Serum adipocyte fatty acid‐binding protein levels are associated with peripheral arterial disease in women, but not men, with type 2 diabetes mellitus: 血清脂肪细胞型脂肪酸结合蛋白水平与女性而不是男性2型糖尿病患者的外周动脉疾病相关. Issue 6 (14th May 2017)

• Record Type: Journal Article
• Authors: Ding, Min; Shi, Jian‐Ying; XING, Yun‐Zhi; Sun, Bei; Fang, Qian‐Hua; Zhang, Jing‐Yun; Zhang, Qiu‐Mei; Chen, Li‐Ming; Yu, De‐min; Li, Chun‐Jun
• Other Names: Liu Simin guestEditor.; Sun Qi guestEditor.
• Is Part Of: Journal of diabetes. Volume 10:Issue 6(2018)
• Page Start: 478
• Page End: 486
• Publication Date: 2017-05-14
• Subjects: adipocyte -- fatty acid binding protein -- peripheral arterial disease -- type 2 diabetes; 脂肪细胞 -- 脂肪酸结合蛋白 -- 外周动脉疾病 -- 2型糖尿病; Diabetes -- Periodicals; 618.3646005
• DOI: 10.1111/1753-0407.12549
• Languages: English
• ISSNs: 1753-0393

Abstract

Abstract: Background: Adipocyte fatty acid‐binding protein (A‐FABP) has been recognized as an important player in macrophage cholesterol trafficking and inflammation, and may promote the development of atherosclerosis. To further elucidate the role of A‐FABP in atherosclerosis in diabetes, we investigated the relationship between serum A‐FABP concentrations and peripheral arterial disease (PAD) in patients with type 2 diabetes mellitus (T2DM). Methods: In all, 488 inpatients with T2DM were enrolled in the study (254 men, 234 women; mean (±SD) age 57.3 ± 13.0 years). The severity of peripheral arterial stenosis was assessed by ultrasound examination. Serum A‐FABP concentrations were determined by ELISA. Results: Serum A‐FABP concentrations were significantly higher in patients with than without PAD (8.0 ± 3.3 vs 6.2 ± 1.6 ng/mL, respectively; P < 0.05). Interestingly, there was an obvious gender‐related difference in PAD patients with T2DM, with the stenosis rate being higher for female than male T2DM patients in the third A‐FABP tertile. Logistic regression analysis revealed that serum A‐FABP concentrations were an independent risk factor for PAD in female T2DM patients (odds ratio 1.890, 95% confidence interval 1.041–3.432; P = 0.036), but not in male T2DM patients. Correlation analyses revealed that A‐FABP concentrations were correlated with body mass index (BMI), diastolic blood pressure, urinary microalbumin, and serum creatinine in male patients, and with BMI, duration of T2DM, fasting blood glucose, and serum creatinine in female patients. Conclusions: Serum A‐FABP concentrations are closely associated with PAD in Chinese women with T2DM. The study findings suggest that A‐FABP may be a more specific marker of PAD in diabetic women than men. Abstract : Highlights Adipocyte fatty acid‐binding protein (A‐FABP) levels are increased in type 2 diabetes mellitus (T2DM) patients with peripheral arterial disease (PAD). Higher A‐FABP levels are associated with PAD only in female, and male, patients with T2DM. Higher A‐FABP levels in female T2DM patients tend to explain the elimination of the "female advantage" regarding the risk of cardiovascular disease with diabetes.