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Updated: Jan 31, 2026

Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
Published on: September 27, 2024
Oxidized HDL, Adipokines, and Endothelial Dysfunction: A Potential Biomarker Profile for Cardiovascular Risk in Women
Stephen J Peterson1,2, Joseph I Shapiro3, Ellen Thompson3
1Weill Cornell Medical College, New York, New York, USA.
Insights
Obesity in women is linked to higher levels of inflammatory markers like IL-6 and oxidized HDL (Ox-HDL), and lower levels of beneficial adiponectin and endothelial progenitor cells (EPCs). This suggests a distinct inflammatory profile associated with obesity.
Area of Science:
- Cardiovascular Science
- Metabolic Health
- Inflammation Biology
Background:
- High body mass index (BMI) is a risk factor for cardiovascular disease.
- Adipokines, circulating endothelial cells (CECs), and endothelial progenitor cells (EPCs) play roles in metabolic and cardiovascular health.
- The interplay between BMI, adipokines (IL-6, TNFα, adiponectin), oxidized high-density lipoprotein (Ox-HDL), CECs, and EPCs in obesity is not fully understood.
Purpose of the Study:
- To investigate the relationship between BMI, adipokines, Ox-HDL, CECs, and EPCs in females with obesity.
- To identify potential inflammatory biomarker profiles associated with obesity in women.
Main Methods:
- Study included 26 females with obesity and 5 lean controls across two locations (Brooklyn, NY, and Huntington, WV).
- Measurements included cytokine levels (IL-6, TNFα), adiponectin, Ox-HDL, CECs, and EPCs.
Main Results:
- Females with obesity exhibited elevated leptin, IL-6, and Ox-HDL levels.
- Obese females showed increased CEC levels and decreased EPC and adiponectin levels (P < 0.01).
- Ox-HDL levels were higher in women from Brooklyn compared to Huntington (P < 0.01), potentially linked to TNFα or adiponectin variations. Seventy-five percent of Ox-HDL variance was predictable (P < 0.01).
Conclusions:
- This study identifies a unique inflammatory biomarker profile in females with obesity.
- Findings highlight the complex relationship between obesity, inflammation, and endothelial function markers.
Objective:
High BMI predicts adverse cardiovascular outcomes and positively correlates with increased levels of adipokines. The relationship among BMI, IL-6, TNFα, adiponectin, and oxidized high-density lipoprotein (Ox-HDL) with circulating endothelial cells (CECs) and endothelial progenitor cells (EPCs) has not been well studied. Elevated CEC levels have been described in both humans and mice with obesity and diabetes. Ox-HDL has been shown to be a potent driver of adipogenesis in vivo and in vitro. In this study, elevated BMI was examined in 2 groups of women studied in Brooklyn, New York, and Huntington, West Virginia, respectively.
Methods:
Twenty-six females with obesity and five lean controls without overt cardiovascular disease were enrolled, 13 from Huntington and 13 from Brooklyn. Cytokine levels, EPCs, and CECs were determined.
Results:
Females with obesity had elevated levels of leptin, IL-6, and Ox-HDL, increased CEC levels, and decreased EPC and adiponectin levels (all P < 0.01). The Ox-HDL levels were higher in women from Brooklyn versus Huntington (P < 0.01), possibly from higher TNFα levels in Brooklyn or higher adiponectin levels in Huntington. Seventy-five percent of the variance in Ox-HDL levels could be predicted in this population (P < 0.01).
Conclusions:
This study reveals a unique inflammatory biomarker profile in females with obesity.
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