title: A Cross-Sectional Study Demonstrating Increased Serum Amyloid A Related Inflammation in High-Density Lipoproteins from Subjects with Type 1 Diabetes Mellitus and How this Association Was Augmented by Poor Glycaemic Control.
abstract: Inflammatory atherosclerosis is increased in subjects with type 1 diabetes mellitus (T1DM). Normally high-density lipoproteins (HDL) protect against atherosclerosis; however, in the presence of serum amyloid-A- (SAA-) related inflammation this property may be reduced. Fasting blood was obtained from fifty subjects with T1DM, together with fifty age, gender and BMI matched control subjects. HDL was subfractionated into HDL2 and HDL3 by rapid ultracentrifugation. Serum-hsCRP and serum-, HDL2-, and HDL3-SAA were measured by ELISAs. Compared to control subjects, SAA was increased in T1DM subjects, nonsignificantly in serum (P = 0.088), and significantly in HDL2(P = 0.003) and HDL3(P = 0.005). When the T1DM group were separated according to mean HbA1c (8.34%), serum-SAA and HDL3-SAA levels were higher in the T1DM subjects with HbA1c ≥ 8.34%, compared to when HbA1c was <8.34% (P < 0.05). Furthermore, regression analysis illustrated, that for every 1%-unit increase in HbA1c, SAA increased by 20% and 23% in HDL2 and HDL3, respectively, independent of BMI. HsCRP did not differ between groups (P > 0.05). This cross-sectional study demonstrated increased SAA-related inflammation in subjects with T1DM that was augmented by poor glycaemic control. We suggest that SAA is a useful inflammatory biomarker in T1DM, which may contribute to their increased atherosclerosis risk.
authors.affiliation: Centre for Public Health, Queen's University Belfast, Institute of Pathology, Grosvenor Road, Belfast BT12 6BJ, UK.
authors.forename: Jane
authors.initials: J
authors.lastname: McEneny
authors.affiliation: Centre for Public Health, Queen's University Belfast, Institute of Pathology, Grosvenor Road, Belfast BT12 6BJ, UK.
authors.forename: Jane-Ann
authors.initials: JA
authors.lastname: Daniels
authors.affiliation: Department of Endocrinology, Tallaght Hospital, Dublin 24, Ireland.
authors.forename: Anne
authors.initials: A
authors.lastname: McGowan
authors.affiliation: Department of Endocrinology, Tallaght Hospital, Dublin 24, Ireland.
authors.forename: Anjuli
authors.initials: A
authors.lastname: Gunness
authors.affiliation: Department of Endocrinology, Tallaght Hospital, Dublin 24, Ireland.
authors.forename: Kevin
authors.initials: K
authors.lastname: Moore
authors.affiliation: Centre for Public Health, Queen's University Belfast, Institute of Pathology, Grosvenor Road, Belfast BT12 6BJ, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Stevenson
authors.affiliation: Centre for Public Health, Queen's University Belfast, Institute of Pathology, Grosvenor Road, Belfast BT12 6BJ, UK.
authors.forename: Ian S
authors.initials: IS
authors.lastname: Young
authors.affiliation: Department of Endocrinology, Tallaght Hospital, Dublin 24, Ireland.
authors.forename: James
authors.initials: J
authors.lastname: Gibney
mesh_terms: D000328:Adult; D050197:Atherosclerosis / Q000097:blood; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism*; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007249:Inflammation / Q000097:blood*; D008075:Lipoproteins, HDL / Q000097:blood*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D000685:Serum Amyloid A Protein / Q000378:metabolism*; D055815:Young Adult
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D007004:Hypoglycemic Agents; D008075:Lipoproteins, HDL; D000685:Serum Amyloid A Protein