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Arteriosclerosis, Thrombosis, and Vascular Biology. 2000;20:1595-1599

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2000;20:1595.)
© 2000 American Heart Association, Inc.


Atherosclerosis and Lipoproteins

Plasma Concentrations of a Novel, Adipose-Specific Protein, Adiponectin, in Type 2 Diabetic Patients

Kikuko Hotta; Tohru Funahashi; Yukio Arita; Masahiko Takahashi; Morihiro Matsuda; Yoshihisa Okamoto; Hiromi Iwahashi; Hiroshi Kuriyama; Noriyuki Ouchi; Kazuhisa Maeda; Makoto Nishida; Shinji Kihara; Naohiko Sakai; Tadahisa Nakajima; Kyoichi Hasegawa; Masahiro Muraguchi; Yasukazu Ohmoto; Tadashi Nakamura; Shizuya Yamashita; Toshiaki Hanafusa; Yuji Matsuzawa

From the Department of Internal Medicine and Molecular Science (K. Hotta, T.F., Y.A., M.T., M. Matsuda, Y. Okamoto, H.I., H.K., N.O., K.M., M.N., S.K., N.S., T. Nakamura, S.Y., T.H., Y.M.), Graduate School of Medicine, Osaka University, Osaka, Japan; the Toyonaka City Hospital (T. Nakajima), Osaka, Japan; the Health Administration Department (K. Hasegawa), ITOCHU Corporation, Osaka, Japan; and the Cellular Technology Institute (M. Muraguchi, Y. Ohmoto), Otsuka Pharmaceutical Co, Ltd., Tokushima, Japan.

Correspondence to Kikuko Hotta, MD, PhD, Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan. E-mail khotta{at}imed2.med.osaka-u.ac.jp

Abstract—Adiponectin is a novel, adipose-specific protein abundantly present in the circulation, and it has antiatherogenic properties. We analyzed the plasma adiponectin concentrations in age- and body mass index (BMI)–matched nondiabetic and type 2 diabetic subjects with and without coronary artery disease (CAD). Plasma levels of adiponectin in the diabetic subjects without CAD were lower than those in nondiabetic subjects (6.6±0.4 versus 7.9±0.5 µg/mL in men, 7.6±0.7 versus 11.7±1.0 µg/mL in women; P<0.001). The plasma adiponectin concentrations of diabetic patients with CAD were lower than those of diabetic patients without CAD (4.0±0.4 versus 6.6±0.4 µg/mL, P<0.001 in men; 6.3±0.8 versus 7.6±0.7 µg/mL in women). In contrast, plasma levels of leptin did not differ between diabetic patients with and without CAD. The presence of microangiopathy did not affect the plasma adiponectin levels in diabetic patients. Significant, univariate, inverse correlations were observed between adiponectin levels and fasting plasma insulin (r=-0.18, P<0.01) and glucose (r=-0.26, P<0.001) levels. In multivariate analysis, plasma insulin did not independently affect the plasma adiponectin levels. BMI, serum triglyceride concentration, and the presence of diabetes or CAD remained significantly related to plasma adiponectin concentrations. Weight reduction significantly elevated plasma adiponectin levels in the diabetic subjects as well as the nondiabetic subjects. These results suggest that the decreased plasma adiponectin concentrations in diabetes may be an indicator of macroangiopathy.


Key Words: adiponectin • diabetes mellitus • coronary artery disease • adipose tissue




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B. Chandrasekar, D. N. Patel, S. Mummidi, J.-w. Kim, R. A. Clark, and A. J. Valente
Interleukin-18 Suppresses Adiponectin Expression in 3T3-L1 Adipocytes via a Novel Signal Transduction Pathway Involving ERK1/2-dependent NFATc4 Phosphorylation
J. Biol. Chem., February 15, 2008; 283(7): 4200 - 4209.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
M. Kratz, M. M Swarbrick, H. S Callahan, C. C Matthys, P. J Havel, and D. S Weigle
Effect of dietary n-3 polyunsaturated fatty acids on plasma total and high-molecular-weight adiponectin concentrations in overweight to moderately obese men and women
Am. J. Clinical Nutrition, February 1, 2008; 87(2): 347 - 353.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
S. Patel, A. Flyvbjerg, M. Kozakova, J. Frystyk, I. M. Ibrahim, J. R. Petrie, P. J. Avery, E. Ferrannini, M. Walker, and the RISC Investigators
Variation in the ADIPOQ gene promoter is associated with carotid intima media thickness independent of plasma adiponectin levels in healthy subjects
Eur. Heart J., February 1, 2008; 29(3): 386 - 393.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
M. E. Spurlock and N. K. Gabler
The Development of Porcine Models of Obesity and the Metabolic Syndrome
J. Nutr., February 1, 2008; 138(2): 397 - 402.
[Abstract] [Full Text] [PDF]


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StrokeHome page
M. Matsumoto, S. Ishikawa, and E. Kajii
Association of Adiponectin With Cerebrovascular Disease: A Nested Case-Control Study
Stroke, February 1, 2008; 39(2): 323 - 328.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
R. Li, W.-Q. Wang, H. Zhang, X. Yang, Q. Fan, T. A. Christopher, B. L. Lopez, L. Tao, B. J. Goldstein, F. Gao, et al.
Adiponectin improves endothelial function in hyperlipidemic rats by reducing oxidative/nitrative stress and differential regulation of eNOS/iNOS activity
Am J Physiol Endocrinol Metab, December 1, 2007; 293(6): E1703 - E1708.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
S. Ahmadizad, A. H. Haghighi, and M. R. Hamedinia
Effects of resistance versus endurance training on serum adiponectin and insulin resistance index
Eur. J. Endocrinol., November 1, 2007; 157(5): 625 - 631.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
M. H Rokling-Andersen, J. E Reseland, M. B Veierod, S. A Anderssen, D. R Jacobs Jr, P. Urdal, J.-O. Jansson, and C. A Drevon
Effects of long-term exercise and diet intervention on plasma adipokine concentrations
Am. J. Clinical Nutrition, November 1, 2007; 86(5): 1293 - 1301.
[Abstract] [Full Text] [PDF]


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Am J EpidemiolHome page
D. M. Maahs, L. G. Ogden, J. K. Snell-Bergeon, G. L. Kinney, R. P. Wadwa, J. E. Hokanson, D. Dabelea, A. Kretowski, R. H. Eckel, and M. Rewers
Determinants of Serum Adiponectin in Persons with and without Type 1 Diabetes
Am. J. Epidemiol., September 15, 2007; 166(6): 731 - 740.
[Abstract] [Full Text] [PDF]


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Diabetes and Vascular Disease ResearchHome page
J. P. Wilding, I. Gause-Nilsson, and A. Persson
Tesaglitazar, as add-on therapy to sulphonylurea, dose-dependently improves glucose and lipid abnormalities in patients with type 2 diabetes
Diabetes and Vascular Disease Research, September 1, 2007; 4(3): 194 - 203.
[Abstract] [PDF]


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Am. J. Clin. Nutr.Home page
D. Barb, C. J Williams, A. K Neuwirth, and C. S Mantzoros
Adiponectin in relation to malignancies: a review of existing basic research and clinical evidence
Am. J. Clinical Nutrition, September 1, 2007; 86(3): 858S - 866S.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
K. Ohashi, H. Iwatani, S. Kihara, Y. Nakagawa, N. Komura, K. Fujita, N. Maeda, M. Nishida, F. Katsube, I. Shimomura, et al.
Exacerbation of Albuminuria and Renal Fibrosis in Subtotal Renal Ablation Model of Adiponectin-Knockout Mice
Arterioscler Thromb Vasc Biol, September 1, 2007; 27(9): 1910 - 1917.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
W.-S. Yang, Y.-C. Yang, C.-L. Chen, I-L. Wu, J.-Y. Lu, F.-H. Lu, T.-Y. Tai, and C.-J. Chang
Adiponectin SNP276 is associated with obesity, the metabolic syndrome, and diabetes in the elderly
Am. J. Clinical Nutrition, August 1, 2007; 86(2): 509 - 513.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
S.-K. Kim, K.-Y. Hur, H.-J. Kim, W.-S. Shim, C.-W. Ahn, S.-W. Park, Y.-W. Cho, S.-K. Lim, H.-C. Lee, and B.-S. Cha
The increase in abdominal subcutaneous fat depot is an independent factor to determine the glycemic control after rosiglitazone treatment
Eur. J. Endocrinol., August 1, 2007; 157(2): 167 - 174.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
A. E Schutte, H. W Huisman, R. Schutte, L. Malan, J. M van Rooyen, N. T Malan, and P. E H Schwarz
Differences and similarities regarding adiponectin investigated in African and Caucasian women
Eur. J. Endocrinol., August 1, 2007; 157(2): 181 - 188.
[Abstract] [Full Text] [PDF]


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J EndocrinolHome page
G. Yuan, X. Chen, Q. Ma, J. Qiao, R. Li, X. Li, S. Li, J. Tang, L. Zhou, H. Song, et al.
C-reactive protein inhibits adiponectin gene expression and secretion in 3T3-L1 adipocytes
J. Endocrinol., August 1, 2007; 194(2): 275 - 281.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
R. Muniyappa, M. Montagnani, K. K. Koh, and M. J. Quon
Cardiovascular Actions of Insulin
Endocr. Rev., August 1, 2007; 28(5): 463 - 491.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
M. Cesari, K. Narkiewicz, R. De Toni, E. Aldighieri, C. J. Williams, and G. P. Rossi
Heritability of Plasma Adiponectin Levels and Body Mass Index in Twins
J. Clin. Endocrinol. Metab., August 1, 2007; 92(8): 3082 - 3088.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
A. J. G. Hanley, D. Bowden, L. E. Wagenknecht, A. Balasubramanyam, C. Langfeld, M. F. Saad, J. I. Rotter, X. Guo, Y.-D. I. Chen, M. Bryer-Ash, et al.
Associations of Adiponectin with Body Fat Distribution and Insulin Sensitivity in Nondiabetic Hispanics and African-Americans
J. Clin. Endocrinol. Metab., July 1, 2007; 92(7): 2665 - 2671.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
J. Jurimae and T. Jurimae
Plasma adiponectin concentration in healthy pre- and postmenopausal women: relationship with body composition, bone mineral, and metabolic variables
Am J Physiol Endocrinol Metab, July 1, 2007; 293(1): E42 - E47.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
S. Otabe, X. Yuan, T. Fukutani, N. Wada, T. Hashinaga, H. Nakayama, N. Hirota, M. Kojima, and K. Yamada
Overexpression of human adiponectin in transgenic mice results in suppression of fat accumulation and prevention of premature death by high-calorie diet
Am J Physiol Endocrinol Metab, July 1, 2007; 293(1): E210 - E218.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
V. B. O'Leary, A. E. Jorett, C. M. Marchetti, F. Gonzalez, S. A. Phillips, T. P. Ciaraldi, and J. P. Kirwan
Enhanced adiponectin multimer ratio and skeletal muscle adiponectin receptor expression following exercise training and diet in older insulin-resistant adults
Am J Physiol Endocrinol Metab, July 1, 2007; 293(1): E421 - E427.
[Abstract] [Full Text] [PDF]


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J PsychopharmacolHome page
G.D. Cooper, L.C. Pickavance, J.P.H. Wilding, J.A. HarroLd, J.C.G. HaLford, and A.J. Goudie
Effects of olanzapine in male rats: enhanced adiposity in the absence of hyperphagia, weight gain or metabolic abnormalities
J Psychopharmacol, June 1, 2007; 21(4): 405 - 413.
[Abstract] [PDF]


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NeurologyHome page
O. Y. Bang, J. L. Saver, B. Ovbiagele, Y. J. Choi, S. R. Yoon, and K. H. Lee
Adiponectin levels in patients with intracranial atherosclerosis
Neurology, May 29, 2007; 68(22): 1931 - 1937.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
C. Menzaghi, V. Trischitta, and A. Doria
Genetic Influences of Adiponectin on Insulin Resistance, Type 2 Diabetes, and Cardiovascular Disease
Diabetes, May 1, 2007; 56(5): 1198 - 1209.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
R. Jaumdally, C. Varma, R. J. Macfadyen, and G. Y.H. Lip
Coronary sinus blood sampling: an insight into local cardiac pathophysiology and treatment?
Eur. Heart J., April 2, 2007; 28(8): 929 - 940.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
A. Wiecek, M. Adamczak, and J. Chudek
Adiponectin--an adipokine with unique metabolic properties
Nephrol. Dial. Transplant., April 1, 2007; 22(4): 981 - 988.
[Full Text] [PDF]


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DiabetesHome page
N. Hosogai, A. Fukuhara, K. Oshima, Y. Miyata, S. Tanaka, K. Segawa, S. Furukawa, Y. Tochino, R. Komuro, M. Matsuda, et al.
Adipose Tissue Hypoxia in Obesity and Its Impact on Adipocytokine Dysregulation
Diabetes, April 1, 2007; 56(4): 901 - 911.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
C.-C. Juan, T.-Y. Chuang, C.-L. Chang, S.-W. Huang, and L.-T. Ho
Endothelin-1 Regulates Adiponectin Gene Expression and Secretion in 3T3-L1 Adipocytes via Distinct Signaling Pathways
Endocrinology, April 1, 2007; 148(4): 1835 - 1842.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
I. B. Bauche, S. A. El Mkadem, A.-M. Pottier, M. Senou, M.-C. Many, R. Rezsohazy, L. Penicaud, N. Maeda, T. Funahashi, and S. M. Brichard
Overexpression of Adiponectin Targeted to Adipose Tissue in Transgenic Mice: Impaired Adipocyte Differentiation
Endocrinology, April 1, 2007; 148(4): 1539 - 1549.
[Abstract] [Full Text] [PDF]


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Hum ReprodHome page
T. Baba, T. Endo, H. Honnma, Y. Kitajima, T. Hayashi, H. Ikeda, N. Masumori, H. Kamiya, O. Moriwaka, and T. Saito
Association between polycystic ovary syndrome and female-to-male transsexuality
Hum. Reprod., April 1, 2007; 22(4): 1011 - 1016.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
P. E. Szmitko, H. Teoh, D. J. Stewart, and S. Verma
Adiponectin and cardiovascular disease: state of the art?
Am J Physiol Heart Circ Physiol, April 1, 2007; 292(4): H1655 - H1663.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
T. A. Hopkins, N. Ouchi, R. Shibata, and K. Walsh
Adiponectin actions in the cardiovascular system
Cardiovasc Res, April 1, 2007; 74(1): 11 - 18.
[Abstract] [Full Text] [PDF]


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CirculationHome page
L. Tao, E. Gao, X. Jiao, Y. Yuan, S. Li, T. A. Christopher, B. L. Lopez, W. Koch, L. Chan, B. J. Goldstein, et al.
Adiponectin Cardioprotection After Myocardial Ischemia/Reperfusion Involves the Reduction of Oxidative/Nitrative Stress
Circulation, March 20, 2007; 115(11): 1408 - 1416.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
R. P F Dullaart, R. de Vries, A. van Tol, and W. J Sluiter
Lower plasma adiponectin is a marker of increased intima-media thickness associated with type 2 diabetes mellitus and with male gender
Eur. J. Endocrinol., March 1, 2007; 156(3): 387 - 394.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
K. G. Tolman, V. Fonseca, A. Dalpiaz, and M. H. Tan
Spectrum of Liver Disease in Type 2 Diabetes and Management of Patients With Diabetes and Liver Disease
Diabetes Care, March 1, 2007; 30(3): 734 - 743.
[Full Text] [PDF]


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DiabetesHome page
M. Bjursell, A. Ahnmark, M. Bohlooly-Y, L. William-Olsson, M. Rhedin, X.-R. Peng, K. Ploj, A.-K. Gerdin, G. Arnerup, A. Elmgren, et al.
Opposing Effects of Adiponectin Receptors 1 and 2 on Energy Metabolism
Diabetes, March 1, 2007; 56(3): 583 - 593.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
S. H. Han, M. J. Quon, J.-a Kim, and K. K. Koh
Adiponectin and Cardiovascular Disease: Response to Therapeutic Interventions
J. Am. Coll. Cardiol., February 6, 2007; 49(5): 531 - 538.
[Abstract] [Full Text] [PDF]