Key result
Obesity and type 2 diabetes mellitus were associated with significantly higher serum ANGPTL4 levels compared to healthy controls (134.19 vs. 50.34 ng/ml, p < 0.001).
Why the study?
Do nutritional status and weight-altering interventions affect serum ANGPTL3 and 4 levels in patients with obesity, T2DM, and malnutrition?
Observational (n=149)
No
Do nutritional status and weight-altering interventions affect serum ANGPTL3 and 4 levels in patients with obesity, T2DM, and malnutrition?
Absolute Event Rate: 134.19% vs 50.34%
p-value: p=<0.001
Serum ANGPTL3 and 4 levels are significantly influenced by nutritional status, with ANGPTL4 showing a strong positive association with BMI and HbA1c, suggesting its involvement in the metabolic disturbances of obesity and anorexia nervosa.
Elevated ANGPTL4 may mark metabolic dysfunction in obesity/T2DM; leaves open whether nutritional interventions alter levels or outcomes.
Background Angiopoietin-like proteins (ANGPTLs) 3 and 4 are circulating factors that participate in the regulation of lipid and glucose metabolism. Subjects and methods We measured serum ANGPTL3 and 4 levels in 23 patients with obesity, 40 patients with obesity and type 2 diabetes mellitus (T2DM), 22 patients with anorexia nervosa (AN), 15 subjects undergoing 72-h fasting, and 12 patients with short bowel syndrome (SBS), and their changes after very-low-calorie diet (VLCD), bariatric surgery, partial realimentation, acute fasting, and parenteral nutrition in order to assess their possible role in metabolic regulations. Results Serum ANGPTL4 levels were higher in obese subjects without/with T2DM (94.50 ± 9.51 and 134.19 ± 7.69 vs. 50.34 ± 4.22 ng/ml, p < 0.001) and lower in subjects with AN relative to healthy control subjects (38.22 ± 4.48 vs. 65.80 ± 7.98 ng/ml, p = 0.002), while serum ANGPTL3 levels demonstrated inverse tendency. Nutritional status had no effect on ANGPTL3 and 4 mRNA expression in adipose tissue. Fasting decreased ANGPTL3 and increased ANGPTL4 levels, while VLCD reduced only ANGPTL3. Bariatric surgery and realimentation of AN or SBS patients had no effect on either ANGPTL. Multiple regression analysis identified BMI as an independent predictor of ANGPTL3; and BMI and HbA 1c as independent predictors of ANGPTL4, respectively. Conclusions Taken together, our data suggest that serum ANGPTL3 and 4 levels are influenced by nutritional status and fasting and could be involved in the metabolic disturbances present in obesity and AN.
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Cinkajzlová et al. (2018) conducted an observational in Obesity, Type 2 Diabetes Mellitus, Malnutrition (n=149). Obesity and Type 2 Diabetes Mellitus vs. Healthy controls was evaluated on Serum ANGPTL4 levels (p=<0.001). Obesity and type 2 diabetes mellitus were associated with significantly higher serum ANGPTL4 levels compared to healthy controls (134.19 vs. 50.34 ng/ml, p < 0.001).
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