The relationships between Aplein, Vaspin and thyroid hormone levels in obese diabetic and non-diabetic women
Year 2024,
Volume: 41 Issue: 2, 239 - 245, 19.05.2024
Diyar Lateef
Nesreen Nasser
Osama Mohsein
Abstract
Apelin and vaspin modulate thyroid function. Furthermore, they are connected to particular components of chemical elements. Increased apelin and vaspin in diabetic women can have a negative impact on their thyroid function. The aim of the study was to understand the relationship between thyroid hormones and adipokine as a way to find a solution to the problem of obesity or its complications. Between October 1, 2022, and February 2, 2023, the case-control study included a total of 150 women, 100 obese women as the case group (50 obese and diabetic, 50 obese without diabetic), and 50 healthy women as the control group. They visited Al-Habbobi and Al-Nasiriyia teaching hospitals. Vaspin and apelin were measured using the enzyme-linked immunosorbent assay (ELISA), whereas C-Peptide was assessed using the electrochemiluminescence immunoassay (ECLIA) for thyroid hormone (FT3, FT4, and TSH). The measurement of fasting blood sugar (FBS) and haemoglobinA1C (HBA1C) was conducted using colorimetric and fluorescence immunoassay (FIA), respectively. In the results, in obese diabetics, vaspin is significantly lower than in controls. Although there is no significant difference in apelin levels between groups (0.34± 0.08 vs. 0.32± 0.11, P = 0,09), Vaspin and apelin tests show no significant difference between obese non-diabetics and controls. FT3 and TSH levels are significantly higher in obese diabetics and non-diabetics than in the control group. While FT4 dropped significantly between groups, in obese diabetics, FT3 and TSH levels are significantly higher than in obese non-diabetics. Obese diabetics had a significantly lower decrease in vaspin and apelin levels than obese non-diabetic patients. In conclusion, the decrease in FT4 across all groups and vaspin levels in obesity and diabetes suggest that vaspin is involved in thyroid hormone metabolism. Despite lower thyroid hormone levels, apelin levels were not statistically different. This suggests that the thyroid gland controls fat levels and metabolism.
Ethical Statement
Written illustrative consent form was signed by all parents/caregivers of the participating patients. This study was performed according to the ethical rules for medical research involving human participants of the Declaration of Helsinki (1964). Ethical approval was received from the ethical and research committee of Department of Chemistry and Biochemistry, College of Medicine, Al- Nahrain University, Baghdad, Iraq
Supporting Institution
Al-Nahrain University, Mazaya university collage
Thanks
The authors are thanks to all participants in this research.
References
- Saalbach A, Anderegg U. Thy-1: more than a marker for mesenchymal stromal cells. FASEB J. 2019 Jun;33(6):6689-6696.
- Kozlov AI. [Carbohydrate-related nutritional and genetic risks of obesity for indigenous northerners]. Vopr Pitan. 2019;88(1):5-16. Russian.
- Mercado-Gonzales SI, Carpio-Rodríguez AN, Carrillo-Larco RM, Bernabé-Ortiz A. Sleep Duration and Risk of Obesity by Sex: Nine-Year Follow-Up of the Young Lives Study in Peru. Child Obes. 2019 May/Jun;15(4):237-243.
- Al-Nimr RI. Optimal Protein Intake during Weight Loss Interventions in Older Adults with Obesity. J Nutr Gerontol Geriatr. 2019 Jan-Mar;38(1):50-68.
- Cohen RV, Shikora S, Petry T, Caravatto PP, Le Roux CW. The Diabetes Surgery Summit II Guidelines: a Disease-Based Clinical Recommendation. Obes Surg. 2016 Aug;26(8):1989-91.
- Rubino F, Nathan DM, Eckel RH, Schauer PR, Alberti KG, Zimmet PZ, et al. Delegates of the 2nd Diabetes Surgery Summit. Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations. Diabetes Care. 2016 Jun;39(6):861-77.
- Rosenbaum M, Hirsch J, Murphy E, Leibel RL. Effects of changes in body weight on carbohydrate metabolism, catecholamine excretion, and thyroid function. Am J Clin Nutr. 2000;71:1421–32.
- Danforth E, Jr, Horton ES, O'Connell M, Sims EA, Burger AG, et al. Dietary-induced alterations in thyroid hormone metabolism during overnutrition. J Clin Invest. 1979;64:1336–47.
- Knudsen N, Laurberg P, Rasmussen LB, Bülow I, Perrild H, Ovesen L, et al. Small differences in thyroid function may be important for body mass index and the occurrence of obesity in the population. J Clin Endocrinol Metab. 2005;90:4019–24.
- Wysocka MB, Pietraszek-Gremplewicz K, Nowak D. The Role of Apelin in Cardiovascular Diseases, Obesity and Cancer. Front Physiol. 2018 May 23;9:557.
- Blüher M. Vaspin in obesity and diabetes: pathophysiological and clinical significance. Endocrine. 2012 Apr;41(2):176-82.
- Soriguer F. Apelin levels are increased in morbidly obese subjects with type 2 diabetes mellitus. Obes Surg. 2009;19:1574-1580.
- Erdem G. Low plasma apelin levels in newly diagnosed type 2 diabetes mellitus. Exp Clin Endocrinol Diabetes. 2008;116(5):289-292.
- Krist J. Effects of weight loss and exercise on apelin serum concentrations and adipose tissue expression in human obesity. Obes Facts. 2013;6(1):57-69.
- Cavallo MG. Altered glucose homeostasis is associated with increased serum apelin levels in type 2 diabetes mellitus. PLoS One. 2012;7(12):e51236.
- Jian W. Role of serum vaspin in progression of type 2 diabetes: a 2-year cohort study. PLoS One. 2014;9(4):e94763.
- Can F, Cansu, Noyan T, Özdemir Ö. The investigation effect of weight loss on serum vaspin, apelin-13, and obestatin levels in obese individual. Turk J Biochem. 2020;45(6):725-735.
- Motawi TMK. Serum levels of chemerin, apelin, vaspin, and omentin-1 in obese type 2 diabetic Egyptian patients with coronary artery stenosis. Can J Physiol Pharmacol. 2018;96(1):38-44.
- Reinehr T. Thyroid hormones and their relation to weight status. Horm Res Paediatr. 2008;70(1):51-57.
- Knudsen N. Small differences in thyroid function may be important for body mass index and the occurrence of obesity in the population. J Clin Endocrinol Metab. 2005;90(7):4019-4024.
- Longhi S, Radetti G. Thyroid function and obesity. J Clin Res Pediatr Endocrinol. 2013;5(Suppl 1):40.
- Ladenson PW. American Thyroid Association guidelines for detection of thyroid dysfunction. Arch Intern Med. 2000;160(11):1573-1575.
- Garg A. Adipose tissue dysfunction in obesity and lipodystrophy. Clin Cornerstone. 2006;8(Suppl 4):S7–S13.
- Pucci E, Chiovato L, Pinchera A. Thyroid and lipid metabolism. Int J Obes Relat Metab Disord. 2000;24(Suppl 2):S109–12.
- Gueorguiev M, Goth ML, Korbonits M. Leptin and puberty: A review. Pituitary. 2001;4:79–86.
- Korbonits M. Leptin and the thyroid--a puzzle with missing pieces. Clin Endocrinol (Oxf) 1998;49:569–72.
- Menendez C, Baldelli R, Camina JP, Escudero B, Peino R, Dieguez C, et al. TSH stimulates leptin secretion by a direct effect on adipocytes. J Endocrinol. 2003;176:7–12.
- Aragao CN, Souza LL, Cabanelas A, Oliveira KJ, Pazos-Moura CC. Effect of experimental hypo-and hyperthyroidism on serum adiponectin. Metabo. 2007;56:6–11.
- Iglesias P, Alvarez FP, Codoceo R, Diez JJ. Serum concentrations of adipocytokines in patients with hyperthyroidism and hypothyroidism before and after control of thyroid function. Clin Endocrinol (Oxf) 2003;59:621–629.
- Riis AL, Hansen TK, Moller N, Weeke J, Jorgensen JO. Hyperthyroidism is associated with suppressed circulating ghrelin levels. J Clin Endocrinol Metab. 2003;88:853–857.
- Boucher J, Masri B, Daviaud D, Gesta S, Guigné C, Mazzucotelli A, et al. Apelin, a newly identified adipokine up-regulated by insulin and obesity. Endocrinol. 2005;146:1764–1771.
- Çinar N, Gülçelik NE, Aydín K, Akín Ş, Usman A, Gürlek A. Serum vaspin levels in hypothyroid patients. Eur J Endocrinol. 2011;165:563–569.
- Al-Jowari SA. Determination of the Level of some Adipokines in Hypo-and Hyperthyroids Patients in Baghdad City. Baghdad Sci J. 2017;14:713–716.
- Handisurya A, Riedl M, Vila G, Maier C, Clodi M, Prikoszovich T, et al. Serum Vaspin Concentrations in Relation to Insulin Sensitivity Following RYGB-Induced Weight Loss. Obes Surg 2010;20:198–203
Year 2024,
Volume: 41 Issue: 2, 239 - 245, 19.05.2024
Diyar Lateef
Nesreen Nasser
Osama Mohsein
References
- Saalbach A, Anderegg U. Thy-1: more than a marker for mesenchymal stromal cells. FASEB J. 2019 Jun;33(6):6689-6696.
- Kozlov AI. [Carbohydrate-related nutritional and genetic risks of obesity for indigenous northerners]. Vopr Pitan. 2019;88(1):5-16. Russian.
- Mercado-Gonzales SI, Carpio-Rodríguez AN, Carrillo-Larco RM, Bernabé-Ortiz A. Sleep Duration and Risk of Obesity by Sex: Nine-Year Follow-Up of the Young Lives Study in Peru. Child Obes. 2019 May/Jun;15(4):237-243.
- Al-Nimr RI. Optimal Protein Intake during Weight Loss Interventions in Older Adults with Obesity. J Nutr Gerontol Geriatr. 2019 Jan-Mar;38(1):50-68.
- Cohen RV, Shikora S, Petry T, Caravatto PP, Le Roux CW. The Diabetes Surgery Summit II Guidelines: a Disease-Based Clinical Recommendation. Obes Surg. 2016 Aug;26(8):1989-91.
- Rubino F, Nathan DM, Eckel RH, Schauer PR, Alberti KG, Zimmet PZ, et al. Delegates of the 2nd Diabetes Surgery Summit. Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations. Diabetes Care. 2016 Jun;39(6):861-77.
- Rosenbaum M, Hirsch J, Murphy E, Leibel RL. Effects of changes in body weight on carbohydrate metabolism, catecholamine excretion, and thyroid function. Am J Clin Nutr. 2000;71:1421–32.
- Danforth E, Jr, Horton ES, O'Connell M, Sims EA, Burger AG, et al. Dietary-induced alterations in thyroid hormone metabolism during overnutrition. J Clin Invest. 1979;64:1336–47.
- Knudsen N, Laurberg P, Rasmussen LB, Bülow I, Perrild H, Ovesen L, et al. Small differences in thyroid function may be important for body mass index and the occurrence of obesity in the population. J Clin Endocrinol Metab. 2005;90:4019–24.
- Wysocka MB, Pietraszek-Gremplewicz K, Nowak D. The Role of Apelin in Cardiovascular Diseases, Obesity and Cancer. Front Physiol. 2018 May 23;9:557.
- Blüher M. Vaspin in obesity and diabetes: pathophysiological and clinical significance. Endocrine. 2012 Apr;41(2):176-82.
- Soriguer F. Apelin levels are increased in morbidly obese subjects with type 2 diabetes mellitus. Obes Surg. 2009;19:1574-1580.
- Erdem G. Low plasma apelin levels in newly diagnosed type 2 diabetes mellitus. Exp Clin Endocrinol Diabetes. 2008;116(5):289-292.
- Krist J. Effects of weight loss and exercise on apelin serum concentrations and adipose tissue expression in human obesity. Obes Facts. 2013;6(1):57-69.
- Cavallo MG. Altered glucose homeostasis is associated with increased serum apelin levels in type 2 diabetes mellitus. PLoS One. 2012;7(12):e51236.
- Jian W. Role of serum vaspin in progression of type 2 diabetes: a 2-year cohort study. PLoS One. 2014;9(4):e94763.
- Can F, Cansu, Noyan T, Özdemir Ö. The investigation effect of weight loss on serum vaspin, apelin-13, and obestatin levels in obese individual. Turk J Biochem. 2020;45(6):725-735.
- Motawi TMK. Serum levels of chemerin, apelin, vaspin, and omentin-1 in obese type 2 diabetic Egyptian patients with coronary artery stenosis. Can J Physiol Pharmacol. 2018;96(1):38-44.
- Reinehr T. Thyroid hormones and their relation to weight status. Horm Res Paediatr. 2008;70(1):51-57.
- Knudsen N. Small differences in thyroid function may be important for body mass index and the occurrence of obesity in the population. J Clin Endocrinol Metab. 2005;90(7):4019-4024.
- Longhi S, Radetti G. Thyroid function and obesity. J Clin Res Pediatr Endocrinol. 2013;5(Suppl 1):40.
- Ladenson PW. American Thyroid Association guidelines for detection of thyroid dysfunction. Arch Intern Med. 2000;160(11):1573-1575.
- Garg A. Adipose tissue dysfunction in obesity and lipodystrophy. Clin Cornerstone. 2006;8(Suppl 4):S7–S13.
- Pucci E, Chiovato L, Pinchera A. Thyroid and lipid metabolism. Int J Obes Relat Metab Disord. 2000;24(Suppl 2):S109–12.
- Gueorguiev M, Goth ML, Korbonits M. Leptin and puberty: A review. Pituitary. 2001;4:79–86.
- Korbonits M. Leptin and the thyroid--a puzzle with missing pieces. Clin Endocrinol (Oxf) 1998;49:569–72.
- Menendez C, Baldelli R, Camina JP, Escudero B, Peino R, Dieguez C, et al. TSH stimulates leptin secretion by a direct effect on adipocytes. J Endocrinol. 2003;176:7–12.
- Aragao CN, Souza LL, Cabanelas A, Oliveira KJ, Pazos-Moura CC. Effect of experimental hypo-and hyperthyroidism on serum adiponectin. Metabo. 2007;56:6–11.
- Iglesias P, Alvarez FP, Codoceo R, Diez JJ. Serum concentrations of adipocytokines in patients with hyperthyroidism and hypothyroidism before and after control of thyroid function. Clin Endocrinol (Oxf) 2003;59:621–629.
- Riis AL, Hansen TK, Moller N, Weeke J, Jorgensen JO. Hyperthyroidism is associated with suppressed circulating ghrelin levels. J Clin Endocrinol Metab. 2003;88:853–857.
- Boucher J, Masri B, Daviaud D, Gesta S, Guigné C, Mazzucotelli A, et al. Apelin, a newly identified adipokine up-regulated by insulin and obesity. Endocrinol. 2005;146:1764–1771.
- Çinar N, Gülçelik NE, Aydín K, Akín Ş, Usman A, Gürlek A. Serum vaspin levels in hypothyroid patients. Eur J Endocrinol. 2011;165:563–569.
- Al-Jowari SA. Determination of the Level of some Adipokines in Hypo-and Hyperthyroids Patients in Baghdad City. Baghdad Sci J. 2017;14:713–716.
- Handisurya A, Riedl M, Vila G, Maier C, Clodi M, Prikoszovich T, et al. Serum Vaspin Concentrations in Relation to Insulin Sensitivity Following RYGB-Induced Weight Loss. Obes Surg 2010;20:198–203