Differential Impact of Weight Loss and Glycemic Control on Inflammasome Signaling.


Journal

Obesity (Silver Spring, Md.)
ISSN: 1930-739X
Titre abrégé: Obesity (Silver Spring)
Pays: United States
ID NLM: 101264860

Informations de publication

Date de publication:
03 2020
Historique:
received: 16 07 2019
accepted: 03 12 2019
pubmed: 6 2 2020
medline: 2 9 2020
entrez: 6 2 2020
Statut: ppublish

Résumé

Interleukin (IL)-1β is involved in obesity-associated inflammation and in the pathogenesis of type 2 diabetes (T2D) mellitus. Our aim was to correlate serum IL-1β and caspase-1 levels with weight loss, glucose metabolism, and insulin resistance (IR) after bariatric surgery. A total of 32 patients with morbid obesity and T2D (Ob-T2D) and 29 patients with morbid obesity and normal glucose tolerance (Ob-NGT), treated by Roux-en-Y gastric bypass, were studied before and 1 year after surgery. Sixteen healthy individuals served as a control (HC) group. IR was assessed by the oral glucose insulin sensitivity method. Plasma IL-1β levels and caspase-1 were measured. Presurgery BMI was similar in Ob-NGT and Ob-T2D. IR was progressively impaired in Ob-NGT and Ob-T2D (P < 0.0001). Fasting plasma IL-1β and caspase-1 levels were lower in HCs than in patients with Ob-NGT or Ob-T2D (P < 0.02; P = 0.05), and both were inversely correlated with IR (P = 0.01; P = 0.02). After surgery, BMI decreased and IR improved to a similar extent in Ob-NGT and Ob-T2D (P < 0.0001). Plasma caspase-1 concentrations normalized in both groups (P < 0.0001), whereas plasma IL-1β levels normalized only in Ob-NGT. Plasma IL-1β and caspase-1 levels were inversely correlated with IR. Caspase-1 levels normalized after weight loss, whereas IL-1β normalized only in people without T2D, suggesting the persistence of a systemic inflammatory condition in people with T2D.

Identifiants

pubmed: 32020775
doi: 10.1002/oby.22734
doi:

Substances chimiques

Blood Glucose 0
IL1B protein, human 0
Inflammasomes 0
Interleukin-1beta 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

609-615

Subventions

Organisme : EMIF grant (IMI JU GA 115372-2).
ID : (IMI JU GA 115372-2).
Pays : International

Informations de copyright

© 2020 The Obesity Society.

Références

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Auteurs

Luca Antonioli (L)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Diego Moriconi (D)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Stefano Masi (S)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Dario Bottazzo (D)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Carolina Pellegrini (C)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Matteo Fornai (M)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Marco Anselmino (M)

Division of Bariatric Surgery, Azienda Ospedaliera Universitaria Pisana (AOUP), Pisa, Italy.

Ele Ferrannini (E)

National Research Council Institute of Clinical Physiology, Pisa, Italy.

Corrado Blandizzi (C)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Stefano Taddei (S)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Monica Nannipieri (M)

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

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