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Circulating lipocalin-2 and features of metabolic syndrome in community-dwelling older women: A cross-sectional study
Lipocalin-2 (LCN2) is released by several cell types including osteoblasts and adipocytes and has been suggested as a marker of renal dysfunction, metabolic syndrome (MetS) and type 2 diabetes (T2D). Whether LCN2 is linked to these diseases in older women remains unknown. This study investigated whe...
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Published in: | Bone (New York, N.Y.) N.Y.), 2023-11, Vol.176, p.116861-116861, Article 116861 |
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description | Lipocalin-2 (LCN2) is released by several cell types including osteoblasts and adipocytes and has been suggested as a marker of renal dysfunction, metabolic syndrome (MetS) and type 2 diabetes (T2D). Whether LCN2 is linked to these diseases in older women remains unknown. This study investigated whether LCN2 is related to features of MetS and T2D in older women. This cross-sectional study included 705 non-diabetic women (mean age 75.1 ± 2.6 years) for MetS analysis and 76 women (mean age 75.4 ± 2.8 years) with T2D. Total circulating LCN2 levels were analysed using a two-step chemiluminescent microparticle monoclonal immunoassay. MetS was determined by a modified National Cholesterol Education Program Adult Treatment Panel III classification. Multivariable-adjusted logistic regression analysis was used to assess odds ratios between LCN2 quartiles and MetS. Women in the highest LCN2 quartile had approximately 3 times greater risk for MetS compared to women in the lowest quartile (OR 3.05; 95%CI 1.86–5.02). Women with T2D or MetS scores of ≥ 3 had higher LCN2 levels compared to women with a MetS score of 0 (p |
doi_str_mv | 10.1016/j.bone.2023.116861 |
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•Women in the highest quartile of LCN2 had ~3 times greater odds for MetS compared to women in the lowest quartile.•Women without T2D in the highest LCN2 quartile had higher LCN2 compared to those with T2D.•LCN2 may be a useful biomarker for identifying women at risk of MetS.</description><identifier>ISSN: 8756-3282</identifier><identifier>EISSN: 1873-2763</identifier><identifier>DOI: 10.1016/j.bone.2023.116861</identifier><identifier>PMID: 37524293</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aging ; Bone-muscle-fat interactions ; Human association studies ; Metabolism</subject><ispartof>Bone (New York, N.Y.), 2023-11, Vol.176, p.116861-116861, Article 116861</ispartof><rights>2023 The Authors</rights><rights>Copyright © 2023. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c351t-28d5c35e1dcc1c709a7fd0b47aff0ab35f680ddac4b9b8386866a81ef4aaa1b23</cites><orcidid>0000-0001-9194-2033</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37524293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bauer, Carlie</creatorcontrib><creatorcontrib>Sim, Marc</creatorcontrib><creatorcontrib>Prince, Richard L.</creatorcontrib><creatorcontrib>Zhu, Kun</creatorcontrib><creatorcontrib>Lim, Ee M.</creatorcontrib><creatorcontrib>Byrnes, Elizabeth</creatorcontrib><creatorcontrib>Pavlos, Nathan</creatorcontrib><creatorcontrib>Lim, Wai H.</creatorcontrib><creatorcontrib>Wong, Germaine</creatorcontrib><creatorcontrib>Lewis, Joshua R.</creatorcontrib><creatorcontrib>Levinger, Itamar</creatorcontrib><title>Circulating lipocalin-2 and features of metabolic syndrome in community-dwelling older women: A cross-sectional study</title><title>Bone (New York, N.Y.)</title><addtitle>Bone</addtitle><description>Lipocalin-2 (LCN2) is released by several cell types including osteoblasts and adipocytes and has been suggested as a marker of renal dysfunction, metabolic syndrome (MetS) and type 2 diabetes (T2D). Whether LCN2 is linked to these diseases in older women remains unknown. This study investigated whether LCN2 is related to features of MetS and T2D in older women. This cross-sectional study included 705 non-diabetic women (mean age 75.1 ± 2.6 years) for MetS analysis and 76 women (mean age 75.4 ± 2.8 years) with T2D. Total circulating LCN2 levels were analysed using a two-step chemiluminescent microparticle monoclonal immunoassay. MetS was determined by a modified National Cholesterol Education Program Adult Treatment Panel III classification. Multivariable-adjusted logistic regression analysis was used to assess odds ratios between LCN2 quartiles and MetS. Women in the highest LCN2 quartile had approximately 3 times greater risk for MetS compared to women in the lowest quartile (OR 3.05; 95%CI 1.86–5.02). Women with T2D or MetS scores of ≥ 3 had higher LCN2 levels compared to women with a MetS score of 0 (p < 0.05). Higher LCN2 correlated with higher body mass index, fat mass, triglycerides and glycated haemoglobin and lower high-density lipoprotein cholesterol and estimated glomerular filtration rate (p < 0.05). Higher circulating levels of LCN2 are associated with worsened cardio-metabolic risk factors and increased odds of MetS and T2D in older women. Whether it can be used as a biomarker for identifying those at risk for MetS and T2D should be explored further.
•Women in the highest quartile of LCN2 had ~3 times greater odds for MetS compared to women in the lowest quartile.•Women without T2D in the highest LCN2 quartile had higher LCN2 compared to those with T2D.•LCN2 may be a useful biomarker for identifying women at risk of MetS.</description><subject>Aging</subject><subject>Bone-muscle-fat interactions</subject><subject>Human association studies</subject><subject>Metabolism</subject><issn>8756-3282</issn><issn>1873-2763</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kD1v2zAQhomiQeM6-QMdCo5Z5PJDEqmgS2D0CwiQJZkJijwGNCjSIaUG_veh4zRjp7vhfR_cPQh9oWRDCe2_7TZjirBhhPENpb3s6Qe0olLwhomef0QrKbq-4Uyyc_S5lB0hhA-CfkLnXHSsZQNfoWXrs1mCnn18xMHvk9HBx4ZhHS12oOclQ8HJ4QlmPabgDS6HaHOaAPuITZqmJfr50NhnCOEIScFCxs81EK_xDTY5ldIUMLNPUQdc5sUeLtCZ06HA5dtco4efP-63v5vbu19_tje3jeEdnRsmbVc3oNYYagQZtHCWjK3QzhE98s71klirTTsOo-SyKui1pOBarTUdGV-jqxN3n9PTAmVWky-mHqojpKUoJtu2F0NXna0RO0VfD87g1D77SeeDokQddaudOupWR93qpLuWvr7xl3EC-17557cGvp8CUL_86yGrYjxEA9bnqkTZ5P_HfwGHfZO9</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Bauer, Carlie</creator><creator>Sim, Marc</creator><creator>Prince, Richard L.</creator><creator>Zhu, Kun</creator><creator>Lim, Ee M.</creator><creator>Byrnes, Elizabeth</creator><creator>Pavlos, Nathan</creator><creator>Lim, Wai H.</creator><creator>Wong, Germaine</creator><creator>Lewis, Joshua R.</creator><creator>Levinger, Itamar</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9194-2033</orcidid></search><sort><creationdate>20231101</creationdate><title>Circulating lipocalin-2 and features of metabolic syndrome in community-dwelling older women: A cross-sectional study</title><author>Bauer, Carlie ; Sim, Marc ; Prince, Richard L. ; Zhu, Kun ; Lim, Ee M. ; Byrnes, Elizabeth ; Pavlos, Nathan ; Lim, Wai H. ; Wong, Germaine ; Lewis, Joshua R. ; Levinger, Itamar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c351t-28d5c35e1dcc1c709a7fd0b47aff0ab35f680ddac4b9b8386866a81ef4aaa1b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aging</topic><topic>Bone-muscle-fat interactions</topic><topic>Human association studies</topic><topic>Metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bauer, Carlie</creatorcontrib><creatorcontrib>Sim, Marc</creatorcontrib><creatorcontrib>Prince, Richard L.</creatorcontrib><creatorcontrib>Zhu, Kun</creatorcontrib><creatorcontrib>Lim, Ee M.</creatorcontrib><creatorcontrib>Byrnes, Elizabeth</creatorcontrib><creatorcontrib>Pavlos, Nathan</creatorcontrib><creatorcontrib>Lim, Wai H.</creatorcontrib><creatorcontrib>Wong, Germaine</creatorcontrib><creatorcontrib>Lewis, Joshua R.</creatorcontrib><creatorcontrib>Levinger, Itamar</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Bone (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bauer, Carlie</au><au>Sim, Marc</au><au>Prince, Richard L.</au><au>Zhu, Kun</au><au>Lim, Ee M.</au><au>Byrnes, Elizabeth</au><au>Pavlos, Nathan</au><au>Lim, Wai H.</au><au>Wong, Germaine</au><au>Lewis, Joshua R.</au><au>Levinger, Itamar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Circulating lipocalin-2 and features of metabolic syndrome in community-dwelling older women: A cross-sectional study</atitle><jtitle>Bone (New York, N.Y.)</jtitle><addtitle>Bone</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>176</volume><spage>116861</spage><epage>116861</epage><pages>116861-116861</pages><artnum>116861</artnum><issn>8756-3282</issn><eissn>1873-2763</eissn><abstract>Lipocalin-2 (LCN2) is released by several cell types including osteoblasts and adipocytes and has been suggested as a marker of renal dysfunction, metabolic syndrome (MetS) and type 2 diabetes (T2D). Whether LCN2 is linked to these diseases in older women remains unknown. This study investigated whether LCN2 is related to features of MetS and T2D in older women. This cross-sectional study included 705 non-diabetic women (mean age 75.1 ± 2.6 years) for MetS analysis and 76 women (mean age 75.4 ± 2.8 years) with T2D. Total circulating LCN2 levels were analysed using a two-step chemiluminescent microparticle monoclonal immunoassay. MetS was determined by a modified National Cholesterol Education Program Adult Treatment Panel III classification. Multivariable-adjusted logistic regression analysis was used to assess odds ratios between LCN2 quartiles and MetS. Women in the highest LCN2 quartile had approximately 3 times greater risk for MetS compared to women in the lowest quartile (OR 3.05; 95%CI 1.86–5.02). Women with T2D or MetS scores of ≥ 3 had higher LCN2 levels compared to women with a MetS score of 0 (p < 0.05). Higher LCN2 correlated with higher body mass index, fat mass, triglycerides and glycated haemoglobin and lower high-density lipoprotein cholesterol and estimated glomerular filtration rate (p < 0.05). Higher circulating levels of LCN2 are associated with worsened cardio-metabolic risk factors and increased odds of MetS and T2D in older women. Whether it can be used as a biomarker for identifying those at risk for MetS and T2D should be explored further.
•Women in the highest quartile of LCN2 had ~3 times greater odds for MetS compared to women in the lowest quartile.•Women without T2D in the highest LCN2 quartile had higher LCN2 compared to those with T2D.•LCN2 may be a useful biomarker for identifying women at risk of MetS.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37524293</pmid><doi>10.1016/j.bone.2023.116861</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9194-2033</orcidid><oa>free_for_read</oa></addata></record> |
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title | Circulating lipocalin-2 and features of metabolic syndrome in community-dwelling older women: A cross-sectional study |
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