Abdominal Obesity-Related Disturbance of Insulin Sensitivity Is Associated with CD8+ EMRA Cells in the Elderly

Research output: Contribution to journalArticleResearchpeer review

Authors

  • Tim K. Boßlau
  • Paulina Wasserfurth
  • Britta Krüger
  • Thomas Reichel
  • Jana Palmowski
  • Josefine Nebl
  • Christopher Weyh
  • Alexander Schenk
  • Niklas Joisten
  • Frank Stahl
  • Stefanie Thoms
  • Kristina Gebhardt
  • Andreas Hahn
  • Karsten Krüger

External Research Organisations

  • Justus Liebig University Giessen
  • TU Dortmund University
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Details

Original languageEnglish
Article number998
JournalCells
Volume10
Issue number5
Publication statusPublished - 23 Apr 2021

Abstract

Aging and overweight increase the risk of developing type 2 diabetes mellitus. In this cross-sectional study, we aimed to investigate the potential mediating role of T-EMRA cells and inflammatory markers in the development of a decreased insulin sensitivity. A total of 134 healthy older volunteers were recruited (age 59.2 (SD 5.6) years). T cell subpopulations were analyzed by flow cytometry. Furthermore, body composition, HOMA-IR, plasma tryptophan (Trp) metabolites, as well as cytokines and adipokines were determined. Using subgroup and covariance analyses, the influence of BMI on the parameters was evaluated. Moreover, correlation, multiple regression, and mediation analyses were performed. In the subgroup of participants with obesity, an increased proportion of CD8+EMRA cells and elevated concentrations of plasma kynurenine (KYN) were found compared to the lower-weight subgroups. Linear regression analysis revealed that an elevated HOMA-IR could be predicted by a higher proportion of CD8+EMRA cells and KYN levels. A mediation analysis showed a robust indirect effect of the Waist-to-hip ratio on HOMA-IR mediated by CD8+EMRA cells. Thus, the deleterious effects of abdominal obesity on glucose metabolism might be mediated by CD8+EMRA cells in the elderly. Longitudinal studies should validate this assumption and analyze the suitability of CD8+EMRA cells as early predictors of incipient prediabetes.

Keywords

    T-EMRA cells, elderly, insulin resistance, kynurenine pathway, obesity, Obesity, T‐EMRA cells, Insulin resistance, Elderly, Kynurenine pathway

ASJC Scopus subject areas

Sustainable Development Goals

Cite this

Abdominal Obesity-Related Disturbance of Insulin Sensitivity Is Associated with CD8+ EMRA Cells in the Elderly. / Boßlau, Tim K.; Wasserfurth, Paulina; Krüger, Britta et al.
In: Cells, Vol. 10, No. 5, 998, 23.04.2021.

Research output: Contribution to journalArticleResearchpeer review

Boßlau, TK, Wasserfurth, P, Krüger, B, Reichel, T, Palmowski, J, Nebl, J, Weyh, C, Schenk, A, Joisten, N, Stahl, F, Thoms, S, Gebhardt, K, Hahn, A & Krüger, K 2021, 'Abdominal Obesity-Related Disturbance of Insulin Sensitivity Is Associated with CD8+ EMRA Cells in the Elderly', Cells, vol. 10, no. 5, 998. https://doi.org/10.3390/cells10050998
Boßlau, T. K., Wasserfurth, P., Krüger, B., Reichel, T., Palmowski, J., Nebl, J., Weyh, C., Schenk, A., Joisten, N., Stahl, F., Thoms, S., Gebhardt, K., Hahn, A., & Krüger, K. (2021). Abdominal Obesity-Related Disturbance of Insulin Sensitivity Is Associated with CD8+ EMRA Cells in the Elderly. Cells, 10(5), Article 998. https://doi.org/10.3390/cells10050998
Boßlau TK, Wasserfurth P, Krüger B, Reichel T, Palmowski J, Nebl J et al. Abdominal Obesity-Related Disturbance of Insulin Sensitivity Is Associated with CD8+ EMRA Cells in the Elderly. Cells. 2021 Apr 23;10(5):998. doi: 10.3390/cells10050998
Boßlau, Tim K. ; Wasserfurth, Paulina ; Krüger, Britta et al. / Abdominal Obesity-Related Disturbance of Insulin Sensitivity Is Associated with CD8+ EMRA Cells in the Elderly. In: Cells. 2021 ; Vol. 10, No. 5.
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abstract = "Aging and overweight increase the risk of developing type 2 diabetes mellitus. In this cross-sectional study, we aimed to investigate the potential mediating role of T-EMRA cells and inflammatory markers in the development of a decreased insulin sensitivity. A total of 134 healthy older volunteers were recruited (age 59.2 (SD 5.6) years). T cell subpopulations were analyzed by flow cytometry. Furthermore, body composition, HOMA-IR, plasma tryptophan (Trp) metabolites, as well as cytokines and adipokines were determined. Using subgroup and covariance analyses, the influence of BMI on the parameters was evaluated. Moreover, correlation, multiple regression, and mediation analyses were performed. In the subgroup of participants with obesity, an increased proportion of CD8+EMRA cells and elevated concentrations of plasma kynurenine (KYN) were found compared to the lower-weight subgroups. Linear regression analysis revealed that an elevated HOMA-IR could be predicted by a higher proportion of CD8+EMRA cells and KYN levels. A mediation analysis showed a robust indirect effect of the Waist-to-hip ratio on HOMA-IR mediated by CD8+EMRA cells. Thus, the deleterious effects of abdominal obesity on glucose metabolism might be mediated by CD8+EMRA cells in the elderly. Longitudinal studies should validate this assumption and analyze the suitability of CD8+EMRA cells as early predictors of incipient prediabetes.",
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AU - Boßlau, Tim K.

AU - Wasserfurth, Paulina

AU - Krüger, Britta

AU - Reichel, Thomas

AU - Palmowski, Jana

AU - Nebl, Josefine

AU - Weyh, Christopher

AU - Schenk, Alexander

AU - Joisten, Niklas

AU - Stahl, Frank

AU - Thoms, Stefanie

AU - Gebhardt, Kristina

AU - Hahn, Andreas

AU - Krüger, Karsten

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N2 - Aging and overweight increase the risk of developing type 2 diabetes mellitus. In this cross-sectional study, we aimed to investigate the potential mediating role of T-EMRA cells and inflammatory markers in the development of a decreased insulin sensitivity. A total of 134 healthy older volunteers were recruited (age 59.2 (SD 5.6) years). T cell subpopulations were analyzed by flow cytometry. Furthermore, body composition, HOMA-IR, plasma tryptophan (Trp) metabolites, as well as cytokines and adipokines were determined. Using subgroup and covariance analyses, the influence of BMI on the parameters was evaluated. Moreover, correlation, multiple regression, and mediation analyses were performed. In the subgroup of participants with obesity, an increased proportion of CD8+EMRA cells and elevated concentrations of plasma kynurenine (KYN) were found compared to the lower-weight subgroups. Linear regression analysis revealed that an elevated HOMA-IR could be predicted by a higher proportion of CD8+EMRA cells and KYN levels. A mediation analysis showed a robust indirect effect of the Waist-to-hip ratio on HOMA-IR mediated by CD8+EMRA cells. Thus, the deleterious effects of abdominal obesity on glucose metabolism might be mediated by CD8+EMRA cells in the elderly. Longitudinal studies should validate this assumption and analyze the suitability of CD8+EMRA cells as early predictors of incipient prediabetes.

AB - Aging and overweight increase the risk of developing type 2 diabetes mellitus. In this cross-sectional study, we aimed to investigate the potential mediating role of T-EMRA cells and inflammatory markers in the development of a decreased insulin sensitivity. A total of 134 healthy older volunteers were recruited (age 59.2 (SD 5.6) years). T cell subpopulations were analyzed by flow cytometry. Furthermore, body composition, HOMA-IR, plasma tryptophan (Trp) metabolites, as well as cytokines and adipokines were determined. Using subgroup and covariance analyses, the influence of BMI on the parameters was evaluated. Moreover, correlation, multiple regression, and mediation analyses were performed. In the subgroup of participants with obesity, an increased proportion of CD8+EMRA cells and elevated concentrations of plasma kynurenine (KYN) were found compared to the lower-weight subgroups. Linear regression analysis revealed that an elevated HOMA-IR could be predicted by a higher proportion of CD8+EMRA cells and KYN levels. A mediation analysis showed a robust indirect effect of the Waist-to-hip ratio on HOMA-IR mediated by CD8+EMRA cells. Thus, the deleterious effects of abdominal obesity on glucose metabolism might be mediated by CD8+EMRA cells in the elderly. Longitudinal studies should validate this assumption and analyze the suitability of CD8+EMRA cells as early predictors of incipient prediabetes.

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KW - Kynurenine pathway

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