Do insulin resistance and inflammation parameters change according to the blood types in non-obese healthy individuals?

Insulin resistance and inflammation

Authors

DOI:

https://doi.org/10.5281/zenodo.8072274

Keywords:

ABO blood type, insulin resistance, inflammation, obesity

Abstract

Objective: Insulin resistance (IR) is defined as a decrease in insulin sensitivity in tissues targeting insulin and is a risk factor for many diseases. In this study, we aimed to elucidate the relationship of insulin resistance, inflammation parameters and blood groups in non-obese healthy individuals.

Methods: A total of 275 volunteers without any chronic disease who applied for check-up were included in the study. Demographic characteristics, body mass index, biochemical parameters, hemogram and blood types of the patients were recorded and compared between groups.

Results: Of the 17.5% (n=48) individuals who had insulin resistance and those with BMI <25 were included in the study. C-reactive protein (CRP), neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) and systemic immune-inflammatory index (SII) values ​​were significantly higher in those with IR than those without IR (p<0.05). In those with IR, the rate of those with AB blood group was found to be significantly higher than the rate of those with blood group 0 (p=0.017).

Conclusion: We found that subclinical chronic inflammation indicators such as NLR, PLR, SII and CRP were significantly higher in non-obese and healthy individuals with IR than those without IR. Curative treatments to be initiated in the early period in individuals with IR may provide additional therapeutic benefits beyond lowering glucose, preventing metabolic diseases.

References

Czech MP. Insulin action and resistance in obesity and type 2 diabetes. Nature Medicine. 2017;23(7):804–14.

Patel TP, Rawal K, Bagchi AK, Akolkar G, Bernardes N, Silva Dias D, et al. Insulin resistance: an additional risk factor in the pathogenesis of cardiovascular disease in type 2 diabetes. Heart Failure Reviews. 2016;21(1):11–23.

Olefsky JM, Glass CK. Macrophages, inflammation, and insulin resistance. Annu Rev Physiol. 2010;72:219–46.

Petersen MC, Shulman GI. Mechanisms of Insulin Action and Insulin Resistance. Physiol Rev. 2018;98(4):2133–223.

Lee SH, Park SY, Choi CS. Insulin Resistance: From Mechanisms to Therapeutic Strategies. Diabetes Metab J. 2022;46(1):15–37.

Mc Keown RE. The Epidemiologic Transition: Changing Patterns of Mortality and Population Dynamics. Am. J. Lifestyle Med. 2009;3:19S–26S.

Misra A, Gopalan H, Jayawardena R, Hills AP, Soares M, Reza-Albarran AA, et al. Diabetes in developing countries. J. Diabetes. 2019;11:522–39.

Tan HC, Yew TW, Chacko S, Tai ES, Kovalik JP, Ching J, et al. Comprehensive assessment of insulin resistance in non-obese Asian Indian and Chinese men. 2018;9(6): 1296-303.

Topsakal S, Yerlikaya E, Akin F, Kaptanoglu B, Erürker T. Relation with HOMA-IR and thyroid hormones in obese Turkish women with metabolic syndrome. Eat Weight Disord 2012;17(1): e57-61.

He K, Si L, Pan X, Sun L, Wang Y, Lu J, et al. Preoperative Systemic Immune–Inflammation Index (SII) as a Superior Predictor of Long-Term Survival Outcome in Patients With Stage I–II Gastric Cancer After Radical Surgery Front Oncol. 2022;12:829689.

Platini H, Ferdinand E, Kohar K, Prayogo SA, Amirah S, Komariah M, et al. Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio as Prognostic Markers for Advanced Non-Small-Cell Lung Cancer Treated with Immunotherapy: A Systematic Review and Meta-Analysis. Medicina (Kaunas) 2022;58(8):1069.

Vaag A, Lund SS. Non-obese patients with type 2 diabetes and prediabetic subjects: distinct phenotypes requiring special diabetes treatment and (or) prevention? Appl Physiol Nutr Metab. 2007;32:912–20.

Chuang HC, Tan TH. MAP4K4 and IL-6+ Th17 cells play important roles in non-obese type 2 diabetes. J Biomed Sci. 2017;24:4.

Jagannathan-Bogdan M, Mc Donnell ME, Shin H, Rehman Q, Hasturk H, Apovian CM, et al. Elevated proinflammatory cytokine production by a skewed T cell compartment requires monocytes and promotes inflammation in type 2 diabetes. J Immunol. 2011;186:1162–72

Wang JR, Chen Z, Yang K, Yang HJ, Tao WY, Li YP, et al. Association between neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and diabetic retinopathy among diabetic patients without a related family history. Diabetol Metab Syndr. 2020;12:55.

Liu J, Ao W, Zhou J, Luo P, Wang Q, Xiang D. The correlation between PLR-NLR and prognosis in acute myocardial infarction. Am J Transl Res. 2021;13(5):4892–99.

Liu J, Li S, Zhang S, Liu Y, Ma L, Zhu J, et al. Systemic immune‐inflammation index, neutrophil‐to‐lymphocyte ratio, platelet‐to‐lymphocyte ratio can predict clinical outcomes in patients with metastatic non‐small‐cell lung cancer treated with nivolumab. J Clin Lab Anal. 2019;33(8): e22964.

Lee SH, Park SY, Choi CS. Insulin Resistance: From Mechanisms to Therapeutic Strategies. Diabetes Metab J. 2022;46(1):15–37.

Cruz‐Pineda WD, Parra‐Rojas I, Rodríguez‐Ruíz HA, Illades‐Aguiar B, Matia‐García I, Garibay‐Cerdenares OL. The regulatory role of insulin in energy metabolism and leukocyte functions. J Leukoc Biol. 2022;111(1):197–208.

Tsai S, Clemente‐Casares X, Zhou AC, Lei H, Ahn JJ, Chan YT, et al. Insulin receptor‐mediated stimulation boosts T cell immunity during inflammation and infection. Cell Metab. 2018;28(6):922‐34.

Lou M, Luo P, Tang R, Peng Y, Yu S, Huang W, et al. Relationship between neutrophil-lymphocyte ratio and insulin resistance in newly diagnosed type 2 diabetes mellitus patients. BMC Endocr Disord. 2015;15:9.

Lorenzo C, Festa A, Hanley AJ, Rewers MJ, Escalante A, Haffner SM. Novel Protein Glycan–Derived Markers of Systemic Inflammation and C-Reactive Protein in Relation to Glycemia, Insulin Resistance, and Insulin Secretion. Diabetes Care. 2017;40(3):375–82.

Yudkin JS, Stehouwer CDA, Emeis JJ, Coppack SW. C-reactive protein in healthy subjects: associations with obesity, insulin resistance, and endothelial dysfunction. Arterioscler Thromb Vasc Biol.1999; 19:972–8.

Festa A , D'Agostino R Jr, Howard G, Mykkänen L, Tracy RP, Haffner SM. Chronic subclinical inflammation as part of the insulin resistance syndrome: the Insulin Resistance Atherosclerosis Study (IRAS). 2000;102(1):42-7.

Getawa S, Bayleyegn B, Aynalem M, Worku YB, Adane T. Relationships of ABO and Rhesus blood groups with type 2 diabetes mellitus: a systematic review and meta-analysis. J Int Med Res. 2022;50(10):03000605221129547.

Abegaz SB. Human ABO Blood Groups and Their Associations with Different Diseases. Biomed Res Int. 2021;2021:6629060.

Legese B, Abebe M, Fasil A. Association of ABO and Rh Blood Group Phenotypes with Type 2 Diabetes Mellitus at Felege Hiwot Comprehensive Referral Hospital Bahir Dar, Northwest Ethiopia. Int J Chronic Dis. 2020;2020:2535843.

Zhang Y, Li S, Zhu CG, Guo YL, Wu NO, Xu RX, et al. Risk Factors, Coronary Severity, Outcome and ABO Blood Group. Medicine (Baltimore). 2015;94(43):e1708.

Downloads

Published

2023-06-23

How to Cite

Sarıçam, O. (2023). Do insulin resistance and inflammation parameters change according to the blood types in non-obese healthy individuals? Insulin resistance and inflammation. The Injector, 2(2), 77–82. https://doi.org/10.5281/zenodo.8072274

Issue

Section

Original Article