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Inverse correlation of serum inflammatory markers with metabolic parameters in healthy, Black and White prepubertal youth

Abstract

Objective:

To examine for the first time the associations between pro-inflammatory cytokines and obesity-related metabolic biomarkers in, exclusively prepubertal, otherwise healthy obese and non-obese Black and White children, 7–9 years of age.

Design and methods:

Body mass index (BMI), homeostasis model assessment-estimated insulin resistance, visceral adipose tissue and subcutaneous adipose tissue (SAT (magnetic resonance imaging)); total body fat (dual-energy X-ray absorptiometry), ectopic, intrahepatic lipid (IHL) and intramyocellular lipid (IMCL) fat (proton magnetic resonance spectroscopy) and serum levels of interleukin (IL)-1, IL-6, IL-8, tumor necrosis factor alpha (TNF-α) and monocyte chemoattractant protein-1 were measured in 40 obese and non-obese children. Relationships between inflammatory cytokines and obesity were assessed by analysis of variance and Spearman’s rank correlation.

Results:

Significant inverse correlations were found between BMI z-score, SAT, total BF, and IHL and levels of TNF-α (Spearman’s ρ=−0.36, −0.39, −0.43 and −0.39, respectively; P<0.05). Levels of IL-8 were significantly and inversely correlated with IMCL (−0.39; P=0.03) and remained significant after adjusting for race. IMCL was inversely associated with TNF-α only after adjusting for race (−0.37; P=0.04).

Conclusions:

Relationships between pro-inflammatory and metabolic markers commonly observed in adults are reversed in healthy, Black and White children before puberty. Prospective studies are warranted to determine how these inverse relationships modify chronic disease risk later in life.

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References

  1. Rojas J, Arraiz N, Aguirre M, Velasco M, Bermudez V . AMPK as target for intervention in childhood and adolescent obesity . J Obes 2011 ; 2011 : 252817 .

    Article  Google Scholar 

  2. Ogden CL, Carroll MD, Kit BK, Flegal KM . Prevalence of obesity in the United States, 2009-2010 . NCHS Data Brief 2012 ; 82 : 1 – 8 .

    Google Scholar 

  3. Li S, Chen W, Srinivasan SR, Bond MG, Tang R, Urbina EM et al . Childhood cardiovascular risk factors and carotid vascular changes in adulthood: the Bogalusa Heart Study . JAMA 2003 ; 290 : 2271 – 2276 .

    Article  CAS  Google Scholar 

  4. Ogden CL, Carroll MD, Kit BK, Flegal KM . Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010 . JAMA 2012 ; 307 : 483 – 490 .

    Article  Google Scholar 

  5. Sun SS, Liang R, Huang TT, Daniels SR, Arslanian S, Liu K et al . Childhood obesity predicts adult metabolic syndrome: the Fels Longitudinal Study . J Pediatr 2008 ; 152 : 191 – 200 .

    Article  CAS  Google Scholar 

  6. Yach D, Stuckler D, Brownell KD . Epidemiologic and economic consequences of the global epidemics of obesity and diabetes . Nat Med 2006 ; 12 : 62 – 66 .

    Article  CAS  Google Scholar 

  7. Hotamisligil GS, Erbay E . Nutrient sensing and inflammation in metabolic diseases . Nat Rev Immunol 2008 ; 8 : 923 – 934 .

    Article  CAS  Google Scholar 

  8. Odegaard JI, Chawla A . Mechanisms of macrophage activation in obesity-induced insulin resistance . Nat Clin Pract Endocrinol Metab 2008 ; 4 : 619 – 626 .

    Article  CAS  Google Scholar 

  9. Weisberg SP, McCann D, Desai M, Rosenbaum M, Leibel RL, Ferrante Jr AW . Obesity is associated with macrophage accumulation in adipose tissue . J Clin Invest 2003 ; 112 : 1796 – 1808 .

    Article  CAS  Google Scholar 

  10. Das UN . Is obesity an inflammatory condition? Nutrition 2001 ; 17 : 953 – 966 .

    Article  CAS  Google Scholar 

  11. Fernandez-Real JM, Broch M, Ricart W, Casamitjana R, Gutierrez C, Vendrell J et al . Plasma levels of the soluble fraction of tumor necrosis factor receptor 2 and insulin resistance . Diabetes 1998 ; 47 : 1757 – 1762 .

    Article  CAS  Google Scholar 

  12. Gupta A, Ten S, Anhalt H . Serum levels of soluble tumor necrosis factor-alpha receptor 2 are linked to insulin resistance and glucose intolerance in children . J Pediatr Endocrinol Metab 2005 ; 18 : 75 – 82 .

    Article  CAS  Google Scholar 

  13. Ijzerman RG, Voordouw JJ, Van Weissenbruch MM, Yudkin JS, Serne EH, Delemarre-van de Waal HA et al . TNF-alpha levels are associated with skin capillary recruitment in humans: a potential explanation for the relationship between TNF-alpha and insulin resistance . Clin Sci 2006 ; 110 : 361 – 368 .

    Article  CAS  Google Scholar 

  14. Kelly AS, Steinberger J, Kaiser DR, Olson TP, Bank AJ, Dengel DR . Oxidative stress and adverse adipokine profile characterize the metabolic syndrome in children . J Cardiometab Syndr 2006 ; 1 : 248 – 252 .

    Article  Google Scholar 

  15. Owen CG, Whincup PH, Orfei L, Chou QA, Rudnicka AR, Wathern AK et al . Is body mass index before middle age related to coronary heart disease risk in later life? Evidence from observational studies . Int J Obes 2009 ; 33 : 866 – 877 .

    Article  CAS  Google Scholar 

  16. Roemmich JN, Clark PA, Lusk M, Friel A, Weltman A, Epstein LH et al . Pubertal alterations in growth and body composition. VI. Pubertal insulin resistance: relation to adiposity, body fat distribution and hormone release . Int J Obes Relat Metab Disord 2002 ; 26 : 701 – 709 .

    Article  CAS  Google Scholar 

  17. Zinman B, Hanley AJ, Harris SB, Kwan J, Fantus IG . Circulating tumor necrosis factor-alpha concentrations in a native Canadian population with high rates of type 2 diabetes mellitus . J Clin Endocrinol Metab 1999 ; 84 : 272 – 278 .

    CAS  PubMed  Google Scholar 

  18. Bruun JM, Verdich C, Toubro S, Astrup A, Richelsen B . Association between measures of insulin sensitivity and circulating levels of interleukin-8, interleukin-6 and tumor necrosis factor-alpha. Effect of weight loss in obese men . Eur J Endocrinol 2003 ; 148 : 535 – 542 .

    Article  CAS  Google Scholar 

  19. Smith SR, Ravussin E . Emerging paradigms for understanding fatness and diabetes risk . Curr Diab Rep 2002 ; 2 : 223 – 230 .

    Article  Google Scholar 

  20. Steppan CM, Bailey ST, Bhat S, Brown EJ, Banerjee RR, Wright CM et al . The hormone resistin links obesity to diabetes . Nature 2001 ; 409 : 307 – 312 .

    Article  CAS  Google Scholar 

  21. Magkos F, Fabbrini E, Mohammed BS, Patterson BW, Klein S . Increased whole-body adiposity without a concomitant increase in liver fat is not associated with augmented metabolic dysfunction . Obesity 2010 ; 18 : 1510 – 1515 .

    Article  CAS  Google Scholar 

  22. Kirchhoff K, Kantartzis K, Machann J, Schick F, Thamer C, Machicao F et al . Impact of different fat depots on insulin sensitivity: predominant role of liver fat . J Diabetes Sci Technol 2007 ; 1 : 753 – 759 .

    Article  Google Scholar 

  23. Fabbrini E, Magkos F, Mohammed BS, Pietka T, Abumrad NA, Patterson BW et al . Intrahepatic fat, not visceral fat, is linked with metabolic complications of obesity . Proc Natl Acad Sci USA 2009 ; 106 : 15430 – 15435 .

    Article  CAS  Google Scholar 

  24. Gade W, Schmit J, Collins M, Gade J . Beyond obesity: the diagnosis and pathophysiology of metabolic syndrome . Clin Lab Sci 2010 ; 23 : 51 – 61 .

    Article  Google Scholar 

  25. Unger RH, Scherer PE . Gluttony, sloth and the metabolic syndrome: a roadmap to lipotoxicity . Trends Endocrinol Metab 2010 ; 21 : 345 – 352 .

    Article  CAS  Google Scholar 

  26. Rubin DA, McMurray RG, Harrell JS, Hackney AC, Thorpe DE, Haqq AM . The association between insulin resistance and cytokines in adolescents: the role of weight status and exercise . Metabolism 2008 ; 57 : 683 – 690 .

    Article  CAS  Google Scholar 

  27. Potau N, Ibanez L, Rique S, Carrascosa A . Pubertal changes in insulin secretion and peripheral insulin sensitivity . Horm Res 1997 ; 48 : 219 – 226 .

    Article  CAS  Google Scholar 

  28. Bennett B, Larson-Meyer DE, Ravussin E, Volaufova J, Soros A, Cefalu WT et al . Impaired insulin sensitivity and elevated ectopic fat in healthy obese vs. nonobese prepubertal children . Obesity 2012 ; 20 : 371 – 375 .

    Article  CAS  Google Scholar 

  29. Larson-Meyer DE, Newcomer BR, Ravussin E, Volaufova J, Bennett B, Chalew S et al . Intrahepatic and intramyocellular lipids are determinants of insulin resistance in prepubertal children . Diabetologia 2011 ; 54 : 869 – 875 .

    Article  CAS  Google Scholar 

  30. Tanner JM . Growth at Adolescence 2nd edn. Blackwell Scientific: Oxford, UK, 1962 .

    Google Scholar 

  31. Neovius M, Linne Y, Barkeling B, Rossner S . Discrepancies between classification systems of childhood obesity . Obes Rev 2004 ; 5 : 105 – 114 .

    Article  CAS  Google Scholar 

  32. Cutfield WS, Jefferies CA, Jackson WE, Robinson EM, Hofman PL . Evaluation of HOMA and QUICKI as measures of insulin sensitivity in prepubertal children . Pediatr Diabetes 2003 ; 4 : 119 – 125 .

    Article  Google Scholar 

  33. Lee S, Janssen I, Ross R . Interindividual variation in abdominal subcutaneous and visceral adipose tissue: influence of measurement site . J Appl Physiol 2004 ; 97 : 948 – 954 .

    Article  Google Scholar 

  34. 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 

  35. Larson-Meyer DE, Newcomer BR, VanVrancken-Tompkins CL, Sothern M . Feasibility of assessing liver lipid by proton magnetic resonance spectroscopy in healthy normal and overweight prepubertal children . Diabetes Technol Ther 2010 ; 12 : 207 – 212 .

    Article  CAS  Google Scholar 

  36. Tompkins CL, Cefalu W, Ravussin E, Goran M, Soros A, Volaufova J et al . Feasibility of intravenous glucose tolerance testing prior to puberty . Int J Pediatr Obes 2010 ; 5 : 51 – 55 .

    Article  Google Scholar 

  37. Kim SH, Sierra RA, McGee DJ, Zabaleta J . Transcriptional profiling of gastric epithelial cells infected with wild type or arginase-deficient Helicobacter pylori . BMC Microbiol 2012 ; 12 : 175 .

    Article  CAS  Google Scholar 

  38. Kim JS, Le KA, Mahurkar S, Davis JN, Goran MI . Influence of elevated liver fat on circulating adipocytokines and insulin resistance in obese Hispanic adolescents . Pediatr Obes 2012 ; 7 : 158 – 164 .

    Article  CAS  Google Scholar 

  39. Drouet M, Dubuquoy L, Desreumaux P, Bertin B . Visceral fat and gut inflammation . Nutrition 2012 ; 28 : 113 – 117 .

    Article  CAS  Google Scholar 

  40. Galic S, Oakhill JS, Steinberg GR . Adipose tissue as an endocrine organ . Mol Cell Endocrinol 2010 ; 316 : 129 – 139 .

    Article  CAS  Google Scholar 

  41. Kolbina MV, Dolgikh VT, Chesnokov VI . Effect of hypoxia on metabolism and contractile function of the heart in rats with type 2 diabetes mellitus and abdominal obesity . Bull Exp Biol Med 2004 ; 138 : 223 – 225 .

    Article  CAS  Google Scholar 

  42. Han DH, Hansen PA, Host HH, Holloszy JO . Insulin resistance of muscle glucose transport in rats fed a high-fat diet: a reevaluation . Diabetes 1997 ; 46 : 1761 – 1767 .

    Article  CAS  Google Scholar 

  43. Szasz T, Webb RC . Perivascular adipose tissue: more than just structural support . Clin Sci 2012 ; 122 : 1 – 12 .

    Article  CAS  Google Scholar 

  44. Cole SW, Arevalo JM, Manu K, Telzer EH, Kiang L, Bower JE et al . Antagonistic pleiotropy at the human IL6 promoter confers genetic resilience to the pro-inflammatory effects of adverse social conditions in adolescence . Dev Psychol 2011 ; 47 : 1173 – 1180 .

    Article  Google Scholar 

  45. Kiecolt-Glaser JK, Preacher KJ, MacCallum RC, Atkinson C, Malarkey WB, Glaser R . Chronic stress and age-related increases in the proinflammatory cytokine IL-6 . Proc Natl Acad Sci USA 2003 ; 100 : 9090 – 9095 .

    Article  CAS  Google Scholar 

  46. Schmidt MV, Enthoven L, van der MM, Levine S, de Kloet ER, Oitzl MS . The postnatal development of the hypothalamic-pituitary-adrenal axis in the mouse . Int J Dev Neurosci 2003 ; 21 : 125 – 132 .

    Article  CAS  Google Scholar 

  47. Gunnar M, Quevedo K . The neurobiology of stress and development . Annu Rev Psychol 2007 ; 58 : 145 – 173 .

    Article  Google Scholar 

  48. Gilsanz V, Smith ML, Goodarzian F, Kim M, Wren TA, Hu HH . Changes in brown adipose tissue in boys and girls during childhood and puberty . J Pediatr 2012 ; 160 : 604 – 609 .

    Article  Google Scholar 

  49. Loomba-Albrecht LA, Styne DM . Effect of puberty on body composition . Curr Opin Endocrinol Diabetes Obes 2009 ; 16 : 10 – 15 .

    Article  CAS  Google Scholar 

  50. Maffeis C, Manfredi R, Trombetta M, Sordelli S, Storti M, Benuzzi T et al . Insulin sensitivity is correlated with subcutaneous but not visceral body fat in overweight and obese prepubertal children . J Clin Endocrinol Metab 2008 ; 93 : 2122 – 2128 .

    Article  CAS  Google Scholar 

  51. Grohmann M, Sabin M, Holly J, Shield J, Crowne E, Stewart C . Characterization of differentiated subcutaneous and visceral adipose tissue from children: the influences of TNF-alpha and IGF-I . J Lipid Res 2005 ; 46 : 93 – 103 .

    Article  CAS  Google Scholar 

  52. Dube JJ, Amati F, Stefanovic-Racic M, Toledo FG, Sauers SE, Goodpaster BH . Exercise-induced alterations in intramyocellular lipids and insulin resistance: the athlete's paradox revisited . Am J Physiol Endocrinol Metab 2008 ; 294 : E882 – E888 .

    Article  CAS  Google Scholar 

  53. Petersen AM, Pedersen BK . The anti-inflammatory effect of exercise . J Appl Physiol 2005 ; 98 : 1154 – 1162 .

    Article  CAS  Google Scholar 

  54. Bajpeyi S, Reed MA, Molskness S, Newton C, Tanner CJ, McCartney JS et al . Effect of short-term exercise training on intramyocellular lipid content . Appl Physiol Nutr Metab 2012 ; 37 : 822 – 828 .

    Article  CAS  Google Scholar 

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Acknowledgements

Research relating to this manuscript was supported by NICHD 1R01HD41071-01A2, 1R01HD49046-05, NCMHD P20 MD00481701, NIDDK (NORC) 1P30 DK072476, NIGMS—P20GM103501, R01HL072889, the LSU Health Sciences Center CTRC, LSUHSC IRB, and Children's Hospital in New Orleans, and the Women's Hospital and Pennington Biomedical Research Center in Baton Rouge.

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Correspondence to J Zabaleta.

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Zabaleta, J., Velasco-Gonzalez, C., Estrada, J. et al. Inverse correlation of serum inflammatory markers with metabolic parameters in healthy, Black and White prepubertal youth. Int J Obes 38, 563–568 (2014). https://doi.org/10.1038/ijo.2013.220

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