Circulating zonulin, a marker of intestinal permeability, is increased in association with obesity-associated insulin resistance

Zonulin is the only physiological mediator known to regulate intestinal permeability reversibly by modulating intercellular tight junctions. To investigate the relationship between intestinal permeability and obesity-associated metabolic disturbances in humans, we aimed to study circulating zonulin...

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Veröffentlicht in:PloS one 2012-05, Vol.7 (5), p.e37160
Hauptverfasser: Moreno-Navarrete, José María, Sabater, Mònica, Ortega, Francisco, Ricart, Wifredo, Fernández-Real, José Manuel
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container_title PloS one
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creator Moreno-Navarrete, José María
Sabater, Mònica
Ortega, Francisco
Ricart, Wifredo
Fernández-Real, José Manuel
description Zonulin is the only physiological mediator known to regulate intestinal permeability reversibly by modulating intercellular tight junctions. To investigate the relationship between intestinal permeability and obesity-associated metabolic disturbances in humans, we aimed to study circulating zonulin according to obesity and insulin resistance. Circulating zonulin (ELISA) was measured in 123 caucasian men in association with inflammatory and metabolic parameters (including minimal model-measured insulin sensitivity). Circulating zonulin increased with body mass index (BMI), waist to hip ratio (WHR), fasting insulin, fasting triglycerides, uric acid and IL-6, and negatively correlated with HDL-cholesterol and insulin sensitivity. In multiple regression analysis, insulin sensitivity (p = 0.002) contributed independently to circulating zonulin variance, after controlling for the effects of BMI, fasting triglycerides and age. When circulating IL-6 was added to this model, only BMI (p = 0.01) contributed independently to circulating zonulin variance. In conclusion, the relationship between insulin sensitivity and circulating zonulin might be mediated through the obesity-related circulating IL-6 increase.
doi_str_mv 10.1371/journal.pone.0037160
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subjects Adult
Aged
Analysis
Biology
Blood Glucose - metabolism
Body Composition
Body mass
Body mass index
Body size
Cholera Toxin - blood
Cholesterol
Enzyme-linked immunosorbent assay
Fasting
Glucose
Glucose Tolerance Test
High density lipoprotein
Hip
Humans
Inflammation
Insulin
Insulin resistance
Insulin Resistance - physiology
Interleukin 6
Interleukin-6 - blood
Intestine
Intestines - metabolism
Laboratory testing
Lipoproteins (high density)
Male
Medicine
Middle Aged
Multiple regression analysis
Obesity
Obesity - blood
Parameter sensitivity
Permeability
Physiological aspects
Regression analysis
Rodents
Sensitivity
Sensitivity analysis
Small intestine
Tight junctions
Triglycerides
Type 2 diabetes
Uric acid
Uric Acid - blood
Waist-Hip Ratio
title Circulating zonulin, a marker of intestinal permeability, is increased in association with obesity-associated insulin resistance
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