and treatment of the disease. Arg Bras Endorcrinol Metabol 51: 204–211.
6.
go back to reference Devaraj, S., A.T. Cheung, I. Jialal, et al. 2007. Evidence of increased inflammation and microcirculatory abnormalities in patients with type 1 diabetes and their role in microvascular complications. Diabetes 56: 2790–2796.PubMedCrossRef Devaraj, S., A.T. Cheung, I. Jialal, et al. 2007. Evidence of increased inflammation and microcirculatory abnormalities in patients with type 1 diabetes and their role in microvascular complications. Diabetes 56: 2790–2796.PubMedCrossRef
7.
go back to reference Astrup, A.S., L. Tarnow, L. Pietraszek, et al. 2008. Markers of endothelial dysfunction and inflammation in type 1 diabetic patients with or without diabetic nephropathy followed for 10 years. Diabetes Care 31: 1170–1176.PubMedCrossRef Astrup, A.S., L. Tarnow, L. Pietraszek, et al. 2008. Markers of endothelial dysfunction and inflammation in type 1 diabetic patients with or without diabetic nephropathy followed for 10 years. Diabetes Care 31: 1170–1176.PubMedCrossRef
8.
go back to reference Croker, B.A., H. Kiu, M. Pellegrini, et al. 2012. IL-6 promotes acute and chronic inflammatory disease in the absence of SOCS3. Immunology and Cell Biology 90: 124–129.PubMedCrossRef Croker, B.A., H. Kiu, M. Pellegrini, et al. 2012. IL-6 promotes acute and chronic inflammatory disease in the absence of SOCS3. Immunology and Cell Biology 90: 124–129.PubMedCrossRef
9.
go back to reference Waetzig, G.H., and S. Rose-John. 2012. Hitting a complex target: an update on interleukin-6trans-signalling. Expert Opinion on Therapeutic Targets 16: 225–236.PubMedCrossRef Waetzig, G.H., and S. Rose-John. 2012. Hitting a complex target: an update on interleukin-6trans-signalling. Expert Opinion on Therapeutic Targets 16: 225–236.PubMedCrossRef
10.
go back to reference Mihara, M., M. Hashizume, H. Yoshida, et al. 2012. IL-6/IL-6 receptor system and its role in physiological and pathological conditions. Clinical Science 122: 143–159.PubMedCrossRef Mihara, M., M. Hashizume, H. Yoshida, et al. 2012. IL-6/IL-6 receptor system and its role in physiological and pathological conditions. Clinical Science 122: 143–159.PubMedCrossRef
11.
go back to reference Gabay, C. 2006. Interleukin-6 and chronic inflammation. Arthritis Research & Therapy 8(Suppl 2): 3.CrossRef Gabay, C. 2006. Interleukin-6 and chronic inflammation. Arthritis Research & Therapy 8(Suppl 2): 3.CrossRef
12.
go back to reference Kulseng, B., L. Vatten, and T. Espevik. 1999. Soluble tumor necrosis factor receptors in sera from patients with insulin-dependent diabetes mellitus: relations to duration and complications of disease. Acta Diabetologica 36: 99–105.PubMedCrossRef Kulseng, B., L. Vatten, and T. Espevik. 1999. Soluble tumor necrosis factor receptors in sera from patients with insulin-dependent diabetes mellitus: relations to duration and complications of disease. Acta Diabetologica 36: 99–105.PubMedCrossRef
13.
go back to reference Targher, G., L. Zenari, L. Bertolini, et al. 2001. Elevated levels of interleukin-6 in young adults with type 1 diabetes without clinical evidence of microvascular and macrovascular complications. Diabetes Care 24: 956–957. Letter.PubMedCrossRef Targher, G., L. Zenari, L. Bertolini, et al. 2001. Elevated levels of interleukin-6 in young adults with type 1 diabetes without clinical evidence of microvascular and macrovascular complications. Diabetes Care 24: 956–957. Letter.PubMedCrossRef
14.
go back to reference Saraheimo, M., A.M. Teppo, C. Forsblom, et al. 2003. Diabetic nephropathy is associated with low-grade inflammation in type 1 diabetic patients. Diabetologia 46: 1402–1407.PubMedCrossRef Saraheimo, M., A.M. Teppo, C. Forsblom, et al. 2003. Diabetic nephropathy is associated with low-grade inflammation in type 1 diabetic patients. Diabetologia 46: 1402–1407.PubMedCrossRef
15.
go back to reference Jialal I, Kaur H. 2013. The role of toll-like receptors in diabetes-induced inflammation: implications for vascular complications. Current Diabetes Reports (In press) Jialal I, Kaur H. 2013. The role of toll-like receptors in diabetes-induced inflammation: implications for vascular complications. Current Diabetes Reports (In press)
16.
go back to reference Araszkiewicz, A., D. Zozulinska-Ziolkiewicz, M. Trepinska, et al. 2008. Knowledge after five-day teaching program in intensive insulin therapy performed at the onset of type 1 diabetes influence the development of late diabetic complications. Diabetes Research and Clinical Practice 81: 61–67.PubMedCrossRef Araszkiewicz, A., D. Zozulinska-Ziolkiewicz, M. Trepinska, et al. 2008. Knowledge after five-day teaching program in intensive insulin therapy performed at the onset of type 1 diabetes influence the development of late diabetic complications. Diabetes Research and Clinical Practice 81: 61–67.PubMedCrossRef
17.
go back to reference American Diabetes Association. 2007. Standards of medical care in diabetes—2007. Diabetes Care 30: 4–41.CrossRef American Diabetes Association. 2007. Standards of medical care in diabetes—2007. Diabetes Care 30: 4–41.CrossRef
18.
go back to reference Wilkinson, C.P., F.L. Ferris, R.E. Klein, et al. 2003. Global Diabetic Retinopathy Project Group. Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 110: 1677–1682.PubMedCrossRef Wilkinson, C.P., F.L. Ferris, R.E. Klein, et al. 2003. Global Diabetic Retinopathy Project Group. Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 110: 1677–1682.PubMedCrossRef
19.
go back to reference KDOQI. 2007. KDOQI clinical practice guidelines and clinical practice recommendations for diabetes and chronic kidney disease. American Journal of Kidney Diseases 49: 12–154.CrossRef KDOQI. 2007. KDOQI clinical practice guidelines and clinical practice recommendations for diabetes and chronic kidney disease. American Journal of Kidney Diseases 49: 12–154.CrossRef
20.
go back to reference Jeppsson, J.O., U. Kobold, J. Barr, et al. 2002. International Federation of Clinical Chemistry and Laboratory Medicine (IFCC). Approved IFCC reference method for the measurement of HbA1c in human blood. Clinical Chemistry and Laboratory Medicine 40: 78–79.PubMedCrossRef Jeppsson, J.O., U. Kobold, J. Barr, et al. 2002. International Federation of Clinical Chemistry and Laboratory Medicine (IFCC). Approved IFCC reference method for the measurement of HbA1c in human blood. Clinical Chemistry and Laboratory Medicine 40: 78–79.PubMedCrossRef
21.
go back to reference Hartge, M.M., T. Unger, and U. Kintscher. 2007. The endothelium and vascular inflammation in diabetes. Diabetes & Vascular Disease Research 4: 84–88.CrossRef Hartge, M.M., T. Unger, and U. Kintscher. 2007. The endothelium and vascular inflammation in diabetes. Diabetes & Vascular Disease Research 4: 84–88.CrossRef
22.
go back to reference Fisman, E.Z., and A. Tenenbaum. 2010. The ubiquitous interleukin-6: a time for reappraisal. Cardiovascular Diabetology 11: 9–62. Fisman, E.Z., and A. Tenenbaum. 2010. The ubiquitous interleukin-6: a time for reappraisal. Cardiovascular Diabetology 11: 9–62.
23.
go back to reference Navarro, J.F., and M. Carmen. 2005. Role of inflammation in diabetic complications. Nephrology, Dialysis, Transplantation 20: 2601–2604.PubMedCrossRef Navarro, J.F., and M. Carmen. 2005. Role of inflammation in diabetic complications. Nephrology, Dialysis, Transplantation 20: 2601–2604.PubMedCrossRef
24.
go back to reference Munch, I.C., M. Larsen, L. Kessel, et al. 2011. Cumulative glycemia and microangiopathy in subjects with impaired glucose regulation in the Inter 99 study. Diabetes Research and Clinical Practice 91: 226–232.PubMedCrossRef Munch, I.C., M. Larsen, L. Kessel, et al. 2011. Cumulative glycemia and microangiopathy in subjects with impaired glucose regulation in the Inter 99 study. Diabetes Research and Clinical Practice 91: 226–232.PubMedCrossRef
25.
go back to reference Nevado, J., C. Peiró, S. Vallejo, et al. 2005. Amadori adducts activate nuclear factor-kappaB-related proinflammatory genes in cultured human peritoneal mesothelial cells. British Journal of Pharmacology 146: 268–279.PubMedCrossRef Nevado, J., C. Peiró, S. Vallejo, et al. 2005. Amadori adducts activate nuclear factor-kappaB-related proinflammatory genes in cultured human peritoneal mesothelial cells. British Journal of Pharmacology 146: 268–279.PubMedCrossRef
26.
go back to reference Illán-Gómez, F., M. Gonzálvez-Ortega, I. Orea-Soler, et al. 2012. Obesity and inflammation: change in adiponectin, C-reactive protein, tumour necrosis factor-alpha and interleukin-6 after bariatric surgery. Obesity Surgery 22: 950–955.PubMedCrossRef Illán-Gómez, F., M. Gonzálvez-Ortega, I. Orea-Soler, et al. 2012. Obesity and inflammation: change in adiponectin, C-reactive protein, tumour necrosis factor-alpha and interleukin-6 after bariatric surgery. Obesity Surgery 22: 950–955.PubMedCrossRef
27.
go back to reference Sommer, G., S. Kralisch, V. Stangl, et al. 2009. Secretory products from human adipocytes stimulate proinflammatory cytokine secretion from human endothelial cells. Journal of Cellular Biochemistry 106: 729–737.PubMedCrossRef Sommer, G., S. Kralisch, V. Stangl, et al. 2009. Secretory products from human adipocytes stimulate proinflammatory cytokine secretion from human endothelial cells. Journal of Cellular Biochemistry 106: 729–737.PubMedCrossRef
28.
go back to reference Mohamed-Ali, V., S. Goodrick, and A. Rawesh. 1997. Subcutaneous adipose tissue releases interleukin-6, but not tumor necrosis factor-alpha, in vivo. Journal of Clinical Endocrinology and Metabolism 82: 4196–4200.PubMedCrossRef Mohamed-Ali, V., S. Goodrick, and A. Rawesh. 1997. Subcutaneous adipose tissue releases interleukin-6, but not tumor necrosis factor-alpha, in vivo. Journal of Clinical Endocrinology and Metabolism 82: 4196–4200.PubMedCrossRef
29.
go back to reference Greenberg, A.S., R.P. Nordan, J. McIntosh, et al. 1992. Interleukin 6 reduces lipoprotein lipase activity in adipose tissue of mice in vivo and in 3T3–L1 adipocytes: a possible role for interleukin 6 in cancer cachexia. Cancer Research 52: 4113–4116.PubMed Greenberg, A.S., R.P. Nordan, J. McIntosh, et al. 1992. Interleukin 6 reduces lipoprotein lipase activity in adipose tissue of mice in vivo and in 3T3–L1 adipocytes: a possible role for interleukin 6 in cancer cachexia. Cancer Research 52: 4113–4116.PubMed
30.
go back to reference Campfield, L.A., F.J. Smith, Y. Guisez, et al. 1995. Recombinant mouse OB protein: evidence for a peripheral signal linking adiposity and central neural networks. Science 269: 546–549.PubMedCrossRef Campfield, L.A., F.J. Smith, Y. Guisez, et al. 1995. Recombinant mouse OB protein: evidence for a peripheral signal linking adiposity and central neural networks. Science 269: 546–549.PubMedCrossRef
31.
go back to reference Fawaz, L., A.E. Elwan, Y.H. Kamel, et al. 2009. Value of C-reactive protein and IL-6 measurements in type 1 diabetes mellitus. Arch Med Sci 3: 383–390. Fawaz, L., A.E. Elwan, Y.H. Kamel, et al. 2009. Value of C-reactive protein and IL-6 measurements in type 1 diabetes mellitus. Arch Med Sci 3: 383–390.
32.
go back to reference Nakamura, N., G. Hasegawa, H. Obayashi, et al. 2003. Increased concentration of pentosidine, an advanced glycation end product, and interleukin-6 in the vitreous of patients with proliferative diabetic retinopathy. Diabetes Research and Clinical Practice 61: 93–101.PubMedCrossRef Nakamura, N., G. Hasegawa, H. Obayashi, et al. 2003. Increased concentration of pentosidine, an advanced glycation end product, and interleukin-6 in the vitreous of patients with proliferative diabetic retinopathy. Diabetes Research and Clinical Practice 61: 93–101.PubMedCrossRef
33.
go back to reference Nalysnyk, L., M. Hernandez-Medina, and G. Krishnarajah. 2010. Glycaemic variability and complications in patients with diabetes mellitus: evidence from a systematic review of the literature. Diabetes, Obesity & Metabolism 12: 288–298.CrossRef Nalysnyk, L., M. Hernandez-Medina, and G. Krishnarajah. 2010. Glycaemic variability and complications in patients with diabetes mellitus: evidence from a systematic review of the literature. Diabetes, Obesity & Metabolism 12: 288–298.CrossRef
34.
go back to reference Lau, D.C., B. Dhillon, H. Yan, et al. 2005. Adipokines: molecular links between obesity and atherosclerosis. American Journal of Physiology-Heart and Circulatory Physiology 288: 2031–2041.CrossRef Lau, D.C., B. Dhillon, H. Yan, et al. 2005. Adipokines: molecular links between obesity and atherosclerosis. American Journal of Physiology-Heart and Circulatory Physiology 288: 2031–2041.CrossRef
35.
go back to reference Georgescu, A., N. Alexandru, E. Andrei, et al. 2012. Circulating microparticles and endothelial progenitor cells in atherosclerosis: pharmacological effects of irbesartan. Journal of Thrombosis and Haemostasis 10: 680–691.PubMedCrossRef Georgescu, A., N. Alexandru, E. Andrei, et al. 2012. Circulating microparticles and endothelial progenitor cells in atherosclerosis: pharmacological effects of irbesartan. Journal of Thrombosis and Haemostasis 10: 680–691.PubMedCrossRef
36.
go back to reference Kolluru, G.K., S.C. Bir, and C.G. Kevil. 2012. Endothelial dysfunction and diabetes: effects on angiogenesis, vascular remodeling, and wound healing. Int J Vasc Med 2012: 918267.PubMed Kolluru, G.K., S.C. Bir, and C.G. Kevil. 2012. Endothelial dysfunction and diabetes: effects on angiogenesis, vascular remodeling, and wound healing. Int J Vasc Med 2012: 918267.PubMed
37.
go back to reference Jisieike-Onuigbo, N.N., E.I. Unuigbe, O.A. Kalu, et al. 2011. Prevalence of dyslipidemia among adult diabetic patients with overt diabetic nephropathy in Anambra state south-east Nigeria. Nigerian Journal of Clinical Practice 14: 171–175.PubMedCrossRef Jisieike-Onuigbo, N.N., E.I. Unuigbe, O.A. Kalu, et al. 2011. Prevalence of dyslipidemia among adult diabetic patients with overt diabetic nephropathy in Anambra state south-east Nigeria. Nigerian Journal of Clinical Practice 14: 171–175.PubMedCrossRef
38.
go back to reference Dalla Vestra, M., M. Mussap, P. Gallina, et al. 2005. Acute-phase markers of inflammation and glomerular structure in patients with type 2 diabetes. Journal of the American Society of Nephrology 16: 78–82.CrossRef Dalla Vestra, M., M. Mussap, P. Gallina, et al. 2005. Acute-phase markers of inflammation and glomerular structure in patients with type 2 diabetes. Journal of the American Society of Nephrology 16: 78–82.CrossRef
39.
go back to reference Marketou, M.E., E.A. Zacharis, S. Koukouraki, et al. 2008. Effect of angiotensin-converting enzyme inhibitors on systemic inflammation and myocardial sympathetic innervation in normotensive patients with type 2 diabetes mellitus. Journal of Human Hypertension 22: 191–196.PubMedCrossRef Marketou, M.E., E.A. Zacharis, S. Koukouraki, et al. 2008. Effect of angiotensin-converting enzyme inhibitors on systemic inflammation and myocardial sympathetic innervation in normotensive patients with type 2 diabetes mellitus. Journal of Human Hypertension 22: 191–196.PubMedCrossRef
Metadata
Title
Association Between IL-6 Concentration and Diabetes-Related Variables in DM1 Patients with and without Microvascular Complications
Authors
Malgorzata Wegner
Aleksandra Araszkiewicz
Maria Piorunska-Stolzmann
Bogna Wierusz-Wysocka
Dorota Zozulinska-Ziolkiewicz
Publication date
01-06-2013
Publisher
Springer US
Published in
Inflammation / Issue 3/2013
Print ISSN: 0360-3997
Electronic ISSN: 1573-2576
DOI
https://doi.org/10.1007/s10753-013-9598-y

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