Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Integrative Biology

Association of serum C1q/TNF-Related Protein-9 (CTRP9) concentration with visceral adiposity and metabolic syndrome in humans

Abstract

Background:

C1q/TNF-Related Protein (CTRP) family members are novel adipokines that have anti-inflammatory, immunomodulatory, glucose-regulating and vascular effects. However, the metabolic effects of CTRP9 remain unclear in humans.

Objectives:

The aims of this study were to investigate whether serum CTRP9 concentrations are associated with glucose tolerance, metabolic parameters and abdominal fat accumulation. In addition, the authors investigated whether the aforementioned effects of CTRP9 are independent of serum adiponectin levels.

Methods:

A total of 221 subjects (140 men and 81 women), 25–72 years of age (mean age 46.0 years), were randomly selected from two different study populations. The normal glucose tolerance group (n=120) was selected from one study population and the prediabetes/type 2 diabetes group (n=101) was selected from the other study population. Serum CTRP9, total adiponectin concentrations and abdominal fat via computed tomography scan were measured in all subjects.

Results:

Subjects in the lower serum CTRP9 tertile were older, had metabolically unhealthy profiles and had lower serum total adiponectin levels when compared with subjects in the middle or upper serum CTRP9 tertiles. In addition, serum CTRP9 concentration were inversely correlated with age, blood pressure, fasting glucose, homeostasis model assessment for insulin resistance, total cholesterol, triglyceride and low-density lipoprotein cholesterol levels (all P<0.01) and positively correlated with serum total adiponectin levels (P=0.03). In terms of abdominal fat accumulation, serum CTRP9 concentrations were inversely correlated with visceral fat amount (P<0.01), but no correlation was observed with subcutaneous fat amount. Finally, serum CTRP9 was inversely associated with the presence of metabolic syndrome, independent of age, sex, body mass index, smoking status, total cholesterol, visceral fat and serum total adiponectin concentrations (odds ratio per 1 s.d. 0.47; 95% confidence interval 0.32–0.70; P<0.01).

Conclusions:

Serum CTRP9 concentrations were positively associated with favorable glucose or metabolic phenotypes and absence of metabolic syndrome, independent of serum total adiponectin concentrations.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Trujillo ME, Scherer PE . Adipose tissue-derived factors: impact on health and disease. Endocr Rev 2006; 27: 762–778.

    Article  CAS  Google Scholar 

  2. Bluher M . Clinical relevance of adipokines. Diabetes Metab J 2012; 36: 317–327.

    Article  Google Scholar 

  3. Schaffler A, Buechler C . CTRP family: linking immunity to metabolism. Trends Endocrinol Metab 2012; 23: 194–204.

    Article  Google Scholar 

  4. Wong GW, Krawczyk SA, Kitidis-Mitrokostas C, Ge G, Spooner E, Hug C et al. Identification and characterization of CTRP9, a novel secreted glycoprotein, from adipose tissue that reduces serum glucose in mice and forms heterotrimers with adiponectin. FASEB J 2009; 23: 241–258.

    Article  CAS  Google Scholar 

  5. Zheng Q, Yuan Y, Yi W, Lau WB, Wang Y, Wang X et al. C1q/TNF-related proteins, a family of novel adipokines, induce vascular relaxation through the adiponectin receptor-1/AMPK/eNOS/nitric oxide signaling pathway. Arterioscler Thromb Vasc Biol 2011; 31: 2616–2623.

    Article  CAS  Google Scholar 

  6. Kambara T, Ohashi K, Shibata R, Ogura Y, Maruyama S, Enomoto T et al. CTRP9 protein protects against myocardial injury following ischemia-reperfusion through AMP-activated protein kinase (AMPK)-dependent mechanism. J Biol Chem 2012; 287: 18965–18973.

    Article  CAS  Google Scholar 

  7. Won JC, Park CY, Lee WY, Lee ES, Oh SW, Park SW . Association of plasma levels of resistin with subcutaneous fat mass and markers of inflammation but not with metabolic determinants or insulin resistance. J Korean Med Sci 2009; 24: 695–700.

    Article  CAS  Google Scholar 

  8. Kim WJ, Park CY, Park SE, Rhee EJ, Lee WY, Oh KW et al. Serum 1,5-anhydroglucitol is associated with diabetic retinopathy in Type 2 diabetes. Diabet Med 2012; 29: 1184–1190.

    Article  CAS  Google Scholar 

  9. Sjostrom L, Kvist H, Cederblad A, Tylen U . Determination of total adipose tissue and body fat in women by computed tomography, 40K, and tritium. Am J Physiol 1986; 250: E736–E745.

    CAS  Google Scholar 

  10. Fujioka S, Matsuzawa Y, Tokunaga K, Tarui S . Contribution of intra-abdominal fat accumulation to the impairment of glucose and lipid metabolism in human obesity. Metabolism 1987; 36: 54–59.

    Article  CAS  Google Scholar 

  11. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 2005; 112: 2735–2752.

    Article  Google Scholar 

  12. 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.

    Article  CAS  Google Scholar 

  13. Zhang Y, Proenca R, Maffei M, Barone M, Leopold L, Friedman JM . Positional cloning of the mouse obese gene and its human homologue. Nature 1994; 372: 425–432.

    Article  CAS  Google Scholar 

  14. Peterson JM, Wei Z, Wong GW . CTRP8 and CTRP9B are novel proteins that hetero-oligomerize with C1q/TNF family members. Biochem Biophys Res Commun 2009; 388: 360–365.

    Article  CAS  Google Scholar 

  15. Choi KM, Hwang SY, Hong HC, Yang SJ, Choi HY, Yoo HJ et al. C1q/TNF-related protein-3 (CTRP-3) and pigment epithelium-derived factor (PEDF) concentrations in patients with type 2 diabetes and metabolic syndrome. Diabetes 2012; 61: 2932–2936.

    Article  CAS  Google Scholar 

  16. Peterson JM, Wei Z, Wong GW . C1q/TNF-related protein-3 (CTRP3), a novel adipokine that regulates hepatic glucose output. J Biol Chem 2010; 285: 39691–39701.

    Article  CAS  Google Scholar 

  17. Kopp A, Bala M, Weigert J, Buchler C, Neumeier M, Aslanidis C et al. Effects of the new adiponectin paralogous protein CTRP-3 and of LPS on cytokine release from monocytes of patients with type 2 diabetes mellitus. Cytokine 2010; 49: 51–57.

    Article  CAS  Google Scholar 

  18. Weigert J, Neumeier M, Schaffler A, Fleck M, Scholmerich J, Schutz C et al. The adiponectin paralog CORS-26 has anti-inflammatory properties and is produced by human monocytic cells. FEBS Lett 2005; 579: 5565–5570.

    Article  CAS  Google Scholar 

  19. Kopp A, Bala M, Buechler C, Falk W, Gross P, Neumeier M et al. C1q/TNF-related protein-3 represents a novel and endogenous lipopolysaccharide antagonist of the adipose tissue. Endocrinology 2010; 151: 5267–5278.

    Article  CAS  Google Scholar 

  20. Yi W, Sun Y, Yuan Y, Lau WB, Zheng Q, Wang X et al. C1q/tumor necrosis factor-related protein-3, a newly identified adipokine, is a novel antiapoptotic, proangiogenic, and cardioprotective molecule in the ischemic mouse heart. Circulation 2012; 125: 3159–3169.

    Article  CAS  Google Scholar 

  21. Lear SA, Humphries KH, Kohli S, Chockalingam A, Frohlich JJ, Birmingham CL . Visceral adipose tissue accumulation differs according to ethnic background: results of the Multicultural Community Health Assessment Trial (M-CHAT). Am J Clin Nutr 2007; 86: 353–359.

    Article  CAS  Google Scholar 

  22. Staiano AE, Katzmarzyk PT . Ethnic and sex differences in body fat and visceral and subcutaneous adiposity in children and adolescents. Int J Obes 2012; 36: 1261–1269.

    Article  CAS  Google Scholar 

  23. Khan UI, Wang D, Sowers MR, Mancuso P, Everson-Rose SA, Scherer PE et al. Race-ethnic differences in adipokine levels: the Study of Women’s Health Across the Nation (SWAN). Metabolism 2012; 61: 1261–1269.

    Article  CAS  Google Scholar 

  24. Lara-Castro C, Luo N, Wallace P, Klein RL, Garvey WT . Adiponectin multimeric complexes and the metabolic syndrome trait cluster. Diabetes 2006; 55: 249–259.

    Article  CAS  Google Scholar 

  25. Yoshizumi T, Nakamura T, Yamane M, Islam AH, Menju M, Yamasaki K et al. Abdominal fat: standardized technique for measurement at CT. Radiology 1999; 211 (1): 283–286.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We are grateful to Hong-Yup Ahn from the Department of Statistics, Dongguk University-Seoul, Seoul, Korea, for helping with the statistical analysis.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C-Y Park.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Additional information

Supplementary Information accompanies this paper on International Journal of Obesity website

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hwang, YC., Woo Oh, S., Park, SW. et al. Association of serum C1q/TNF-Related Protein-9 (CTRP9) concentration with visceral adiposity and metabolic syndrome in humans. Int J Obes 38, 1207–1212 (2014). https://doi.org/10.1038/ijo.2013.242

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijo.2013.242

Keywords

This article is cited by

Search

Quick links