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Plasma heme oxygenase-1 concentration in relation to impaired glucose regulation in a non-diabetic Chinese population
Journal article   Open access   Peer reviewed

Plasma heme oxygenase-1 concentration in relation to impaired glucose regulation in a non-diabetic Chinese population

Wei Bao, Shuang Rong, Muxun Zhang, Xuefeng Yu, Yanting Zhao, Xiao Xiao, Wei Yang, Di Wang, Ping Yao, Frank B Hu, …
PloS one, Vol.7(3), pp.e32223-e32223
2012
DOI: 10.1371/journal.pone.0032223
PMCID: PMC3299661
PMID: 22427825
url
https://doi.org/10.1371/journal.pone.0032223View
Published (Version of record) Open Access

Abstract

Our previous study has recently shown that plasma heme oxygenase-1 (HO-1), a stress-responsive protein, is elevated in individuals with type 2 diabetes. The current study aimed to examine the association between plasma HO-1 concentration and impaired glucose regulation (IGR) in non-diabetic individuals. We conducted a case-control study including a total of 865 subjects (262 IGR individuals and 603 healthy controls) in a Chinese population. Basic characteristics were collected by questionnaire and standardized anthropometric measurements. Plasma HO-1 concentration was determined by ELISA. Plasma HO-1 concentration was significantly increased in IGR individuals compared with healthy controls (1.34 (0.81-2.29) ng/ml vs 0.98 (0.56-1.55) ng/ml, P<0.001). After adjustment for age, sex, and BMI, the ORs for IGR in the highest quartile of plasma HO-1 concentrations, compared with the lowest, was 3.42 (95% CI 2.11-5.54; P for trend <0.001). The trend remained significant even after additional adjustment for smoking, alcohol drinking, hypertension, family history of diabetes, lipid profiles and C-reactive protein. In the receiver-operating characteristic curve analysis, addition of plasma HO-1 concentration to a model with known risk factors yielded significantly improved discriminative value for IGR (area under the curves 0.75 (95% CI 0.71-0.78) vs. 0.72 (95% CI 0.69-0.76); P for difference = 0.026). Elevated plasma HO-1 concentration is significantly associated with increased ORs for IGR. However, its clinical utility should be validated in further studies, especially in prospective cohort studies.
Heme Oxygenase-1 - blood Asian Continental Ancestry Group Enzyme-Linked Immunosorbent Assay Area Under Curve Humans Statistics, Nonparametric Logistic Models ROC Curve C-Reactive Protein - analysis Case-Control Studies Glucose Intolerance - blood

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