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Hypertension. 2008;51:e12
Published online before print January 2, 2008, doi: 10.1161/HYPERTENSIONAHA.107.102053
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(Hypertension. 2008;51:e12.)
© 2008 American Heart Association, Inc.


Letters to the Editor

Response to Resistin, Glomerular Filtration Rate, and Insulin Resistance

Allison A. Ellington; A. Rauoof Malik; George G. Klee; Iftikhar J. Kullo

Mayo Clinic, Rochester, Minn

Yasuharu et al1 found an inverse association between plasma resistin and estimated glomerular filtration rate in a community-based cohort of Japanese individuals, findings that are consistent with our report.2 Furthermore, they observed plasma resistin to be a significant determinant of the homeostasis model assessment of insulin resistance, independent of estimated glomerular filtration rate. We also noted plasma resistin to be correlated with the homeostasis model assessment of insulin resistance after adjustment for age in blacks ({rho}=0.11; P=0.002), as well as in whites ({rho}=0.09; P=0.027). However, after adjustment for age, sex, estimated glomerular filtration rate, and body mass index, plasma resistin was not significantly associated with the homeostasis model assessment of insulin resistance in either ethnic group (β±SE=0.05±0.06, P=0.44 in blacks and β±SE=–0.08±0.05, P=0.096 in whites). Although some previous studies3,4 have reported an association between resistin and insulin resistance, others5 have not been able to demonstrate any such association. Therefore, the finding by Yasuharu et al1 that, in subjects without chronic kidney diseases, plasma resistin reflects insulin resistance status independent of renal function needs further confirmation.


*    Acknowledgments
 
Sources of Funding

This work was supported by grants HL-81331 and M01 RR00585 from the National Institutes of Health.

Disclosures

None.


*    References
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*References
 
1. Tabara Y, Igase M, Osawa H, Makino H, Miki T, Kohara K. Resistin, glomerular filtration rate, and insulin resistance. Hypertension. 2008; 51: e11.[Free Full Text]

2. Ellington AA, Malik AR, Klee GG, Turner ST, Rule AD, Mosley TH Jr, Kullo IJ. Association of plasma resistin with glomerular filtration rate and albuminuria in hypertensive adults. Hypertension. 2007; 50: 708–714.[Abstract/Free Full Text]

3. Silha JV, Krsek M, Skrha JV, Sucharda P, Nyomba BL, Murphy LJ. Plasma resistin, adiponectin and leptin levels in lean and obese subjects: correlations with insulin resistance. Eur J Endocrinol. 2003; 149: 331–335.[Abstract]

4. Ohmori R, Momiyama Y, Kato R, Taniguchi H, Ogura M, Ayaori M, Nakamura H, Ohsuzu F. Associations between serum resistin levels and insulin resistance, inflammation, and coronary artery disease. J Am Coll Cardiol. 2005; 46: 379–380.[Free Full Text]

5. Burnett MS, Devaney JM, Adenika RJ, Lindsay R, Howard BV. Cross-sectional associations of resistin, coronary heart disease, and insulin resistance. J Clin Endocrinol Metab. 2006; 91: 64–68.[Abstract/Free Full Text]





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HYPERTENSIONAHA.107.102053v1
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