Omentin, fatty acid binding protein-4 (FABP-4), chemerin and irisin are chemokines whose circulating levels are altered in insulin resistant states. However, there is limited insight into function of these chemokines as well as the potential role of insulin in the modulation of these chemokines. We tested the hypothesis that insulin alters these chemokines by measuring changes in their circulating levels in response to elevated insulin in a group of healthy non-obese subjects. Nine (4 males and 5 females) healthy non-obese (BMI 22.0 ± 1.8 kg/m 2 ) volunteers (27 ± 4 years of age) were enrolled in an IRB-approved clinical trial. Following an overnight fast, all subjects underwent a hyperinsulinemic euglycemic clamp procedure at two physiologically relevant doses of insulin administered in sequence. Subjects received 10 mU/m 2 /min of insulin for 180 minutes during the low dose period (LD), followed by the high dose period (HD) at 40 mU/m 2 /min of insulin for an additional 180 minutes. Subjects underwent serial sampling for insulin, omentin, FABP-4, chemerin and irisin at baseline and steady-state of each period of the clamp. Significant (p < 0.01) decreases were observed in omentin and FABP-4 in response to hyperinsulinemia. Chemerin and irisin were measured in 6 subjects. Significant (p < 0.01) decreases were observed in chemerin in response to hyperinsulinemia. In contrast, irisin did not change in response to exogenous insulin. Our results show that hyperinsulinemia suppresses omentin, FABP-4 and chemerin, but not irisin in healthy non-obese humans, suggesting a potential role for insulin in regulating omentin, FABP-4 and chemerin in man.
ReSeARCH ARtiCleCheck for updates chemokines [1][2][3][4][5]. These chemokines are reported to be altered in insulin resistance and have even been proposed to mediate of some of the features of insulin resistance [2][3][4][5]. However, little is known about the regulation and function of these chemokines. Endogenous hyperinsulinemia is a hallmark of the insulin resistant state. Therefore, it is reasonable to invoke a potential role for this compensatory hyperinsulinemia in the regulation of these metabolically relevant chemokines. In particular, understanding the effect of elevated insulin levels in the range observed in insulin resistance in such regulation could be especially informative. We hypothesized that insulin does have a role in altering these chemokines. We tested our hypothesis by measuring changes in circulating levels of these chemokines in a group of non-obese healthy volunteers in response to elevated insulin levels in the setting of a hyperinsulinemic euglycemic clamp procedure. Our results show that hyperinsulinemia suppresses omentin, FABP-4 and chemerin, but not irisin in healthy humans, suggesting a potential role for insulin in regulating omentin, FABP-4 and chemerin.
MethodsThe current study was conducted under a protocol that was approved by an Institutional Review Board. After providing written informed consent, and following successful scree...