Increased expression of pro‐inflammatory genes in abdominal subcutaneous fat in advanced chronic kidney disease patients
. Witasp A, Carrero JJ, Heimbürger O, Lindholm B, Hammarqvist F, Stenvinkel P, Nordfors L (Karolinska Institutet, Stockholm, Sweden). Increased expression of pro‐inflammatory genes in abdominal subcutaneous fat in advanced chronic kidney disease patients. J Intern Med 2011; 269: 410–419. Objectives...
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| description | . Witasp A, Carrero JJ, Heimbürger O, Lindholm B, Hammarqvist F, Stenvinkel P, Nordfors L (Karolinska Institutet, Stockholm, Sweden). Increased expression of pro‐inflammatory genes in abdominal subcutaneous fat in advanced chronic kidney disease patients. J Intern Med 2011; 269: 410–419.
Objectives. Low‐grade systemic inflammation, oxidative stress and peripheral insulin resistance are intimately associated and contribute to the increased risk of cardiovascular complications in advanced chronic kidney disease (CKD). Because altered adipose tissue activities have previously been linked to pathophysiological processes in various inflammatory and metabolic diseases we hypothesized that the uraemic milieu in patients with CKD may interact with the adipose tissue, provoking an unfavourable shift in its transcriptional output.
Design. Twenty‐one adipokine mRNAs were quantified in abdominal subcutaneous adipose tissue (SAT) biopsies and serum/plasma concentrations of inflammatory markers and related protein products were measured.
Setting. The study was conducted at the Karolinska University Hospital, Huddinge, and Karolinska Institutet, Stockholm, Sweden.
Subjects. Thirty‐seven patients with CKD [15 women, median 58 (interquartile range 49–65) years] and nine nonuraemic individuals [four women, age 62 (45–64) years] were recruited prior to initiation of peritoneal dialysis catheter insertion or elective hernia repair/laparoscopic cholecystectomy, respectively.
Results. Even after correction for body mass index, SAT from patients showed a significant upregulation of inflammatory pathway genes interleukin 6 (3.0‐fold, P = 0.0002) and suppressor of cytokine signalling 3 (2.5‐fold, P = 0.01), as well as downregulation of leptin (2.0‐fold, P = 0.03) and the oxidative stress genes uncoupling protein 2 (1.5‐fold, P = 0.03) and cytochrome b‐245, alpha polypeptide (1.5‐fold, P = 0.005), in relation to controls.
Conclusions. These gene expression differences suggest that inflammatory and oxidative stress activities may be important features of the intrinsic properties of uraemic adipose tissue, which may have significant effects on the uraemic phenotype. |
| doi_str_mv | 10.1111/j.1365-2796.2010.02293.x |
| format | Article |
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Objectives. Low‐grade systemic inflammation, oxidative stress and peripheral insulin resistance are intimately associated and contribute to the increased risk of cardiovascular complications in advanced chronic kidney disease (CKD). Because altered adipose tissue activities have previously been linked to pathophysiological processes in various inflammatory and metabolic diseases we hypothesized that the uraemic milieu in patients with CKD may interact with the adipose tissue, provoking an unfavourable shift in its transcriptional output.
Design. Twenty‐one adipokine mRNAs were quantified in abdominal subcutaneous adipose tissue (SAT) biopsies and serum/plasma concentrations of inflammatory markers and related protein products were measured.
Setting. The study was conducted at the Karolinska University Hospital, Huddinge, and Karolinska Institutet, Stockholm, Sweden.
Subjects. Thirty‐seven patients with CKD [15 women, median 58 (interquartile range 49–65) years] and nine nonuraemic individuals [four women, age 62 (45–64) years] were recruited prior to initiation of peritoneal dialysis catheter insertion or elective hernia repair/laparoscopic cholecystectomy, respectively.
Results. Even after correction for body mass index, SAT from patients showed a significant upregulation of inflammatory pathway genes interleukin 6 (3.0‐fold, P = 0.0002) and suppressor of cytokine signalling 3 (2.5‐fold, P = 0.01), as well as downregulation of leptin (2.0‐fold, P = 0.03) and the oxidative stress genes uncoupling protein 2 (1.5‐fold, P = 0.03) and cytochrome b‐245, alpha polypeptide (1.5‐fold, P = 0.005), in relation to controls.
Conclusions. These gene expression differences suggest that inflammatory and oxidative stress activities may be important features of the intrinsic properties of uraemic adipose tissue, which may have significant effects on the uraemic phenotype.</description><identifier>ISSN: 0954-6820</identifier><identifier>ISSN: 1365-2796</identifier><identifier>EISSN: 1365-2796</identifier><identifier>DOI: 10.1111/j.1365-2796.2010.02293.x</identifier><identifier>PMID: 21054584</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adipokines - biosynthesis ; Adipokines - genetics ; Adipose tissue ; Adult ; Aged ; Biological and medical sciences ; Biopsy ; Body Mass Index ; Cardiovascular diseases ; Case-Control Studies ; Catheters ; Cholecystectomy ; Cytochromes ; Dialysis ; end‐stage renal disease ; Female ; Gene Expression Regulation ; General aspects ; Hernia ; Hospitals ; Humans ; Inflammation ; Inflammation - etiology ; Inflammation - metabolism ; Inflammation Mediators - metabolism ; Insulin ; Insulin Resistance - genetics ; Interleukin 6 ; Kidney diseases ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - genetics ; Kidney Failure, Chronic - metabolism ; Kidneys ; Leptin ; Male ; Medical sciences ; Medicin och hälsovetenskap ; Metabolic diseases ; Metabolic disorders ; Middle Aged ; Nephrology. Urinary tract diseases ; Obesity ; Oxidative stress ; Oxidative Stress - genetics ; Peritoneum ; RNA, Messenger - genetics ; SOCS-3 protein ; Subcutaneous Fat - metabolism ; Urinary system involvement in other diseases. Miscellaneous</subject><ispartof>Journal of internal medicine, 2011-04, Vol.269 (4), p.410-419</ispartof><rights>2010 The Association for the Publication of the Journal of Internal Medicine</rights><rights>2015 INIST-CNRS</rights><rights>2010 The Association for the Publication of the Journal of Internal Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5213-d7c418e8bb16dd729b3ec02bc2f5ba7c20596d5d7a164914a91d2f8ac231bc213</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2796.2010.02293.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2796.2010.02293.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23947309$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21054584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:122193266$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Witasp, A.</creatorcontrib><creatorcontrib>Carrero, J. J.</creatorcontrib><creatorcontrib>Heimbürger, O.</creatorcontrib><creatorcontrib>Lindholm, B.</creatorcontrib><creatorcontrib>Hammarqvist, F.</creatorcontrib><creatorcontrib>Stenvinkel, P.</creatorcontrib><creatorcontrib>Nordfors, L.</creatorcontrib><title>Increased expression of pro‐inflammatory genes in abdominal subcutaneous fat in advanced chronic kidney disease patients</title><title>Journal of internal medicine</title><addtitle>J Intern Med</addtitle><description>. Witasp A, Carrero JJ, Heimbürger O, Lindholm B, Hammarqvist F, Stenvinkel P, Nordfors L (Karolinska Institutet, Stockholm, Sweden). Increased expression of pro‐inflammatory genes in abdominal subcutaneous fat in advanced chronic kidney disease patients. J Intern Med 2011; 269: 410–419.
Objectives. Low‐grade systemic inflammation, oxidative stress and peripheral insulin resistance are intimately associated and contribute to the increased risk of cardiovascular complications in advanced chronic kidney disease (CKD). Because altered adipose tissue activities have previously been linked to pathophysiological processes in various inflammatory and metabolic diseases we hypothesized that the uraemic milieu in patients with CKD may interact with the adipose tissue, provoking an unfavourable shift in its transcriptional output.
Design. Twenty‐one adipokine mRNAs were quantified in abdominal subcutaneous adipose tissue (SAT) biopsies and serum/plasma concentrations of inflammatory markers and related protein products were measured.
Setting. The study was conducted at the Karolinska University Hospital, Huddinge, and Karolinska Institutet, Stockholm, Sweden.
Subjects. Thirty‐seven patients with CKD [15 women, median 58 (interquartile range 49–65) years] and nine nonuraemic individuals [four women, age 62 (45–64) years] were recruited prior to initiation of peritoneal dialysis catheter insertion or elective hernia repair/laparoscopic cholecystectomy, respectively.
Results. Even after correction for body mass index, SAT from patients showed a significant upregulation of inflammatory pathway genes interleukin 6 (3.0‐fold, P = 0.0002) and suppressor of cytokine signalling 3 (2.5‐fold, P = 0.01), as well as downregulation of leptin (2.0‐fold, P = 0.03) and the oxidative stress genes uncoupling protein 2 (1.5‐fold, P = 0.03) and cytochrome b‐245, alpha polypeptide (1.5‐fold, P = 0.005), in relation to controls.
Conclusions. These gene expression differences suggest that inflammatory and oxidative stress activities may be important features of the intrinsic properties of uraemic adipose tissue, which may have significant effects on the uraemic phenotype.</description><subject>Adipokines - biosynthesis</subject><subject>Adipokines - genetics</subject><subject>Adipose tissue</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Body Mass Index</subject><subject>Cardiovascular diseases</subject><subject>Case-Control Studies</subject><subject>Catheters</subject><subject>Cholecystectomy</subject><subject>Cytochromes</subject><subject>Dialysis</subject><subject>end‐stage renal disease</subject><subject>Female</subject><subject>Gene Expression Regulation</subject><subject>General aspects</subject><subject>Hernia</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Inflammation - etiology</subject><subject>Inflammation - metabolism</subject><subject>Inflammation Mediators - metabolism</subject><subject>Insulin</subject><subject>Insulin Resistance - genetics</subject><subject>Interleukin 6</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - genetics</subject><subject>Kidney Failure, Chronic - metabolism</subject><subject>Kidneys</subject><subject>Leptin</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Metabolic diseases</subject><subject>Metabolic disorders</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Obesity</subject><subject>Oxidative stress</subject><subject>Oxidative Stress - genetics</subject><subject>Peritoneum</subject><subject>RNA, Messenger - genetics</subject><subject>SOCS-3 protein</subject><subject>Subcutaneous Fat - metabolism</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><issn>0954-6820</issn><issn>1365-2796</issn><issn>1365-2796</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks-O0zAQxi0EYsvCKyBfEFxSPHZsxxcktOJP0aK9wNlybAfcTZwSJ7stJx6BZ-RJcNpu9wS-eDTz-2as8YcQBrKEfF6vl8AEL6hUYklJzhJKFVtuH6DFqfAQLYjiZSEqSs7Qk5TWhAAjgjxGZxQIL3lVLtDPVbSDN8k77LebwacU-oj7Bm-G_s-v3yE2rek6M_bDDn_z0SccIja167sQTYvTVNtpNNH3U8KNGfdVd2OizQ3t96GPweLr4KLfYRfSPAhvzBh8HNNT9KgxbfLPjvc5-vr-3ZeLj8Xl1YfVxdvLwnIKrHDSllD5qq5BOCepqpm3hNaWNrw20lLClXDcSQOiVFAaBY42lbGUQYaAnaPi0Dfd-s1U680QOjPsdG-CPqauc-Q1L6XiKvPqn3zeirsX3QmBUlCMCpG1Lw_aDP6YfBp1F5L1bXtYka64rEBIMk959V8SCEhVSalYRp8f0anuvDs96O4XM_DiCJhkTdsMef8h3XNMlZLtZ745cLeh9btTHYieXaXXejaPns2jZ1fpvav0Vn-6Wn2eQ_YXOiXEWw</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>Witasp, A.</creator><creator>Carrero, J. J.</creator><creator>Heimbürger, O.</creator><creator>Lindholm, B.</creator><creator>Hammarqvist, F.</creator><creator>Stenvinkel, P.</creator><creator>Nordfors, L.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>201104</creationdate><title>Increased expression of pro‐inflammatory genes in abdominal subcutaneous fat in advanced chronic kidney disease patients</title><author>Witasp, A. ; Carrero, J. J. ; Heimbürger, O. ; Lindholm, B. ; Hammarqvist, F. ; Stenvinkel, P. ; Nordfors, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5213-d7c418e8bb16dd729b3ec02bc2f5ba7c20596d5d7a164914a91d2f8ac231bc213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adipokines - biosynthesis</topic><topic>Adipokines - genetics</topic><topic>Adipose tissue</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Body Mass Index</topic><topic>Cardiovascular diseases</topic><topic>Case-Control Studies</topic><topic>Catheters</topic><topic>Cholecystectomy</topic><topic>Cytochromes</topic><topic>Dialysis</topic><topic>end‐stage renal disease</topic><topic>Female</topic><topic>Gene Expression Regulation</topic><topic>General aspects</topic><topic>Hernia</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Inflammation - etiology</topic><topic>Inflammation - metabolism</topic><topic>Inflammation Mediators - metabolism</topic><topic>Insulin</topic><topic>Insulin Resistance - genetics</topic><topic>Interleukin 6</topic><topic>Kidney diseases</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - genetics</topic><topic>Kidney Failure, Chronic - metabolism</topic><topic>Kidneys</topic><topic>Leptin</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Metabolic diseases</topic><topic>Metabolic disorders</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Obesity</topic><topic>Oxidative stress</topic><topic>Oxidative Stress - genetics</topic><topic>Peritoneum</topic><topic>RNA, Messenger - genetics</topic><topic>SOCS-3 protein</topic><topic>Subcutaneous Fat - metabolism</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Witasp, A.</creatorcontrib><creatorcontrib>Carrero, J. J.</creatorcontrib><creatorcontrib>Heimbürger, O.</creatorcontrib><creatorcontrib>Lindholm, B.</creatorcontrib><creatorcontrib>Hammarqvist, F.</creatorcontrib><creatorcontrib>Stenvinkel, P.</creatorcontrib><creatorcontrib>Nordfors, L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Journal of internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Witasp, A.</au><au>Carrero, J. J.</au><au>Heimbürger, O.</au><au>Lindholm, B.</au><au>Hammarqvist, F.</au><au>Stenvinkel, P.</au><au>Nordfors, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased expression of pro‐inflammatory genes in abdominal subcutaneous fat in advanced chronic kidney disease patients</atitle><jtitle>Journal of internal medicine</jtitle><addtitle>J Intern Med</addtitle><date>2011-04</date><risdate>2011</risdate><volume>269</volume><issue>4</issue><spage>410</spage><epage>419</epage><pages>410-419</pages><issn>0954-6820</issn><issn>1365-2796</issn><eissn>1365-2796</eissn><abstract>. Witasp A, Carrero JJ, Heimbürger O, Lindholm B, Hammarqvist F, Stenvinkel P, Nordfors L (Karolinska Institutet, Stockholm, Sweden). Increased expression of pro‐inflammatory genes in abdominal subcutaneous fat in advanced chronic kidney disease patients. J Intern Med 2011; 269: 410–419.
Objectives. Low‐grade systemic inflammation, oxidative stress and peripheral insulin resistance are intimately associated and contribute to the increased risk of cardiovascular complications in advanced chronic kidney disease (CKD). Because altered adipose tissue activities have previously been linked to pathophysiological processes in various inflammatory and metabolic diseases we hypothesized that the uraemic milieu in patients with CKD may interact with the adipose tissue, provoking an unfavourable shift in its transcriptional output.
Design. Twenty‐one adipokine mRNAs were quantified in abdominal subcutaneous adipose tissue (SAT) biopsies and serum/plasma concentrations of inflammatory markers and related protein products were measured.
Setting. The study was conducted at the Karolinska University Hospital, Huddinge, and Karolinska Institutet, Stockholm, Sweden.
Subjects. Thirty‐seven patients with CKD [15 women, median 58 (interquartile range 49–65) years] and nine nonuraemic individuals [four women, age 62 (45–64) years] were recruited prior to initiation of peritoneal dialysis catheter insertion or elective hernia repair/laparoscopic cholecystectomy, respectively.
Results. Even after correction for body mass index, SAT from patients showed a significant upregulation of inflammatory pathway genes interleukin 6 (3.0‐fold, P = 0.0002) and suppressor of cytokine signalling 3 (2.5‐fold, P = 0.01), as well as downregulation of leptin (2.0‐fold, P = 0.03) and the oxidative stress genes uncoupling protein 2 (1.5‐fold, P = 0.03) and cytochrome b‐245, alpha polypeptide (1.5‐fold, P = 0.005), in relation to controls.
Conclusions. These gene expression differences suggest that inflammatory and oxidative stress activities may be important features of the intrinsic properties of uraemic adipose tissue, which may have significant effects on the uraemic phenotype.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21054584</pmid><doi>10.1111/j.1365-2796.2010.02293.x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adipokines - biosynthesis Adipokines - genetics Adipose tissue Adult Aged Biological and medical sciences Biopsy Body Mass Index Cardiovascular diseases Case-Control Studies Catheters Cholecystectomy Cytochromes Dialysis end‐stage renal disease Female Gene Expression Regulation General aspects Hernia Hospitals Humans Inflammation Inflammation - etiology Inflammation - metabolism Inflammation Mediators - metabolism Insulin Insulin Resistance - genetics Interleukin 6 Kidney diseases Kidney Failure, Chronic - complications Kidney Failure, Chronic - genetics Kidney Failure, Chronic - metabolism Kidneys Leptin Male Medical sciences Medicin och hälsovetenskap Metabolic diseases Metabolic disorders Middle Aged Nephrology. Urinary tract diseases Obesity Oxidative stress Oxidative Stress - genetics Peritoneum RNA, Messenger - genetics SOCS-3 protein Subcutaneous Fat - metabolism Urinary system involvement in other diseases. Miscellaneous |
| title | Increased expression of pro‐inflammatory genes in abdominal subcutaneous fat in advanced chronic kidney disease patients |
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