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Inflammation biomarkers and inflammatory genes expression in metabolically healthy obese patients

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SCHOOL OF MEDICINE
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Spoto B.
Di Betta E.
Pizzini P.
Lonardi S.
Mallamaci F.
Tripepi G.
Cancarini G.
Zoccali C.

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Abstract Backgroundandaims:Obesitywithoutmetabolicalterations(MetabolicallyHealthy Obesity,MHO) isaconditionwithariskofdeathandcardiovasculardiseaselowerthanthat ofobesityassociatedwithmetabolicalterations(MetabolicallyUnhealthyObesity,MUO)and similartothatofhealthynonobeseindividuals. Inflammationisconsideredasakeyriskfactor mediatingtheadversehealthoutcomesinobesity. Methodsandresults:Wecomparedcirculatinglevelsofthirteenmajorcytokinesandadipokines andtheexpressionprofilesoffifteenpro-inflammatoryandtwoanti-inflammatorygenes in visceralandsubcutaneousadiposetissueinaseriesof16MHOpatientsandin32MUOpatients thatunderwentbariatricsurgery.MHOwasdefinedaccordingtothemostapplieddefinitionin current literature. SerumlevelsofalargesetofmajorcytokinesandadipokinesdidnotdifferbetweenMHOand MUOpatients(p 0.15).Analysesof theexpressionprofileofpro-inflammatoryandantiinflammatorygenesinsubcutaneousandvisceraladiposetissuefailedtoshowdifferencesbetweenMHOandMUOpatients(p 0.07).SensitivityanalysesapplyingtwoadditionaldefinitionsofMHOconfirmedtheresultsof theprimaryanalysis. Conclusion: Inaseriesofmetabolicallyhealthyobesepatientsneithercirculatinglevelsofmajor cytokinesandadipokinesnorthegeneexpressionprofileofalargesetofpro-inflammatoryand anti-inflammatorygenesinsubcutaneousandvisceral fatdifferedfromthoseinmetabolically unhealthyobesepatients.

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Elsevier B.V.

Subject

Body mass, High density lipoprotein cholesterol, Metabolic syndrome

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Nutrition, Metabolism and Cardiovascular Diseases

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10.1016/j.numecd.2022.12.008

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