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Triglycerides predict plasma fibronectin in children with type I diabetes mellitus rather than diabetes
Ayşe Binnur Erbağci1, Mehmet Tarakçioğlu, Ahmet Erbağci
1School of Medicine, Department of Biochemistry and Clinical Biochemistry, University of Gaziantep.
Insights
Plasma fibronectin is not elevated in children with type 1 diabetes. However, high triglycerides, common in diabetes, are linked to higher fibronectin, potentially impacting atherogenesis.
Area of Science:
- Endocrinology
- Cardiovascular Research
- Biochemistry
Background:
- Fibronectins are adhesive proteins and markers of endothelial activation.
- Plasma fibronectin levels in diabetes mellitus (DM) correlate with atherosclerotic risk factors.
Purpose of the Study:
- To investigate plasma fibronectin levels in children with type 1 DM.
- To examine the relationship between plasma fibronectin and serum lipids, apolipoproteins AI, B100, and Lp(a) in diabetic children.
Main Methods:
- Nephelometric methods were used to determine fibronectin and apolipoprotein concentrations.
- Study included 35 children with type 1 DM and 30 age/gender-matched non-diabetic controls.
Main Results:
- Plasma fibronectin levels did not differ significantly between diabetic children and controls.
- HbA1c and triglycerides were significant predictors of plasma fibronectin in diabetic children.
- Diabetic children with triglycerides < 1.13 mmol/L showed elevated plasma fibronectin compared to controls with similar triglyceride levels.
Conclusions:
- Plasma fibronectin is not elevated in children with type 1 DM.
- High plasma triglycerides, regardless of diabetic status, are associated with increased plasma fibronectin, suggesting a role in atherogenesis.
- Plasma cholesterol, apolipoproteins AI, B100, and Lp(a) were not significant determinants of plasma fibronectin in this cohort.
Abstract:
Fibronectins are adhesive proteins considered as markers of endothelial activation. Plasma fibronectin levels in diabetes mellitus (DM) have been found to be associated with atherosclerotic risk factors. This study was carried out to investigate plasma fibronectin and its relation with serum lipids, apolipoproteins AI, B100 and lp(a) in diabetic children. 35 children (19F/16M) with type I DM and 30 non-diabetic age and gender-matched controls were enrolled. Apolipoprotein and fibronectin concentrations were determined with nephelometric methods. Plasma fibronectin levels of the children with type I DM and the control group are not statistically different. HbA1c and triglycerides concentration are found to be significant predictors of plasma fibronectin in diabetic children, while effect of plasma cholesterol, apolipoprotein AI, B100 and lp(a) are insignificant. Diabetic children with triglycerides 1.13 mmol/l have elevated plasma fibronectin (median, 25th-75th percentiles; 29.6, 8.3-40.8 mg/dL) compared to the diabetic > or = 19.9, 8.6-30.7 mg/dL, p < 0.05) and non-diabetic children (16.6, 12.7-32.4 mg/dL, p < 0.01) with triglycerides < 1.13 mmol/L. On the other hand plasma fibronectin concentrations of diabetic and non-diabetic children with high triglycerides are not significantly different. In conclusion our data does not support the concept that plasma fibronectin is elevated in type I diabetes mellitus at least in children, but high plasma triglycerides secondary to diabetes or not is associated with higher FNp concentrations which may have implications on atherogenesis. Plasma cholesterol, apolipoproteins AI, B100 and lp(a) are not significant determinants of FNp in type I diabetic children.
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