ECE2018 Guided Posters Diabetes Translational (12 abstracts)
1Institut dInvestigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain; 2Hospital Germans Trias i Pujol, Barcelona, Spain; 3Hospital Sant Joan de Déu, Barcelona, Spain.
Background: Obesity can lead type 2 diabetes (T2D), however there are patients with obesity who present euglycemia. The mechanisms by which T2D appears have not been fully elucidated. Oncostatin m (OSM) is a proinflammatory cytokine, member of the IL-6 family, which is increased in obesity in mice and humans, and impairs browning in mice. Here, we aim at evaluating the potential role of OSM in the development of T2D in patients with obesity.
Material and methods: A cohort of 25 patients across a range of BMI (2460 kg/m2) were recruited for this study. Patients were classified in 3 groups according to clinical data: 1) Healthy normal-weight controls; 2) Normoglycemic obesity (fasting glycemia <100 mg/dl); 3) Hyperglycemic obesity (fasting glycemia >100 mg/dl). Subcutaneous white adipose tissue (sWAT) was collected for RNA analysis.
Results: As expected, we found that OSM mRNA levels increased in sWAT from patients with obesity compared to healthy controls. Moreover, we observed for the first time that OSM mRNA expression was elevated in patients with obesity who had hyperglycemia compared to those who had obesity but normal glucose values (P=0.04). In addition, a direct correlation was found between OSM gene expression and insulin and triglyceride levels.
Conclusions: Low-grade chronic inflammation during obesity may lead to the development of T2D. OSM is a cytokine with an important role in several inflammatory diseases. Here, we propose that this cytokine could also be involved in the development of insulin resistance. Therefore, OSM might be a novel target molecule for the prevention/treatment of T2D associated to obesity.