ADIPOQ and adiponectin: the common ground of hyperglycemia and coronary artery disease?

Plasma adiponectin and the coding gene for adiponectin, ADIPOQ, are thought to explain part of the interaction between obesity, insulin resistance, type 2 diabetes (T2DM) and coronary artery disease (CAD). Here, we illustrate the role that adiponectin and ADIPOQ variants might play in the modulation...

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Detalhes bibliográficos
Autores: Oliveira, Carolina Soares Viana de [UNIFESP], Giuffrida, Fernando M. A. [UNIFESP], Crispim, Felipe [UNIFESP], Saddi-rosa, Pedro [UNIFESP], Reis, André Fernandes [UNIFESP]
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2011
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositório:Repositório Institucional da UNIFESP
Idioma:inglês
OAI Identifier:oai:repositorio.unifesp.br:11600/6649
Acesso em linha:http://dx.doi.org/10.1590/S0004-27302011000700003
http://repositorio.unifesp.br/handle/11600/6649
Access Level:Acceso aberto
Palavra-chave:Total adiponectin
HMW adiponectin
ADIPOQ
polymorphisms
coronary artery disease
type 2 diabetes mellitus
Adiponectina total
adiponectina de alto peso molecular
polimorfismo
doença arterial coronariana
diabetes melito tipo 2
Descrição
Resumo:Plasma adiponectin and the coding gene for adiponectin, ADIPOQ, are thought to explain part of the interaction between obesity, insulin resistance, type 2 diabetes (T2DM) and coronary artery disease (CAD). Here, we illustrate the role that adiponectin and ADIPOQ variants might play in the modulation of CAD, especially in the occurrence of hyperglycemia. Recent evidence suggests that total and high molecular weight (HMW) adiponectin levels are apparent markers of better cardiovascular prognosis in patients with low risk of CAD. However, in subjects with established or high risk of CAD, these levels are associated with poorer prognosis. We also provide recent evidences relating to the genetic control of total and HMW adiponectin levels, especially evidence regarding ADIPOQ. Accumulated data suggest that both adiponectin levels and polymorphisms in the ADIPOQ gene are linked to the risk of CAD in patients with hyperglycemia, and that these associations seem to be independent from each other, even if adiponectin levels are partly dependent on ADIPOQ.