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Serum visfatin level in prediabetics and its relation to left ventricular function
The Egyptian Journal of Internal Medicine volume 31, pages 703–714 (2019)
Abstract
Introduction
Visfatin is a molecule of clinical relevance, released mainly from visceral fat (hence it named as such) and could be a promising biomarker with diagnostic and prognostic significance in metabolic syndrome. Very little is known about visfatin and its relation with prediabetes.
Objective
The present study was conducted to demonstrate the relationship between serum visfatin level and prediabetes and its relation to left ventricular function.
Patients and methods
We studied 60 prediabetic patients recently diagnosed according to ADA criteria 2014 and classified into two groups according to the BMI. They were compared with 30 healthy matched controls. All groups underwent complete history taking, general examination, laboratory investigations (including homeostasis model assessment-insulin resistance and serum visfatin level), and two-dimensional transthoracic echo Doppler study at baseline and 8 months thereafter only for the patient groups.
Results
This study showed that there is a positive correlation between serum visfatin level and prediabetes and left ventricular function.
Conclusion
Serum visfatin is an early and strong predictor of prediabetes and left ventricular dysfunction.
References
Fukuhara A, Matsuda M, Nishizawa M, Segawa K, Tanaka M, Kishimoto K, et al. Visfatin: a protein secreted by visceral fat that mimics the effects of insulin. Science 2005; 307:426–430.
Kim MK, Lee JH, Kim H, Park SJ, Kim SH, Kang GB, et al. Crystal structure of visfatin/pre-B cell colony-enhancing factor 1/nicotinamide phosphoribosyl transferase, free and in complex with the anti-cancer agent FK-866. Mol Biol 2006; 362:66–77.
Jia SH, Li Y, Parodo J, Kapus A, Fan L, Rotstein OD, Marshall JC. Pre-B cell colony-enhancing factor inhibits neutrophil apoptosis in experimental inflammation and clinical sepsis. J Clin Invest 2004; 113:1318–1327.
Gastaldelli A, Basta G. Ectopic fat and cardiovascular disease: what is the link? Nutr Metab Cardiovasc Dis 2010; 20:481–490.
Moschen AR, Kaser A, Enrich B, Mosheimer B, Theurl M, Niederegger H, Tilg H. Visfatin, an adipocytokine with proinflammatory and immunomodulating properties. J Immunol 2007; 178:1748–1758.
Flier JS, Flier EM. Biology of Obesity. In Wiener C, Fauci AS, Braunwald E, Kasper D, Hauser S, Longo D, et al. eds. Harrison’s principles of internal medicine. New York: The Mcgraw-Hill companies Inc; 2007; 462–472
Ye SQ, Simon BA, Maloney JP, Zambelli-Weiner A, Gao L, Grant A, et al. Pre-B-cell colony-enhancing factor as a potential novel biomarker in acute lung injury. Am J Respir Crit Care Med 2005; 171:361–370.
Koczan D, Guthke R, Thiesen HJ, Ibrahim SM, Kundt G, Krentz H, et al. Gene expression profiling of peripheral blood mononuclear leukocytes from psoriasis patients identifies new immune regulatory molecules. Eur J Dermatol 2005; 15:251–257.
Adeghate E. Visfatin: structure, function and relation to diabetes mellitus and other dysfunctions. Curr Med Chem 2008; 15:1851–1862.
Dedoussis GV, Kapiri A, Samara A, Dimitriadis D, Lambert D, Pfister M, et al. Visfatin: the link between inflammation and childhood obesity. Diabetes Care 2009; 32:e71.
Revollo JR, Körner A, Mills KF, Satoh A, Wang T, Garten A, et al. Nampt/ PBEF/Visfatin regulates insulin secretion in beta cells as a systemic NAD biosynthetic enzyme. Cell Metab 2007; 6:363–375.
Chen MP, Chung FM, Chang DM, Tsai JC, Huang HF, Shin SJ, Lee YJ. Elevated plasma level of visfatin/pre-B cell colony-enhancing factor in patients with type 2 diabetes mellitus. J Clin Endocrinol Metab 2006; 91:295–299.
López-Bermejo A, Chico-Julià B, Fernà ndez-Balsells M, Recasens M, Esteve E, Casamitjana R, Ricart W, Fernández-Real JM. Serum visfatin increases with progressive beta-cell deterioration. Diabetes 2006; 55:2871–2875.
Rosa P, Oliveria C, Gufferida F, Reis A. Visfatin, glucose metabolism and vascular disease: a review of evidence. Diabetol Metab Syndr 2010; 2:21–26.
Abd Rabo SA, Mohammed NA, Eissa SS, Ali AA, Ismail SM, Gad RS. Serum visfatin in type 2 diabetes mellitus. Egypt J Intern Med 2013; 25:27–32.
Shelbaya S, Shoeib N, Seddik S, Makboul K, Abd El Baki R, Fahmy E, El-ghohary E. Study of the adipocytokine visfatin in obesity and type 2 diabetes mellitus. Endocrine 2011; 25:P160.
Chang YH, Chang DM, Lin KC, Shin SJ, Lee YJ. Visfatin in overweight/ obesity, type 2 diabetes mellitus, insulin resistance, metabolic syndrome and cardiovascular diseases: a meta-analysis and systemic review. Diabetes Metab Res Rev 2011; 27:515–527.
Wang P, Xu TY, Guan YF, Su DF, Fan GR, Miao CY. Perivascular adipose tissue-derived visfatin is a vascular smooth muscle cell growth factor: role of nicotinamide mononucleotide. Cardiovasc Res 2009; 81:370–380.
Torres C, Lima-MartÃnez MM, Rosa FJ, Guerra E, Paoli M, Iacobellis G. Epicardial adipose tissue and its association to plasma adrenomedullin levels in patients with metabolic syndrome. Endocrinol Nutr 2011; 58:401–408.
Iacobellis G, Bianco AC. Epicardial adipose tissue: emerging physiological, pathophysiological and clinical features. Trends Endocrinol Metab 2011; 22:450–457.
Lima-MartÃnez MM, Blandenier C, Iacobellis G. Epicardial adipose tissue: more than a simple fat deposit?. Endocrinol Nutr 2013; 60:320–328.
Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985; 28:412–419.
Devereux RB, Alonso DR, Lutas EM, Gottlieb GJ, Campo E, Sachs I et al. Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings. Am J Cardiol 1986; 57: 450–458.
Choi KM, Kim JH, Cho GJ, Baik SH, Park HS, Kim SM. Effect of exercise training on plasma visfatin and eotaxin levels. Eur J Endocrinol 2007; 157:437–442.
Araki S, Dobashi K, Kubo K, Kawagoe R, Yamamoto Y, et al. Plasma visfatin concentration as a surrogate marker for visceral fat accumulation in obese children. Obesity (Silver Spring) 2008; 16:384–388.
Manco M, Fernandez-Real EAL JM, Equitani F, Vendrell J, Valera Mora ME, Nanni G, et al. Effect of massive weight loss on inflammatory adipocytokines and the innate immune system in morbidly obese women. J Clin Endocrinol Metab 2007; 92:483–490.
GarcÃa-Fuentes E, GarcÃa-Almeida JM, GarcÃa-Arnés J, GarcÃa-Serrano S, Rivas-MarÃn J, et al. Plasma visfatin concentrations in severely obese subjects are increased after intestinal bypass. Obesity (Silver Spring) 2007; 15:2391–2395.
Sandeep S, Velmurugan K, Deepa R, Mohan V. Serum visfatin in relation to visceral fats, obesity, type 2 diabetes mellitus in Asian Indians. Metabolism 2007; 56:565–570.
Pagano C, Pilon C, Olivieri M, Mason P, Fabris R, Serra R, et al. Reduced plasma visfatin/pre-B cell colony -enhancing factor in obesity is not related to insulin resistance in humans. J Clin Endocrinol Metab 2006; 91:3165–3170.
Berndt J, Kloting N, Kralisch S, Kovacs P, Fasshauer M, Schon MR, et al. Plasma visfatin concentrations and fat depot-specific mRNA expression in humans. Diabetes 2005; 54:2911–2916.
Esteghamati A, Alamdari A, Zandieh A, Elahi S, Khalilzadeh O, Nakhjavani M, Meysamie A. Serum visfatin is associated with type 2 diabetes mellitus independent of insulin resistance and obesity. Diabetes Res Clin Pract 2011; 91:154–158.
Gursoy G, Akcayoz SS, Acar Y, Demirbas B. Visfatin in hyperlipidemic female patients. J Med Med Sci 2010; 1:120–125.
Erten Y, Ebinç FA, Ebinc H, Pasaoglu H, Demirtas C, Tacoy G, et al. The relationship of visfatin levels to inflammatory cytokines and left ventricular hypertrophy in hemodialysis and continuous ambulatory peritoneal dialysis patients. Renal Fail 2008; 30:617–623.
El-Shafey EM, El-Naggar GF, Al-Bedewy MM, El-Sorogy H. Is there a relationship between visfatin level and type 2 diabetes mellitus in obese and non obese patients? J Diabetes Metab 2012; S:11.
Takebayashi K, Suetsugu M, Wakabayashi S, Aso Y, Inukai T. Association between plasma visfatin and vascular endothelial function in patients with type 2 diabetes mellitus. Metabolism 2007; 56:451–458.
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Abdel-Hassib, M., Hassabo, A.A., Elashmawy, H. et al. Serum visfatin level in prediabetics and its relation to left ventricular function. Egypt J Intern Med 31, 703–714 (2019). https://doi.org/10.4103/ejim.ejim_119_19
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DOI: https://doi.org/10.4103/ejim.ejim_119_19