Gewählte Publikation:
SHR
Neuro
Krebs
Kardio
Lipid
Stoffw
Microb
Mangge, H; Summers, KL; Meinitzer, A; Zelzer, S; Almer, G; Prassl, R; Schnedl, WJ; Reininghaus, E; Paulmichl, K; Weghuber, D; Fuchs, D.
Obesity-related dysregulation of the tryptophan-kynurenine metabolism: role of age and parameters of the metabolic syndrome.
Obesity (Silver Spring). 2014; 22(1):195-201
Doi: 10.1002/oby.20491
[OPEN ACCESS]
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
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Mangge Harald
- Co-Autor*innen der Med Uni Graz
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Almer Gunter
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Meinitzer Andreas
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Prassl Ruth
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Reininghaus Eva
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Schnedl Wolfgang
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Zelzer Sieglinde
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- Abstract:
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Obesity-related immune mediated systemic inflammation was associated with the development of the metabolic syndrome by induction of the tryptophan (TRP)-kynurenine (KYN) pathway. The study aimed to assess whether this holds true across the lifespan from juvenility to adulthood.
Five hundred twenty-seven participants aged between 10 and 65 years were analyzed. Standard anthropometric measures, carotid ultrasound, and laboratory analysis including interleukin-6, ultra-sensitive C-reactive protein, lipids, glucose metabolism, neopterin, TRP, KYN levels, and the KYN/TRP ratio were performed.
Overweight/obese (ow/ob) adults had significantly increased KYN serum levels and a significantly increased KYN/TRP ratio. In sharp contrast, ow/ob juvenile males aged ≤18 years showed decreased, females similar KYN and KYN/TRP ratio in comparison to their control counterparts. Also, adult ow/ob subjects with metabolic syndrome showed markedly increased KYN/TRP ratios contrary to decreased KYN/TRP ratios in ow/ob juveniles. Abdominal fat content, characterized by age normalized waist circumference, and not body mass index, had the strongest effect for an increase of the KYN/TRP ratio in adults.
TRP metabolism and obesity-related immune mediated inflammation differs markedly between juveniles and adults. While childhood obesity seems to be dominated by a Th2-driven activation, an accelerated production of Th1-type cytokines may pave the way for later atherosclerotic endpoints.
Copyright © 2013 The Obesity Society.
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Adolescent -
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Age Factors -
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C-Reactive Protein - metabolism
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Humans -
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Interleukin-6 - blood
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