Anti-inflammatory effects of diet and caloric restriction in metabolic syndrome.


Journal

Journal of endocrinological investigation
ISSN: 1720-8386
Titre abrégé: J Endocrinol Invest
Pays: Italy
ID NLM: 7806594

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 24 12 2020
accepted: 01 03 2021
pubmed: 10 3 2021
medline: 8 2 2022
entrez: 9 3 2021
Statut: ppublish

Résumé

Weight loss in patients with metabolic syndrome has positive effects on cardiovascular and type 2 diabetes risks, but its effects on peripheral cytokines and lipid profiles in patients are still unclear. To determine the effects of diet-induced weight loss on metabolic parameters, lipids and cytokine profiles. Eighteen adult males with metabolic syndrome (defined according to IDF 2009) and Body Mass Index (BMI) between 25 and 35 kg/m After weight loss, a significant improvement in BMI, waist circumference, insulin, fasting blood glucose and HOMA-IR (homeostasis model assessment of insulin resistance) was observed. The analysis of LDL (low-density lipoprotein cholesterol) and HDL (high-density lipoprotein cholesterol) lipoproteins showed a change in their composition with a massive transfer of triacylglycerols from HDL to LDL. This was associated with a significant reduction in peripheral pro-inflammatory cytokines such as IL-6, TNF-α, IL-8 and MIP-1β, leading to an overall decreased inflammatory score. An interesting positive correlation was also observed among peripheral cytokines levels after diet and peripheral levels of CETP (cholesteryl ester transfer protein), an enzyme with a key role in lipid change. Weight loss through caloric restriction is associated with an improvement in peripheral lipid and cytokine profiles that may play a major role in improving cardiovascular risk.

Sections du résumé

BACKGROUND BACKGROUND
Weight loss in patients with metabolic syndrome has positive effects on cardiovascular and type 2 diabetes risks, but its effects on peripheral cytokines and lipid profiles in patients are still unclear.
AIM OBJECTIVE
To determine the effects of diet-induced weight loss on metabolic parameters, lipids and cytokine profiles.
METHODS METHODS
Eighteen adult males with metabolic syndrome (defined according to IDF 2009) and Body Mass Index (BMI) between 25 and 35 kg/m
RESULTS RESULTS
After weight loss, a significant improvement in BMI, waist circumference, insulin, fasting blood glucose and HOMA-IR (homeostasis model assessment of insulin resistance) was observed. The analysis of LDL (low-density lipoprotein cholesterol) and HDL (high-density lipoprotein cholesterol) lipoproteins showed a change in their composition with a massive transfer of triacylglycerols from HDL to LDL. This was associated with a significant reduction in peripheral pro-inflammatory cytokines such as IL-6, TNF-α, IL-8 and MIP-1β, leading to an overall decreased inflammatory score. An interesting positive correlation was also observed among peripheral cytokines levels after diet and peripheral levels of CETP (cholesteryl ester transfer protein), an enzyme with a key role in lipid change.
CONCLUSION CONCLUSIONS
Weight loss through caloric restriction is associated with an improvement in peripheral lipid and cytokine profiles that may play a major role in improving cardiovascular risk.

Identifiants

pubmed: 33686615
doi: 10.1007/s40618-021-01547-y
pii: 10.1007/s40618-021-01547-y
pmc: PMC8502121
doi:

Substances chimiques

Cholesterol Ester Transfer Proteins 0
Cholesterol, HDL 0
Cholesterol, LDL 0
Cytokines 0
Triglycerides 0

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

2407-2415

Subventions

Organisme : Università degli Studi di Milano
ID : Linea2 2019
Organisme : European Foundation for the Study of Diabetes
ID : EFSD/JDRF/Lilly Programme on Type 1 Diabetes Research 2019
Organisme : Ministero della Salute
ID : RF-2016-02362512

Informations de copyright

© 2021. The Author(s).

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Auteurs

L Montefusco (L)

Division of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.

F D'Addio (F)

International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy.

C Loretelli (C)

International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy.

M Ben Nasr (M)

International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy.
Nephrology Division, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA.

M Garziano (M)

Department of Biomedical and Clinical Sciences, "L. Sacco", Università Di Milano, Milan, Italy.

A Rossi (A)

Division of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.

I Pastore (I)

Division of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.

L Plebani (L)

Division of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.

M E Lunati (ME)

Division of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.

A M Bolla (AM)

Division of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.

M D Porta (MD)

Department of Biomedical and Clinical Sciences, "L. Sacco", Università Di Milano, Milan, Italy.

G Piuri (G)

Department of Biomedical and Clinical Sciences, "L. Sacco", Università Di Milano, Milan, Italy.

F Rocchio (F)

International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy.

A Abdelsalam (A)

International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy.
Department of Biochemistry and Biotechnology, Heliopolis University, Cairo, Egypt.

E Assi (E)

International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy.

M Barichella (M)

Clinical Nutrition Unit, Parkinson Institute, ASST Gaetano Pini-CTO, Milan, Italy.

A Maestroni (A)

International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy.

V Usuelli (V)

International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy.

L Loreggian (L)

International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy.

F Muzio (F)

Clinical Nutrition and Dietetic Unit, Luigi Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.

G V Zuccotti (GV)

Department of Pediatrics, V. Buzzi Childrens' Hospital and Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Degli Studi Di Milano, Milan, Italy.

R Cazzola (R)

Department of Biomedical and Clinical Sciences, "L. Sacco", Università Di Milano, Milan, Italy.

P Fiorina (P)

Division of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy. paolo.fiorina@childrens.harvard.edu.
International Center for T1D, Pediatric Clinical Research Center Romeo Ed Enrica Invernizzi, DIBIC L. Sacco, Università Di Milano, Milan, Italy. paolo.fiorina@childrens.harvard.edu.
Nephrology Division, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA. paolo.fiorina@childrens.harvard.edu.

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