The Serum Concentrations of Hedgehog-Interacting Protein, a Novel Biomarker, Were Decreased in Overweight or Obese Subjects

Although it was known that obesity is an independent risk factor for metabolic disorders including diabetes, the factors that link these diseases were obscure. The Hedgehog-interacting protein (Hhip) is a negative regulator in tissue remodeling, and inhibits the proliferation of adipocytes, and prom...

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Main Authors: Hsuan-Wen Chou, Hao-Chang Hung, Ching-Han Lin, An-Chi Lin, Ye-Fong Du, Kai-Pi Cheng, Chung-Hao Li, Chih-Jen Chang, Hung-Tsung Wu, Horng-Yih Ou
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Journal of Clinical Medicine
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Online Access:https://www.mdpi.com/2077-0383/10/4/742
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author Hsuan-Wen Chou
Hao-Chang Hung
Ching-Han Lin
An-Chi Lin
Ye-Fong Du
Kai-Pi Cheng
Chung-Hao Li
Chih-Jen Chang
Hung-Tsung Wu
Horng-Yih Ou
author_facet Hsuan-Wen Chou
Hao-Chang Hung
Ching-Han Lin
An-Chi Lin
Ye-Fong Du
Kai-Pi Cheng
Chung-Hao Li
Chih-Jen Chang
Hung-Tsung Wu
Horng-Yih Ou
author_sort Hsuan-Wen Chou
collection DOAJ
description Although it was known that obesity is an independent risk factor for metabolic disorders including diabetes, the factors that link these diseases were obscure. The Hedgehog-interacting protein (Hhip) is a negative regulator in tissue remodeling, and inhibits the proliferation of adipocytes, and promotes their differentiation. In addition, Hhip was positively associated with diabetes. However, the relationship between Hhip and obesity in the human body remains unclear. An analysis of the relationship between Hhip and normal weight, overweight, and obesity levels. Participants receiving a physical checkup were recruited. Anthropometric and biochemical data were collected. Serum Hhip levels were determined by enzyme-linked immunosorbent assay (ELISA). Subjects were classified into normal-weight, overweight, and obese groups based on their body mass index (BMI). The association between Hhip and obesity was examined by multivariate linear regression analysis. In total, 294 subjects who were either of a normal weight (<i>n</i> = 166), overweight (<i>n</i> = 90), or obese (<i>n</i> = 38) were enrolled. Hhip concentrations were 6.51 ± 4.86 ng/mL, 5.79 ± 4.33 ng/mL, and 3.97 ± 3.4 ng/mL in normal-weight, overweight, and obese groups, respectively (<i>p</i> for trend = 0.032). Moreover, the regression analysis showed that BMI (β = −0.144, 95% confidence interval (CI) = −0.397−0.046, <i>p =</i> 0.013) was negatively associated with Hhip concentrations after adjusting for sex and age. Being overweight (β = −0.181, 95% CI = −3.311−0.400, <i>p =</i> 0.013) and obese (β = −0.311, 95% CI = −6.393−2.384, <i>p</i> < 0.001) were independently associated with Hhip concentrations after adjusting for sex, age, fasting plasma glucose, the insulin level, and other cardiometabolic risk factors. Our results showed that overweight and obese subjects had lower Hhip concentrations than those of normal weight. Being overweight and obese were negatively associated with Hhip concentrations. Hhip might be a link between obesity and diabetes.
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spelling doaj.art-b25a5f912d1244b496f67645a86184af2023-12-11T16:54:18ZengMDPI AGJournal of Clinical Medicine2077-03832021-02-0110474210.3390/jcm10040742The Serum Concentrations of Hedgehog-Interacting Protein, a Novel Biomarker, Were Decreased in Overweight or Obese SubjectsHsuan-Wen Chou0Hao-Chang Hung1Ching-Han Lin2An-Chi Lin3Ye-Fong Du4Kai-Pi Cheng5Chung-Hao Li6Chih-Jen Chang7Hung-Tsung Wu8Horng-Yih Ou9Division of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, TaiwanDepartment of Health Management Center, National Cheng Kung University Hospital, National Cheng Kung University, Tainan 70403, TaiwanDepartment of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, TaiwanGraduate Institute of Metabolism and Obesity Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, TaiwanAlthough it was known that obesity is an independent risk factor for metabolic disorders including diabetes, the factors that link these diseases were obscure. The Hedgehog-interacting protein (Hhip) is a negative regulator in tissue remodeling, and inhibits the proliferation of adipocytes, and promotes their differentiation. In addition, Hhip was positively associated with diabetes. However, the relationship between Hhip and obesity in the human body remains unclear. An analysis of the relationship between Hhip and normal weight, overweight, and obesity levels. Participants receiving a physical checkup were recruited. Anthropometric and biochemical data were collected. Serum Hhip levels were determined by enzyme-linked immunosorbent assay (ELISA). Subjects were classified into normal-weight, overweight, and obese groups based on their body mass index (BMI). The association between Hhip and obesity was examined by multivariate linear regression analysis. In total, 294 subjects who were either of a normal weight (<i>n</i> = 166), overweight (<i>n</i> = 90), or obese (<i>n</i> = 38) were enrolled. Hhip concentrations were 6.51 ± 4.86 ng/mL, 5.79 ± 4.33 ng/mL, and 3.97 ± 3.4 ng/mL in normal-weight, overweight, and obese groups, respectively (<i>p</i> for trend = 0.032). Moreover, the regression analysis showed that BMI (β = −0.144, 95% confidence interval (CI) = −0.397−0.046, <i>p =</i> 0.013) was negatively associated with Hhip concentrations after adjusting for sex and age. Being overweight (β = −0.181, 95% CI = −3.311−0.400, <i>p =</i> 0.013) and obese (β = −0.311, 95% CI = −6.393−2.384, <i>p</i> < 0.001) were independently associated with Hhip concentrations after adjusting for sex, age, fasting plasma glucose, the insulin level, and other cardiometabolic risk factors. Our results showed that overweight and obese subjects had lower Hhip concentrations than those of normal weight. Being overweight and obese were negatively associated with Hhip concentrations. Hhip might be a link between obesity and diabetes.https://www.mdpi.com/2077-0383/10/4/742hedgehog-interacting proteinimpaired fasting glucoseimpaired glucose tolerancenewly diagnosed diabetesnormal glucose tolerance
spellingShingle Hsuan-Wen Chou
Hao-Chang Hung
Ching-Han Lin
An-Chi Lin
Ye-Fong Du
Kai-Pi Cheng
Chung-Hao Li
Chih-Jen Chang
Hung-Tsung Wu
Horng-Yih Ou
The Serum Concentrations of Hedgehog-Interacting Protein, a Novel Biomarker, Were Decreased in Overweight or Obese Subjects
Journal of Clinical Medicine
hedgehog-interacting protein
impaired fasting glucose
impaired glucose tolerance
newly diagnosed diabetes
normal glucose tolerance
title The Serum Concentrations of Hedgehog-Interacting Protein, a Novel Biomarker, Were Decreased in Overweight or Obese Subjects
title_full The Serum Concentrations of Hedgehog-Interacting Protein, a Novel Biomarker, Were Decreased in Overweight or Obese Subjects
title_fullStr The Serum Concentrations of Hedgehog-Interacting Protein, a Novel Biomarker, Were Decreased in Overweight or Obese Subjects
title_full_unstemmed The Serum Concentrations of Hedgehog-Interacting Protein, a Novel Biomarker, Were Decreased in Overweight or Obese Subjects
title_short The Serum Concentrations of Hedgehog-Interacting Protein, a Novel Biomarker, Were Decreased in Overweight or Obese Subjects
title_sort serum concentrations of hedgehog interacting protein a novel biomarker were decreased in overweight or obese subjects
topic hedgehog-interacting protein
impaired fasting glucose
impaired glucose tolerance
newly diagnosed diabetes
normal glucose tolerance
url https://www.mdpi.com/2077-0383/10/4/742
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