A pro-inflammatory glycoprotein biomarker is associated with lower bilirubin in metabolic syndrome.

Abstract:

OBJECTIVES:Bilirubin exerts anti-oxidative and anti-inflammatory properties which may beneficially influence the development of cardio-metabolic disorders. A nuclear magnetic resonance (NMR) spectroscopy-based glycoprotein biomarker, designated GlycA, whose signal originates from several glycosylated acute-phase proteins, has been recently developed. We tested whether plasma GlycA is associated with bilirubin in subjects with and without MetS. DESIGN AND METHODS:GlycA (NMR spectroscopy), high sensitivity C-reactive protein (hs-CRP) and bilirubin were measured in 58 fasting subjects with MetS and in 63 subjects without MetS (including 65 subjects with type 2 diabetes mellitus). RESULTS:GlycA and hs-CRP were higher, coinciding with lower bilirubin in MetS (p<0.01 for each). In all subjects combined, GlycA was strongly correlated with hs-CRP (r=0.631, p<0.001). Age-, sex- and diabetes status-adjusted multivariable linear regression analysis demonstrated that GlycA and hs-CRP were both associated positively with the presence of MetS (β=0.256, p=0.014 and β=0.259, p=0.012, respectively). GlycA and hs-CRP were negatively related to bilirubin (β=-0.258, p=0.007 and β=-0.305, p<0.001, respectively), independent of MetS (p>0.05 for each) and diabetes status (p>0.50 for each). CONCLUSIONS:GlycA is elevated in MetS, and may represent a quantitative measure of a pro-inflammatory state. Increased levels of glycosylated acute-phase proteins are associated with lower bilirubin in MetS.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Dullaart RP,Gruppen EG,Connelly MA,Lefrandt JD

doi

10.1016/j.clinbiochem.2015.06.016

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1045-7

issue

16-17

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(15)00254-4

journal_volume

48

pub_type

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