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Associations of proinflammatory cytokines of visceral adipose tissue with metabolic disorders in abdominal obesity

https://doi.org/10.52727/2078-256X-2025-21-3-320-329

Abstract

The aim. To identify associations between proinflammatory cytokines of visceral adipose tissue with metabolic disorders in abdominal obesity.
Materials and methods. The study was conducted on 101 people aged 25–65 years. Questionnaires, anthropometry, blood pressure measurements, as well as fasting blood sampling and visceral adipose tissue biopsies during elective surgery were conducted. Enzymatic methods were used to determine the parameters of the lipid profile and glucose in the blood. Homogenates were prepared from biopsies of visceral adipose tissue. The level of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), monocytic chemoattractant protein-1 (MCP-1) was determined in blood and obtained homogenates of adipose tissue by multiplex analysis.
Results. A weak positive relationship was found between serum IL-6 levels and adipose tissue. A weak positive relationship was found between IL-6 visceral adipose tissue and the VAI index, as well as between MCP-1 visceral adipose tissue and the LAP and VAI indices. The level of MCP-1 in visceral adipose tissue is directly associated with the LAP insulin resistance index (6,255 [1,648; 10,862], p = 0.008), TNF-α – with the VAI insulin resistance index (1,076 [0.335; 1,817], p = 0.005).
Conclusion. Of the proinflammatory cytokines we studied, an association with insulin resistance was shown for MCP-1 and TNF-α visceral adipose tissue. At the same time, MCP-1 is directly associated with the LAP index, and TNF-α is directly associated with the VAI index.

About the Authors

O. V. Tuzovskaya
Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences
Russian Federation

Olga V Tuzovskaia, research assistant at the laboratory of genetic and environmental determinants of the human life cycle

175/1, Boris Bogatkov st., Novosibirsk, 630089



Ya. V. Polonskaya
Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences
Russian Federation

Yana V. Polonskaya, doctor of biological sciences, senior researcher at the laboratory of clinical biochemical and hormonal studies jn internal diseases

175/1, Boris Bogatkov st., Novosibirsk, 630089



E. V. Garbuzova
Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences
Russian Federation

Evgeniia V. Garbuzova, candidate of medical sciences, researcher at the laboratory of genetic and environmental determinants of the human life cycle

175/1, Boris Bogatkov st., Novosibirsk, 630089



E. V. Kashtanova
Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences
Russian Federation

Elena V. Kashtanova, doctor of biological sciences, head of the laboratory of clinical biochemical and hormonal studies on internal diseases

175/1, Boris Bogatkov st., Novosibirsk, 630089



Yu. I. Ragino
Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences
Russian Federation

Yulia I. Ragino, doctor of medical sciences, Professor, corresponding member of the RAS, head

175/1, Boris Bogatkov st., Novosibirsk, 630089



References

1. Powell-Wiley T.M., Poirier P., Burke L.E., Després J.P., Gordon-Larsen P., Lavie C.J., et al. Obesity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation, 2021; 143 (21): e984–e1010. doi: 10.1161/CIR.0000000000000973

2. Lee J.J., Pedley A., Hoffmann U., Massaro J.M., Levy D., Long M.T. Visceral and intrahepatic fat are associated with cardiometabolic risk factors above other ectopic fat depots: the Framingham Heart Study. Am. J. Med., 2018; 131 (6): 684–692.e12. doi: 10.1016/j.amjmed.2018.02.002

3. Balanova Yu.A., Drapkina O.M., Kutsenko V.A., Imaeva A.E., Kontsevaya A.V., Maksimov S.A., Muromtseva G.A., Kotova M.B., Karamnova N.S., Evstifeeva S.E., Kapustina A.V., Litinskaya O.A., Pokrovskaya M.S., Kuzyakina S.O., Ivlev O.E., Gomanova L.I., Doludin Yu.V., Efimova I.A., Borisova A.L., Nazarov B.M., Yarovaya E.B., Repkina T.V., Gonoshilova T.O., Kudryavtsev A.V., Belova N.I., Shagrov L.L., Samotrueva M.A., Yasenyavskaya A.L., Chernysheva E.N., Glukhovskaya S.V., Levina I.F., Shirshova T.F., Dorzhieva E.B., Urbanova E.Z., Borovkova N.Yu., Kurashin V.K., Tokareva A.S., Ragino Yu.I., Simonova G.I., Khudyakova A.D., Nikulin V.N., Aslyamov O.R., Khokhlova G.V., Solovyova A.V., Rodionov A.A., Kryachkova O.V., Shamurova Yu.Yu., Tantsyreva I.V., Baryshnikova I.N., Ataev M.G., Radjabov M.O., Isakhanova M.M., Umetov M.A., Elgarova L.V., Khakuasheva E.A., Yamashkina E.I., Esina M.V., Kunyaeva T.A., Nikitina A.M., Savvina N.V., Spiridonova Yu.E., Naumova E.A., Keskinov A.A., Yudin V.S., Yudin S.M., Shalnova S.A. Obesity in the Russian population during the COVID- 19 pandemic and associated factors. Data from the ESSE-RF3 study. Cardiovascular Therapy and Prevention, 2023; 22 (8S): 3793. (In Russ.). doi: 10.15829/1728-8800-2023-3793.

4. Ahima R.S., Flier J.S. Adipose tissue as an endocrine organ. Trends in endocrinology and metabolism: TEM, 2000; 11 (8): 327–332. doi: 10.1016/s1043-2760(00)00301-5

5. Tzanavari T., Giannogonas P., Karalis K.P. TNFalpha and obesity. Curr. Dir. Autoimmun., 2010; 11: 145–156. doi: 10.1159/000289203

6. Tanaka T., Narazaki M., Kishimoto T. IL-6 in inflammation, immunity, and disease. Cold Spring Harb. Perspect. Biol., 2014; 6 (10): a016295. doi: 10.1101/cshperspect.a016295

7. Singh S., Anshita D., Ravichandiran V. MCP-1: Function, regulation, and involvement in disease. Int. Immunopharmacol., 2021; 101 (Pt B): 107598. doi: 10.1016/j.intimp.2021.107598

8. Henning R.J. Obesity and obesity-induced inflammatory disease contribute to atherosclerosis: a review of the pathophysiology and treatment of obesity. Am. J. Cardiovasc. Dis., 2021; 11 (4): 504–529.

9. Zyśk B., Ostrowska L., Smarkusz-Zarzecka J., Orywal K., Mroczko B., Cwalina U. Evaluation of the diagnostic utility of selected serum adipokines and cytokines in subjects with MASLD – a pilot study. Nutrients, 2024; 16 (9): 1381. doi: 10.3390/nu16091381

10. Chong B., Jayabaskaran J., Jauhari S.M., Chan S.P., Goh R., Kueh M.T.W., Li H., Chin Y.H., Kong G., Anand V.V., Wang J.W., Muthiah M., Jain V., Mehta A., Lim S.L., Foo R., Figtree G.A., Nicholls S.J., Mamas M.A., Januzzi J.L., … Chan M.Y. Global burden of cardiovascular diseases: projections from 2025 to 2050. Eur. J. Prev. Cardiol., 2024: zwae281.doi: 10.1093/eurjpc/zwae281

11. Friedewald W.T., Levy R.I., Fredrickson D.S. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clinical chemistry, 1972; 18 (6): 499–502.

12. Lee J.W., Lim N.K., Park H.Y. The product of fasting plasma glucose and triglycerides improves risk prediction of type 2 diabetes in middle-aged Koreans. BMC Endocr. Disord., 2018; 18: 33. https://doi.org/10.1186/s12902-018-0259-x

13. Salazar J., Bermúdez V., Calvo M., et al. Optimal cutoff for the evaluation of insulin resistance through triglyceride-glucose index: A cross-sectional study in a Venezuelan population. F1000Research, 2018; 6: 1337. doi: 10.12688/f1000research.12170.3

14. Ruyatkina L.A., Ruyatkin D.S., Iskhakova I.S. Opportunities and options for surrogate assessment of insulin resistance. Obesity and Metabolism, 2019; 16 (1): 27–32. (In Russ.). doi: 10.14341/omet10082

15. Ahmed B., Sultana R., Greene M.W. Adipose tissue and insulin resistance in obese. Biomed. Pharmacother., 2021:137; 111315. doi: 10.1016/j.biopha.2021.111315

16. McArdle M.A., Finucane O.M., Connaughton R.M., McMorrow A.M., Roche H.M. Mechanisms of obesity-induced inflammation and insulin resistance: insights into the emerging role of nutritional strategies. Front. Endocrinol. (Lausanne), 2013; 4: 52. doi: 10.3389/fendo.2013.00052

17. Lavrenova E.A., Drapkina O.M. Insulin resistance in obesity: pathogenesis and effects. Obesity and Metabolism, 2020; 17 (1): 48–55. (In Russ.). doi: 10.14341/omet9759

18. Kanda H., Tateya S., Tamori Y., Kotani K., Hiasa K., Kitazawa R., Kitazawa S., Miyachi H., Maeda S., Egashira K., Kasuga M. MCP-1 contributes to macrophage infiltration into adipose tissue, insulin resistance, and hepatic steatosis in obesity. J. Clin. Invest., 2006: 116 (6); 1494–1505. doi: 10.1172/JCI26498

19. Kang Y.E., Kim J.M., Joung K.H., Lee J.H., You B.R., Choi M.J., et al. The roles of adipokines, proinflammatory cytokines, and adipose tissue macrophages in obesity-associated insulin resistance in modest obesity and early metabolic dysfunction. PLoS One, 2016; 11 (4): e0154003. doi: 10.1371/journal.pone.0154003

20. Rolski F., Błyszczuk P. Complexity of TNF-α signaling in heart disease. J. Clin. Med., 2020; 9 (10): 3267. doi: 10.3390/jcm9103267

21. Okoro E.U. TNFα-induced LDL cholesterol accumulation involve elevated LDLR cell surface levels and SR-B1 downregulation in human arterial endothelial cells. Int. J. Mol. Sci., 2021; 22 (12): 6236. doi: 10.3390/ijms22126236

22. Williams J.W., Huang L.H., Randolph G.J. Сytokine circuits in cardiovascular disease. Immunity, 2019;50(4):941–954. doi: 10.1016/j.immuni.2019.03.007

23. Boosani C.S., Burela L. The exacerbating effects of the tumor necrosis factor in cardiovascular stenosis: intimal hyperplasia. Cancers, 2024; 16 (7): 1435. doi: 10.3390/cancers16071435

24. Hotamisligil G.S., Shargill N.S., Spiegelman B.M. Adipose expression of tumor necrosis factor-alpha: direct role in obesity-linked insulin resistance. Science, 1993; 259 (5091): 87–91. doi: 10.1126/science.7678183

25. Hotamisligil G.S., Arner P., Caro J.F., Atkinson R.L., Spiegelman B.M. Increased adipose tissue expression of tumor necrosis factor-alpha in human obesity and insulin resistance. J. Clin. Invest., 1995; 95 (5): 2409–2415. doi: 10.1172/JCI117936


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Tuzovskaya O.V., Polonskaya Ya.V., Garbuzova E.V., Kashtanova E.V., Ragino Yu.I. Associations of proinflammatory cytokines of visceral adipose tissue with metabolic disorders in abdominal obesity. Ateroscleroz. 2025;21(3):320-329. (In Russ.) https://doi.org/10.52727/2078-256X-2025-21-3-320-329

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ISSN 2078-256X (Print)
ISSN 2949-3633 (Online)