Circulating and Adipose Tissue mRNA Levels of Zinc-?2-Glycoprotein, Leptin, High-Molecular-Weight Adiponectin, and Tumor Necrosis Factor-Alpha in Colorectal Cancer Patients With or Without Obesity.
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ABSTRACT: To explore zinc-?2-glycoprotein (ZAG), leptin, high-molecular-weight adiponectin (HMW-ADPN), and tumor necrosis factor-alpha (TNF-?) levels in serum and subcutaneous and visceral white adipose tissue (sWAT and vWAT) among normal weight (NW) and overweight/obese (OW/OB) patients with colorectal cancer (CRC).A total of 76 Chinese CRC patients (42 NW?+?CRC, 34 OW/OB?+?CRC) and 40 healthy controls were recruited. Serum levels of the adipokines of interest were measured by an enzyme-linked immunosorbent assay method, and their mRNA levels in sWAT and vWAT were determined by reverse transcription quantitative PCR methods.Serum ZAG levels in the NW?+?CRC group were significantly increased by 11.7% compared with the healthy controls. Serum leptin levels in the OW/OB?+?CRC group were found to be increased by 57.7%, while HMW-ADPN levels were decreased by 23.5% when compared with the NW?+?CRC group of CRC patients. Additionally, ZAG mRNA levels in sWAT were significantly reduced by 78.8% in OB?+?CRC in comparison with NW?+?CRC patients. ZAG mRNA levels were negatively associated with body mass index (BMI) in sWAT but positively correlated with BMI in vWAT. TNF-? mRNA levels in vWAT of OB?+?CRC patients were significantly increased by 2.8-fold when compared with NW?+?CRC patients. In particular, CRC was independently associated with serum ZAG levels. The risk of CRC in participants with high tertile serum ZAG levels was 5.84-fold higher than in those with low tertile ZAG levels after adjusting for age, gender, and other confounders [odds ratio (OR)?=?6.84, 95% confidence interval (CI) 1.70-27.54, P?=?0.03]. The CRC risk in participants with high tertile leptin levels was only 10.7% of those with low tertile leptin levels (OR?=?0.11, 95% CI 0.01-0.89, P?=?0.04). The area under the receiver operating characteristic (ROC) curve of ZAG was 0.66 (95% CI 0.54-0.77, P?
SUBMITTER: Zhu H
PROVIDER: S-EPMC5932179 | biostudies-literature | 2018
REPOSITORIES: biostudies-literature
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