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The Journal of Clinical Endocrinology & Metabolism Vol. 88, No. 3 1055-1058
Copyright © 2003 by The Endocrine Society

Association of Low Interleukin-10 Levels with the Metabolic Syndrome in Obese Women

Katherine Esposito, Alessandro Pontillo, Francesco Giugliano, Giovanni Giugliano, Raffaele Marfella, Gianfranco Nicoletti and Dario Giugliano

Center for Obesity Management (K.E., A.P., F.G.), Department of Geriatrics and Metabolic Diseases, Cardiovascular Research Center (R.M., D.G.), and Chair of Plastic and Reconstructive Surgery (G.G., G.N.), Second University of Naples, 80138 Naples, Italy

Address all correspondence and requests for reprints to: Dr. Katherine Esposito, Dipartimento di Geriatria e Malattie del Metabolismo, Policlinico della Seconda Università di Napoli, Piazza Miraglia, 80138 Naples, Italy. E-mail: katherine.esposito{at}unina2.it.

The potential role of anti-inflammatory cytokines in human obesity is unknown. We tested the hypothesis that low serum IL-10 concentrations associate with the metabolic syndrome in obese women. Compared with 50 matched nonobese women, the prevalence of the metabolic syndrome (>=3 of the following abnormalities: waist circumference, >88 cm; triglycerides, >1.69 mmol/liter; high density lipoprotein cholesterol, <1.29 mmol/liter; blood pressure, >130/85 mm Hg; glucose, >6.1 mmol/liter) was higher in 50 obese women (52% vs. 16%; P < 0.01). As a group, obese women had higher circulating levels of IL-6, C-reactive protein, and IL-10 than nonobese women. In both obese and nonobese women, IL-10 levels were lower in those with than in women without the metabolic syndrome: obese, 1.3 (0.7/2.1) pg/ml vs. 4.5 (4.3/7.4) pg/ml (median and quartiles; P < 0.01); and nonobese, 0.9 (0.7/1.3) pg/ml vs. 1.3 (0.9/3.3) pg/ml (P < 0.05). After 12 months of a lifestyle program, body weight decreased by 10.9 ± 1.7 kg and was associated with a significant decrement of IL-6, C-reactive protein, and IL-10 levels; the decrease in IL-10 levels was confined to obese women without the metabolic syndrome. These results show that circulating levels of the anti-inflammatory cytokine IL-10 are elevated in obese women and that low IL-10 levels are associated with the metabolic syndrome.

Abbreviations: BMI, Body mass index; CRP, C-reactive protein; HDL, high density lipoprotein; WHR, waist to hip ratio.




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