Skip to main content
Erschienen in: Diabetologia 12/2005

01.12.2005 | Article

Weight gain in relation to plasma levels of complement factor 3: results from a population-based cohort study

verfasst von: G. Engström, B. Hedblad, L. Janzon, F. Lindgärde

Erschienen in: Diabetologia | Ausgabe 12/2005

Einloggen, um Zugang zu erhalten

Abstract

Aims/hypothesis

Mice that are deficient for complement factor 3 (C3) have shown resistance to weight gain, despite increased food intake. Cross-sectional studies of humans have reported correlations between C3 and obesity. This longitudinal study explored whether C3 predicts a large weight gain in middle-aged men.

Methods

Plasma concentrations of C3 and complement factor 4 (C4) were measured in 2,706 non-diabetic healthy men aged between 38 and 50 years, who were re-examined after a mean period of 6.1 years.

Results

After adjustments for initial weight, age, height and follow-up time, the odds of incurring large weight gain (75th percentile, ≥3.8 kg) were 1.00 (reference), 0.96 (95% CI:0.7–1.2), 1.1 (CI:0.9–1.5) and 1.4 (CI:1.1–1.8), respectively, among men with C3 levels in the first, second, third and fourth quartiles (p for trend=0.01) respectively. This relationship remained significant after further adjustments for lifestyle factors (physical inactivity, alcohol, smoking), metabolic factors (glucose or homeostasis model assessment values, cholesterol, triglycerides), inflammatory markers (fibrinogen, haptoglobin, ceruloplasmin, orosomucoid, α1-antitrypsin) and for C4. C4 was associated with weight gain after adjustments for initial weight, height, follow-up time and lifestyle factors, but not after adjustments for C3.

Conclusions/interpretation

C3 is a risk factor for incurring large weight gain in middle-aged men.
Literatur
1.
Zurück zum Zitat Ritchie RF, Palomaki GE, Neveux LM, Navolotskaia O, Ledue TB, Craig WY (2004) Reference distributions for complement proteins C3 and C4: a practical, simple and clinically relevant approach in a large cohort. J Clin Lab Anal 18:1–8CrossRefPubMed Ritchie RF, Palomaki GE, Neveux LM, Navolotskaia O, Ledue TB, Craig WY (2004) Reference distributions for complement proteins C3 and C4: a practical, simple and clinically relevant approach in a large cohort. J Clin Lab Anal 18:1–8CrossRefPubMed
2.
3.
Zurück zum Zitat Walport MJ (2001) Complement. First of two parts. N Engl J Med 355:1058–1066CrossRef Walport MJ (2001) Complement. First of two parts. N Engl J Med 355:1058–1066CrossRef
4.
Zurück zum Zitat Gabrielsson BG, Johansson JM, Lönn M et al (2003) High expression of complement components in omental adipose tissue in obese men. Obes Res 11:699–708PubMed Gabrielsson BG, Johansson JM, Lönn M et al (2003) High expression of complement components in omental adipose tissue in obese men. Obes Res 11:699–708PubMed
5.
Zurück zum Zitat Xia Z, Cianflone K (2003) Acylation-stimulating protein precursor proteins in adipose tissue in human obesity. Metabolism 52:1360–1366CrossRefPubMed Xia Z, Cianflone K (2003) Acylation-stimulating protein precursor proteins in adipose tissue in human obesity. Metabolism 52:1360–1366CrossRefPubMed
6.
Zurück zum Zitat Pomeroy C, Mitchell J, Eckert E, Raymond N, Crosby R, Dalmasso AP (1997) Effect of body weight and caloric restriction on serum complement proteins, including factor D/adipsin: studies in anorexia nervosa and obesity. Clin Exp Immunol 108:507–515CrossRefPubMed Pomeroy C, Mitchell J, Eckert E, Raymond N, Crosby R, Dalmasso AP (1997) Effect of body weight and caloric restriction on serum complement proteins, including factor D/adipsin: studies in anorexia nervosa and obesity. Clin Exp Immunol 108:507–515CrossRefPubMed
7.
Zurück zum Zitat Hanusch-Enserer U, Cauza E, Spak M et al (2003) Acute-phase response and immunological markers in morbid obese patients and patients following adjustable gastric banding. Int J Obesity 27:355–361CrossRef Hanusch-Enserer U, Cauza E, Spak M et al (2003) Acute-phase response and immunological markers in morbid obese patients and patients following adjustable gastric banding. Int J Obesity 27:355–361CrossRef
8.
Zurück zum Zitat Weyer C, Tataranni PA, Pratley RE (2000) Insulin action and insulinemia are closely related to the fasting complement C3, but not acylation stimulating protein concentration. Diabetes Care 23:779–785PubMedCrossRef Weyer C, Tataranni PA, Pratley RE (2000) Insulin action and insulinemia are closely related to the fasting complement C3, but not acylation stimulating protein concentration. Diabetes Care 23:779–785PubMedCrossRef
9.
Zurück zum Zitat Muscari A, Bozzoli C, Puddu GM et al (1995) Association of serum C3 levels with the risk of myocardial infarction. Am J Med 98:357–364CrossRefPubMed Muscari A, Bozzoli C, Puddu GM et al (1995) Association of serum C3 levels with the risk of myocardial infarction. Am J Med 98:357–364CrossRefPubMed
10.
Zurück zum Zitat Peake PW, Kriketos AD, Campbell LV, Charlesworth JA (2005) Response of the alternative complement pathway to an oral fat load in first-degree relatives of subjects with type II diabetes. Int J Obes Relat Metab Disord 29:429–435CrossRef Peake PW, Kriketos AD, Campbell LV, Charlesworth JA (2005) Response of the alternative complement pathway to an oral fat load in first-degree relatives of subjects with type II diabetes. Int J Obes Relat Metab Disord 29:429–435CrossRef
11.
Zurück zum Zitat Cianflone K, Xia Z, Chen LY (2003) Critical review of acylation-stimulating protein physiology in humans and rodents. Biochim Biophys Acta 1609:127–143PubMedCrossRef Cianflone K, Xia Z, Chen LY (2003) Critical review of acylation-stimulating protein physiology in humans and rodents. Biochim Biophys Acta 1609:127–143PubMedCrossRef
12.
Zurück zum Zitat Maslowska M, Sniderman AD, Germinario R, Cianflone K (1997) ASP stimulates glucose transport in cultured human adipocytes. Int J Obes Relat Metab Disord 21:261–266CrossRefPubMed Maslowska M, Sniderman AD, Germinario R, Cianflone K (1997) ASP stimulates glucose transport in cultured human adipocytes. Int J Obes Relat Metab Disord 21:261–266CrossRefPubMed
13.
Zurück zum Zitat Van Harmelen V, Reynisdottir S, Cianflone K et al (1999) Mechanisms involved in the regulation of free fatty acid release from isolated human fat cells by acylation-stimulating protein and insulin. J Biol Chem 274:18243–18251CrossRefPubMed Van Harmelen V, Reynisdottir S, Cianflone K et al (1999) Mechanisms involved in the regulation of free fatty acid release from isolated human fat cells by acylation-stimulating protein and insulin. J Biol Chem 274:18243–18251CrossRefPubMed
14.
Zurück zum Zitat Xia Z, Sniderman AD, Cianflone K (2002) Acylation-stimulating protein (ASP) deficiency induces obesity resistance and increased energy expenditure in ob/ob mice. J Biol Chem 277:45874–45879CrossRefPubMed Xia Z, Sniderman AD, Cianflone K (2002) Acylation-stimulating protein (ASP) deficiency induces obesity resistance and increased energy expenditure in ob/ob mice. J Biol Chem 277:45874–45879CrossRefPubMed
15.
Zurück zum Zitat Engström G, Hedblad B, Stavenow L, Lind P, Janzon L, Lindgärde F (2003) Inflammation-sensitive plasma proteins are associated with future weight gain. Diabetes 52:2097–2101PubMedCrossRef Engström G, Hedblad B, Stavenow L, Lind P, Janzon L, Lindgärde F (2003) Inflammation-sensitive plasma proteins are associated with future weight gain. Diabetes 52:2097–2101PubMedCrossRef
16.
Zurück zum Zitat Engström G, Hedblad B, Eriksson KF, Janzon L, Lindgärde F (2005) Complement C3 is a risk factor for the development of diabetes. A population-based cohort study. Diabetes 54:570–575PubMedCrossRef Engström G, Hedblad B, Eriksson KF, Janzon L, Lindgärde F (2005) Complement C3 is a risk factor for the development of diabetes. A population-based cohort study. Diabetes 54:570–575PubMedCrossRef
17.
Zurück zum Zitat Berglund G, Eriksson KF, Israelsson B et al (1996) Cardiovascular risk groups and mortality in an urban Swedish male population: the Malmö preventive project. J Intern Med 239:489–497CrossRefPubMed Berglund G, Eriksson KF, Israelsson B et al (1996) Cardiovascular risk groups and mortality in an urban Swedish male population: the Malmö preventive project. J Intern Med 239:489–497CrossRefPubMed
18.
Zurück zum Zitat Thorell JI, Larson SM (1978) Radioimmunoassay and related techniques. CV Mosby Company, St Louis, pp:205–211 Thorell JI, Larson SM (1978) Radioimmunoassay and related techniques. CV Mosby Company, St Louis, pp:205–211
19.
Zurück zum Zitat Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28:412–419CrossRefPubMed Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28:412–419CrossRefPubMed
20.
Zurück zum Zitat Kristenson H, Trell E (1982) Indicators of alcohol consumption: comparisons between a questionnaire (Mm-MAST), interviews and serum gamma-glutamyl transferase (GGT) in a health survey of middle-aged males. Br J Addict 77:297–304PubMedCrossRef Kristenson H, Trell E (1982) Indicators of alcohol consumption: comparisons between a questionnaire (Mm-MAST), interviews and serum gamma-glutamyl transferase (GGT) in a health survey of middle-aged males. Br J Addict 77:297–304PubMedCrossRef
22.
Zurück zum Zitat Engström G, Lind P, Hedblad B, Stavenow L, Janzon L, Lindgärde F (2002) Effects of cholesterol and inflammation-sensitive plasma proteins on incidence of myocardial infarction and stroke in men. Circulation 105:2632–2637CrossRefPubMed Engström G, Lind P, Hedblad B, Stavenow L, Janzon L, Lindgärde F (2002) Effects of cholesterol and inflammation-sensitive plasma proteins on incidence of myocardial infarction and stroke in men. Circulation 105:2632–2637CrossRefPubMed
23.
Zurück zum Zitat Engström G, Hedblad B, Stavenow L et al (2004) Incidence of obesity-associated cardiovascular disease is related to inflammation-sensitive plasma proteins: a population-based cohort study. Arterioscler Thromb Vasc Biol 24:1498–1502CrossRefPubMed Engström G, Hedblad B, Stavenow L et al (2004) Incidence of obesity-associated cardiovascular disease is related to inflammation-sensitive plasma proteins: a population-based cohort study. Arterioscler Thromb Vasc Biol 24:1498–1502CrossRefPubMed
24.
Zurück zum Zitat Wlodek D, Gonzales M (2003) Decreased energy levels can cause and sustain obesity. J Theor Biol 225:33–44CrossRefPubMed Wlodek D, Gonzales M (2003) Decreased energy levels can cause and sustain obesity. J Theor Biol 225:33–44CrossRefPubMed
26.
Zurück zum Zitat Duncan BB, Schmidt MI, Chambless LE, Folsom AR, Carpenter M, Heiss G (2000) Fibrinogen, other putative markers of inflammation, and weight gain in middle-aged adults-the ARIC study. Obes Res 8:279–286PubMedCrossRef Duncan BB, Schmidt MI, Chambless LE, Folsom AR, Carpenter M, Heiss G (2000) Fibrinogen, other putative markers of inflammation, and weight gain in middle-aged adults-the ARIC study. Obes Res 8:279–286PubMedCrossRef
27.
Zurück zum Zitat Dhurandhar NV (2001) Infectobesity: obesity of infectious origin. J Nutr 131:2794S–2797SPubMed Dhurandhar NV (2001) Infectobesity: obesity of infectious origin. J Nutr 131:2794S–2797SPubMed
28.
Zurück zum Zitat Dart AM, Martin JL, Kay S (2002) Association between past infection with Chlamydia pneumoniae and body mass index, low-density lipoprotein particle size and fasting insulin. Int J Obes Relat Metab Disord 26:464–468CrossRefPubMed Dart AM, Martin JL, Kay S (2002) Association between past infection with Chlamydia pneumoniae and body mass index, low-density lipoprotein particle size and fasting insulin. Int J Obes Relat Metab Disord 26:464–468CrossRefPubMed
29.
Zurück zum Zitat Ahren B, Havel PJ, Pacini G, Cianflone K (2003) Acylation stimulating protein stimulates insulin secretion. Int J Obes Relat Metab Disord 27:1037–1043CrossRefPubMed Ahren B, Havel PJ, Pacini G, Cianflone K (2003) Acylation stimulating protein stimulates insulin secretion. Int J Obes Relat Metab Disord 27:1037–1043CrossRefPubMed
30.
Zurück zum Zitat Xia Z, Stanhope KL, Digitale E et al (2004) Acylation-stimulating protein (ASP)/complement C3adesArg deficiency results in increased energy expenditure in mice. J Biol Chem 279:4051–4057CrossRefPubMed Xia Z, Stanhope KL, Digitale E et al (2004) Acylation-stimulating protein (ASP)/complement C3adesArg deficiency results in increased energy expenditure in mice. J Biol Chem 279:4051–4057CrossRefPubMed
31.
Zurück zum Zitat Andrews E, Feldhoff P, Feldhoff R, Lassiter H (2003) Comparative effects of cytokines and cytokine combinations on complement component C3 secretion by HepG2 cells. Cytokine 23:164–169CrossRefPubMed Andrews E, Feldhoff P, Feldhoff R, Lassiter H (2003) Comparative effects of cytokines and cytokine combinations on complement component C3 secretion by HepG2 cells. Cytokine 23:164–169CrossRefPubMed
32.
Zurück zum Zitat Bruun JM, Pedersen SB, Kristensen K, Richelsen B (2002) Effects of pro-inflammatory cytokines and chemokines on leptin production in human adipose tissue in vitro. Mol Cell Endocrinol 190:91–99CrossRefPubMed Bruun JM, Pedersen SB, Kristensen K, Richelsen B (2002) Effects of pro-inflammatory cytokines and chemokines on leptin production in human adipose tissue in vitro. Mol Cell Endocrinol 190:91–99CrossRefPubMed
33.
Zurück zum Zitat Pausova Z, Deslauriers B, Gaudet D et al (2000) Role of tumor necrosis factor-α gene locus in obesity and obesity-associated hypertension in French Canadians. Hypertension 36:14–19PubMed Pausova Z, Deslauriers B, Gaudet D et al (2000) Role of tumor necrosis factor-α gene locus in obesity and obesity-associated hypertension in French Canadians. Hypertension 36:14–19PubMed
34.
Zurück zum Zitat Fernandez-Real JM, Vendrell J, Ricart W et al (2000) Polymorphism of the TNF-α receptor 2 gene is associated with obesity, leptin levels, and insulin resistance in young subjects and diet-treated type 2 diabetic patients. Diabetes Care 23:831–837PubMedCrossRef Fernandez-Real JM, Vendrell J, Ricart W et al (2000) Polymorphism of the TNF-α receptor 2 gene is associated with obesity, leptin levels, and insulin resistance in young subjects and diet-treated type 2 diabetic patients. Diabetes Care 23:831–837PubMedCrossRef
35.
Zurück zum Zitat Argiles JM, Busquets S, Lopez-Soriano FJ (2003) Cytokines in the pathogenesis of cancer cachexia. Curr Opin Clin Nutr Metab Care 6:401–406CrossRefPubMed Argiles JM, Busquets S, Lopez-Soriano FJ (2003) Cytokines in the pathogenesis of cancer cachexia. Curr Opin Clin Nutr Metab Care 6:401–406CrossRefPubMed
36.
Zurück zum Zitat Dandona P, Mohanty P, Ghanim H et al (2001) The suppressive effect of dietary restriction and weight loss in the obese on the generation of reactive oxygen species by leukocytes, lipid peroxidation, and protein carbonylation. J Clin Endocrinol Metab 86:355–362CrossRefPubMed Dandona P, Mohanty P, Ghanim H et al (2001) The suppressive effect of dietary restriction and weight loss in the obese on the generation of reactive oxygen species by leukocytes, lipid peroxidation, and protein carbonylation. J Clin Endocrinol Metab 86:355–362CrossRefPubMed
37.
Zurück zum Zitat Charlesworth JA, Peake PW, Campbell LV, Pussell BA, O’Grady S, Tzilopoulos T (1998) The influence of oral lipid loads on acylation stimulating protein (ASP) in healthy volunteers. Int J Obes Relat Metab Disord 22:1096–1102CrossRefPubMed Charlesworth JA, Peake PW, Campbell LV, Pussell BA, O’Grady S, Tzilopoulos T (1998) The influence of oral lipid loads on acylation stimulating protein (ASP) in healthy volunteers. Int J Obes Relat Metab Disord 22:1096–1102CrossRefPubMed
38.
Zurück zum Zitat Koistinen HA, Vidal H, Karonen SL et al (2001) Plasma acylation stimulating protein concentration and subcutaneous adipose tissue C3 mRNA expression in nondiabetic and type 2 diabetic men. Arterioscler Thromb Vasc Biol 21:1034–1039PubMed Koistinen HA, Vidal H, Karonen SL et al (2001) Plasma acylation stimulating protein concentration and subcutaneous adipose tissue C3 mRNA expression in nondiabetic and type 2 diabetic men. Arterioscler Thromb Vasc Biol 21:1034–1039PubMed
39.
Zurück zum Zitat Halkes CJ, van Dijk H, de Jaegere PP et al (2001) Postprandial increase of complement component 3 in normolipidemic patients with coronary artery disease: effects of expanded-dose simvastatin. Arterioscler Thromb Vasc Biol 21:1526–1530PubMedCrossRef Halkes CJ, van Dijk H, de Jaegere PP et al (2001) Postprandial increase of complement component 3 in normolipidemic patients with coronary artery disease: effects of expanded-dose simvastatin. Arterioscler Thromb Vasc Biol 21:1526–1530PubMedCrossRef
40.
Zurück zum Zitat Yilmazer M, Fenkci V, Fenkci S, Aktepe O, Sonmezer M, Kurtay G (2003) Association of serum complement (C3, C4) and immunoglobulin (IgG, IgM) levels with hormone replacement therapy in healthy post-menopausal women. Hum Reprod 18:1531–1535CrossRefPubMed Yilmazer M, Fenkci V, Fenkci S, Aktepe O, Sonmezer M, Kurtay G (2003) Association of serum complement (C3, C4) and immunoglobulin (IgG, IgM) levels with hormone replacement therapy in healthy post-menopausal women. Hum Reprod 18:1531–1535CrossRefPubMed
Metadaten
Titel
Weight gain in relation to plasma levels of complement factor 3: results from a population-based cohort study
verfasst von
G. Engström
B. Hedblad
L. Janzon
F. Lindgärde
Publikationsdatum
01.12.2005
Verlag
Springer-Verlag
Erschienen in
Diabetologia / Ausgabe 12/2005
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-005-0021-6

Weitere Artikel der Ausgabe 12/2005

Diabetologia 12/2005 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.