Leukotriene Production Is Increased in Abdominal Obesity

Obesity is a major risk factor for insulin resistance and type-2 diabetes. A chronic low grade inflammatory state has been described during obesity and associated with insulin resistance pathogenesis. Results from animal studies are in favor of a role of the leukotriene (LT) pathway in obesity induc...

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Published in:PloS one Vol. 9; no. 12; p. e104593
Main Authors: Bäck, Magnus, Avignon, Antoine, Stanke-Labesque, Françoise, Boegner, Catherine, Attalin, Vincent, Leprieur, Elodie, Sultan, Ariane
Format: Journal Article
Language:English
Published: United States Public Library of Science 01.12.2014
Public Library of Science (PLoS)
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ISSN:1932-6203, 1932-6203
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Summary:Obesity is a major risk factor for insulin resistance and type-2 diabetes. A chronic low grade inflammatory state has been described during obesity and associated with insulin resistance pathogenesis. Results from animal studies are in favor of a role of the leukotriene (LT) pathway in obesity induced-insulin resistance. However, there is a paucity of data regarding this association in human obesity. Therefore, the aim of this study was to investigate whether LT production was associated with insulin resistance and other metabolic parameters in a cohort of obese subjects. Forty-six (70% females) obese subjects (BMI≧30 kg/m2) without known diabetes and without inflammatory disease (CRP<10 mg/l) were included. Median age was 44 years (16-80) with a median BMI of 36.8 kg/m2 (30-51). Insulin resistance was evaluated by HOMA-IR index and glucose tolerance test. Urinary LTE4 (U-LTE4) concentration was measured by enzyme immune assay. Screening for obstructive sleep apnea was performed. There was a positive association of U-LTE4 with waist to hip ratio, systolic blood pressure and HOMA-IR in univariate analysis. Further, waist to hip ratio remained the only parameter significantly correlated with U-LTE4, in adjusted multivariate analysis. Taken together, these results confirm the previously established notion of chronic low grade inflammation in obesity and further suggests a role for the LT pathway in obesity-associated development of insulin resistance in humans.
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Conceived and designed the experiments: MB AA AS. Performed the experiments: MB AS. Analyzed the data: MB AS. Wrote the paper: MB AS. Study concept and design: MB AA AS. Patients' inclusion: AA CB VA EL AS. Acquisition of data: MB VA EL CB AA AS. Analysis and interpretation of data: MB AS. Drafting of the manuscript: MB AS. Critical revision of the manuscript for important intellectual content: FSL AA.
Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0104593