Associations of serum adipokines and metabolic hormones with metabolic indices in abdominal obesity
https://doi.org/10.52727/2078-256X-2026-22-1-60-72
Abstract
The aim – to identify associations of serum adipokines and metabolic hormones with metabolic indices in abdominal obesity.
Material and methods. 151 people aged 25–65 years were included in the study. Questionnaires, anthropometry, blood pressure measurements, and fasting venous blood sampling were performed. The parameters of the lipid profile and glucose in the blood were determined using enzymatic methods. Multiplex analysis was used to determine the level of the following adipokines and metabolic hormones in the blood: adiponectin, adipsin, lipocalin-2, plasminogen activator type 1 inhibitor (PAI-1), resistin, amylin, C-peptide, ghrelin, glucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide 1 (GLP-1), glucagon, insulin, pancreatic polypeptide (PP), peptide YY (PYY), interleukin-6 (IL-6), leptin, monocyte chemoattractant protein-1 (MCP-1), tumor necrosis factor-alpha (TNF-α), secretin.
Results. An inverse relationship was found between elevated TyG, LAP, and TG/HDL-C indices and serum adiponectin levels, elevated LAP and VAI indices directly depended on serum leptin levels, and an increase in the LAP index ≥ 32 was directly associated with the concentration of serum PAI-1 and C-peptide.
About the Authors
O. V. TuzovskayaRussian Federation
Olga V. Tuzovskaya, research assistant, laboratory of genetic and environmental determinants of the human life cycle
175/1, Boris Bogatkov st., Novosibirsk, 630089
L. V. Shcherbakova
Russian Federation
Lilia V. Shcherbakova, senior researcher at the laboratory of clinical-population and preventive research of therapeutic and endocrine diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
Ya. V. Polonskaya
Russian Federation
Yana V. Polonskaya, doctor of biological sciences, senior researcher, laboratory of clinical biochemical and hormonal studies on internal diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
E. V. Kashtanova
Russian Federation
Elena V. Kashtanova, doctor of biological sciences, head of the laboratory, laboratory of clinical biochemical and hormonal studies on internal diseases
175/1, Boris Bogatkov st., Novosibirsk, 630089
Yu. I. Ragino
Russian Federation
Yulia I. Ragino, D.Sc. (Biology), corresponding member of the Russian Academy of Sciences, head
175/1, Boris Bogatkov st., Novosibirsk, 630089
References
1. GBD 2021 Adult BMI Collaborators. Global, regional, and national prevalence of adult overweight and obesity, 1990– 2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. Lancet (London, England). 2025; 405 (10481): 813–838. doi: 10.1016/S0140-6736(25)00355-1
2. Kim J.E., Kim J.S., Jo M.J., Cho E., Ahn S.Y., Kwon Y.J., Ko G.J. The Roles and Associated Mechanisms of Adipokines in Development of Metabolic Syndrome. Molecules (Basel, Switzerland). 2022. 27 (2): 334. doi: 10.3390/molecules27020334
3. Shklyaev S.S., Melnichenko G.A., Volevodz N.N., Falaleeva N.A., Ivanov S.A., Kaprin A.D., Mokrysheva N.G. Adiponectin: a pleiotropic hormone with multifaceted roles. Problems of Endocrinology. 2021; 67 (6): 98–112. doi: 10.14341/probl12827
4. Skoracka K., Hryhorowicz S., Schulz P., Zawada A., Ratajczak-Pawłowska A.E., Rychter A.M., Słomski R., Dobrowolska A., Krela-Kaźmierczak I. The role of leptin and ghrelin in the regulation of appetite in obesity. Peptides. 2025; 186: 171367. doi: 10.1016/j.peptides.2025.171367
5. 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. Clin. Chem. 1972; 18 (6): 499–502.
6. McLaughlin T., Reaven G., Abbasi F., Lamendola C., Saad M., Waters D., Simon J., Krauss R.M. Is there a simple way to identify insulin-resistant individuals at increased risk of cardiovascular disease? Am. J. Cardiol. 2005; 96 (3): 399–404. https://doi.org/10.1016/j.amjcard.2005.03.085
7. Simental-Mendía L.E., Rodríguez-Morán M., GuerreroRomero F. The product of fasting glucose and triglycerides as surrogate for identifying insulin resistance in apparently healthy subjects. Metab. Syndrome and Relat. Disord. 2008; 6 (4): 299–304. doi: 10.1089/met.2008.0034
8. Kahn H.S. The «lipid accumulation product» performs better than the body mass index for recognizing cardiovascular risk: a population-based comparison. BMC Cardiovascular. Disord. 2005; 5: 26. doi: 10.1186/1471-2261-5-26
9. Amato M.C., Giordano C., Galia M., Criscimanna A., Vitabile S., Midiri M., Galluzzo A., AlkaMeSy Study Group. Visceral Adiposity Index: a reliable indicator of visceral fat function associated with cardiometabolic risk. Diabet. Care. 2010; 33 (4): 920–922. doi: 10.2337/dc09-1825
10. Choi H.M., Doss H.M., Kim K.S. Multifaceted Physiological Roles of Adiponectin in Inflammation and Diseases. Int. J. Mol. Sci. 2020; 21 (4): 1219. doi: 10.3390/ijms21041219
11. Taylor E.B. The complex role of adipokines in obesity, inflammation, and autoimmunity. Clin. Sci. (London, England:1979). 2021; 135 (6): 731–752. doi: 10.1042/CS20200895
12. Yamauchi T., Kamon J., Ito Y., Tsuchida A., Yokomizo T., Kita S., Sugiyama T., Miyagishi M., Hara K., Tsunoda M., Murakami K., Ohteki T., Uchida S., Takekawa S., Waki H., Tsuno N.H., Shibata Y., Terauchi Y., Froguel P., Tobe K., Koyasu S., Taira K., Kitamura T., Shimizu T., Nagai R., Kadowaki T.. Cloning of adiponectin receptors that mediate antidiabetic metabolic effects. Nature. 2003; 423 (6941): 762– 769. doi: 10.1038/nature01705
13. Markova T.N., Mishchenko N.K., Petina D.V. Adipocytokines: modern definition, classification and physiological role. Probl. Endocrinol. 2022; 68 (1): 73–80. (In Russ.). doi: 10.14341/probl12805
14. Marette A., Liu Y., Sweeney G. Skeletal muscle glucose metabolism and inflammation in the development of the metabolic syndrome. Rev. Endocrine & Metab. Disord. 2014; 15 (4): 299–305. doi: 10.1007/s11154-014-9296-6
15. Baratta R., Amato S., Degano C., Farina M.G., Patanè G., Vigneri R., Frittitta L. Adiponectin relationship with lipid metabolism is independent of body fat mass: evidence from both cross-sectional and intervention studies. J. Clin. Endocrinol. and Metabol. 2004; 89 (6): 2665–2671. doi: 10.1210/jc.2003-031777
16. Tschritter O., Fritsche A., Thamer C., Haap M., Shirkavand F., Rahe S., Staiger H., Maerker E., Häring H., Stumvoll M. Plasma adiponectin concentrations predict insulin sensitivity of both glucose and lipid metabolism. Diabetes. 2003; 52 (2): 239–243. doi: 10.2337/diabetes.52.2.239
17. Skudaeva E.S., Pashentseva A.V., Verbovoy A.F. Urovni rezistina, adiponektinai insulinorezistentnosti u patsientov s raznoystepen’yu narusheniy uglevodnogo obmena. Obesity and Metabol. 2011; 8 (3): 57–60. (In Russ.). doi: 10.14341/2071-8713-4838
18. Tanyanskiy D.A., Firova E.M., Shatilina L.V., Denisenko A.D. Role of adipokines and nonesterified fatty acids in the development of insulin resistance. Probl. Endocrinol. 2009; 55 (3): 13–16. (In Russ.). doi: 10.14341/probl200955313-16
19. Bidulescu A., Dinh P.C., Jr, Sarwary S., Forsyth E., Luetke M.C., King D.B., Liu J., Davis S.K., Correa A. Associations of leptin and adiponectin with incident type 2 diabetes and interactions among African Americans: the Jackson heart study. BMC Endocr. Disord. 2020; 20 (1): 31. doi: 10.1186/s12902-020-0511-z
20. Ghadge A.A., Khaire A.A. Leptin as a predictive marker for metabolic syndrome. Cytokine. 2019; 121: 154735. doi: 10.1016/j.cyto.2019.154735
21. Altalhi R., Pechlivani N., Ajjan R.A. PAI-1 in Diabetes: Pathophysiology and Role as a Therapeutic Target. Intern. J. Mol. Sci., 2021; 22(6): 3170. doi: 10.3390/ijms22063170
22. Steiner D.F. The proinsulin C-peptide – a multirole model. Exp. Diabesity Res. 2004; 5 (1): 7–14. doi: 10.1080/15438600490424389
23. Ahmadirad H., Teymoori F., Mokhtari E., Jahromi M. K., Norouzzadeh M., Tavakkoli, S., Shahrokhtabar T., Farhadnejad H., Mirmiran P. Serum C-peptide level and the risk of cardiovascular diseases mortality and all-cause mortality: a meta-analysis and systematic review. Front. Cardiovasc. Med. 2023; 10: 1205481. doi: 10.3389/fcvm.2023.1205481
Review
For citations:
Tuzovskaya O.V., Shcherbakova L.V., Polonskaya Ya.V., Kashtanova E.V., Ragino Yu.I. Associations of serum adipokines and metabolic hormones with metabolic indices in abdominal obesity. Ateroscleroz. 2026;22(1):60-72. (In Russ.) https://doi.org/10.52727/2078-256X-2026-22-1-60-72
JATS XML






















