Obesity and Low-Grade Inflammation Increase Plasma Follistatin-Like 3 in Humans

Background. Rodent models suggest that follistatin-like 3 (fstl3) is associated with diabetes and obesity. In humans, plasma fstl3 is reduced with gestational diabetes. In vitro, TNF-α induces fstl3 secretion, which suggests a link to inflammation. Objective. To elucidate the association between pla...

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Main Authors: Claus Brandt, Maria Pedersen, Anders Rinnov, Anne S. Andreasen, Kirsten Møller, Pernille Hojman, Bente K. Pedersen, Peter Plomgaard
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2014/364209
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author Claus Brandt
Maria Pedersen
Anders Rinnov
Anne S. Andreasen
Kirsten Møller
Pernille Hojman
Bente K. Pedersen
Peter Plomgaard
author_facet Claus Brandt
Maria Pedersen
Anders Rinnov
Anne S. Andreasen
Kirsten Møller
Pernille Hojman
Bente K. Pedersen
Peter Plomgaard
author_sort Claus Brandt
collection DOAJ
description Background. Rodent models suggest that follistatin-like 3 (fstl3) is associated with diabetes and obesity. In humans, plasma fstl3 is reduced with gestational diabetes. In vitro, TNF-α induces fstl3 secretion, which suggests a link to inflammation. Objective. To elucidate the association between plasma fstl3 and obesity, insulin resistance, and low-grade inflammation in humans. Study Design. Plasma fstl3 levels were determined in a cross-sectional study including three groups: patients with type 2 diabetes, impaired glucose tolerance, and healthy controls. In addition, lipopolysaccharide (LPS), TNF-α, or interleukin-6 (IL-6) as well as a hyperinsulinemic euglycemic clamp were used to examine if plasma fstl3 was acutely regulated in humans. Results. Plasma fstl3 was increased in obese subjects independent of glycemic state. Moreover, plasma fstl3 was positively correlated with fat mass, plasma leptin, fasting insulin, and HOMA B and negatively with HOMA S. Furthermore plasma fstl3 correlated positively with plasma TNF-α and IL-6 levels. Infusion of LPS and TNF-α, but not IL-6 and insulin, increased plasma fstl3 in humans. Conclusion. Plasma fstl3 is increased in obese subjects and associated with fat mass and low-grade inflammation. Furthermore, TNF-α increased plasma fstl3, suggesting that TNF-α is one of the inflammatory drivers of increased systemic levels of fstl3.
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spelling doaj-art-372509e8e16d45519016c447d58a809d2025-08-20T02:07:41ZengWileyMediators of Inflammation0962-93511466-18612014-01-01201410.1155/2014/364209364209Obesity and Low-Grade Inflammation Increase Plasma Follistatin-Like 3 in HumansClaus Brandt0Maria Pedersen1Anders Rinnov2Anne S. Andreasen3Kirsten Møller4Pernille Hojman5Bente K. Pedersen6Peter Plomgaard7Centre of Inflammation and Metabolism (CIM), The Centre for Physical Activity Research (CFAS), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, DenmarkCentre of Inflammation and Metabolism (CIM), The Centre for Physical Activity Research (CFAS), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, DenmarkCentre of Inflammation and Metabolism (CIM), The Centre for Physical Activity Research (CFAS), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, DenmarkCentre of Inflammation and Metabolism (CIM), The Centre for Physical Activity Research (CFAS), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, DenmarkCentre of Inflammation and Metabolism (CIM), The Centre for Physical Activity Research (CFAS), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, DenmarkCentre of Inflammation and Metabolism (CIM), The Centre for Physical Activity Research (CFAS), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, DenmarkCentre of Inflammation and Metabolism (CIM), The Centre for Physical Activity Research (CFAS), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, DenmarkCentre of Inflammation and Metabolism (CIM), The Centre for Physical Activity Research (CFAS), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, DenmarkBackground. Rodent models suggest that follistatin-like 3 (fstl3) is associated with diabetes and obesity. In humans, plasma fstl3 is reduced with gestational diabetes. In vitro, TNF-α induces fstl3 secretion, which suggests a link to inflammation. Objective. To elucidate the association between plasma fstl3 and obesity, insulin resistance, and low-grade inflammation in humans. Study Design. Plasma fstl3 levels were determined in a cross-sectional study including three groups: patients with type 2 diabetes, impaired glucose tolerance, and healthy controls. In addition, lipopolysaccharide (LPS), TNF-α, or interleukin-6 (IL-6) as well as a hyperinsulinemic euglycemic clamp were used to examine if plasma fstl3 was acutely regulated in humans. Results. Plasma fstl3 was increased in obese subjects independent of glycemic state. Moreover, plasma fstl3 was positively correlated with fat mass, plasma leptin, fasting insulin, and HOMA B and negatively with HOMA S. Furthermore plasma fstl3 correlated positively with plasma TNF-α and IL-6 levels. Infusion of LPS and TNF-α, but not IL-6 and insulin, increased plasma fstl3 in humans. Conclusion. Plasma fstl3 is increased in obese subjects and associated with fat mass and low-grade inflammation. Furthermore, TNF-α increased plasma fstl3, suggesting that TNF-α is one of the inflammatory drivers of increased systemic levels of fstl3.http://dx.doi.org/10.1155/2014/364209
spellingShingle Claus Brandt
Maria Pedersen
Anders Rinnov
Anne S. Andreasen
Kirsten Møller
Pernille Hojman
Bente K. Pedersen
Peter Plomgaard
Obesity and Low-Grade Inflammation Increase Plasma Follistatin-Like 3 in Humans
Mediators of Inflammation
title Obesity and Low-Grade Inflammation Increase Plasma Follistatin-Like 3 in Humans
title_full Obesity and Low-Grade Inflammation Increase Plasma Follistatin-Like 3 in Humans
title_fullStr Obesity and Low-Grade Inflammation Increase Plasma Follistatin-Like 3 in Humans
title_full_unstemmed Obesity and Low-Grade Inflammation Increase Plasma Follistatin-Like 3 in Humans
title_short Obesity and Low-Grade Inflammation Increase Plasma Follistatin-Like 3 in Humans
title_sort obesity and low grade inflammation increase plasma follistatin like 3 in humans
url http://dx.doi.org/10.1155/2014/364209
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