Influence of weight reduction on blood levels of C-reactive protein, tumor necrosis factor-α, interleukin-6, and oxylipins in obese subjects

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  • University of Veterinary Medicine of Hannover, Foundation
  • The University of Wuppertal
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Original languageEnglish
Pages (from-to)39-49
Number of pages11
JournalProstaglandins Leukotrienes and Essential Fatty Acids
Volume106
Issue number3
Publication statusPublished - 1 Mar 2016

Abstract

Introduction: Obesity is associated with inflammation and weight reduction has been shown to influence the inflammatory process. Besides classic inflammatory markers, oxidized polyunsaturated fatty acid (PUFA) metabolites (oxylipins) are potent mediators of inflammation. Little is known about endogenous levels of oxylipins, e.g. hydroxy, epoxy and dihydroxy FA in obese subjects with persistent low-grade inflammation. We aimed to evaluate levels of inflammatory markers and blood oxylipins in obese subjects before and after weight reduction. Subjects and methods: In the present study, 42 obese (BMI 32.7±0.22 kg/m 2) men and women were classified in groups according to high-sensitivity C-reactive protein (hsCRP) levels (no inflammation<1 mg/L; low-grade inflammation≥3 mg/L). Subjects underwent an intervention for eight weeks, which consisted of two phases: (1) week 1 and 2: total replacement of three meals by a formula diet and (2) six week partial formula diet (replacement of 1-2 meals). Blood samples were taken prior and post intervention for analysis of plasma protein levels of hsCRP, tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6). Plasma Levels of free (unesterified) hydroxy, epoxy, and dihydroxy FAs as well as several prostanoids were analyzed in plasma by means of LC-MS-based targeted metabolomics. Results: At baseline subjects with low-grade inflammation (hsCRP 8.95±1.39 mg/L) showed significant higher levels of IL-6 (22.7±1.15 ng/L) and TNF-α (17.4±0.75 ng/L) compared to subjects with no inflammation (hsCRP: 0.69±0.05 mg/L; IL-6: 15.9±1.18 ng/L; TNF-α: 14.6±0.80 ng/L). In both group's body weight was significantly reduced (p<0.001) after intervention (no inflammation group: -7.19±0.86 kg, -7.3±0.89%, p<0.001; low-grade inflammation group: -6.78±0.87 kg, -6.7±0.81%, p<0.001). Moreover, we observed significant decreases in levels of hsCRP (4.66±0.64 mg/L; p=0.006), IL-6 (6.81±1.15 ng/L; p<0.001) and TNF-α (6.09±0.47 ng/L; p<0.001) in subjects with low-grade inflammation. Of 60 quantified oxylipins, 11 linoleic acid (LA)-, 1 dihomo-γ-linolenic acid (DGLA)-, 7 alpha linolenic acid (ALA)-, 15 arachidonic acid (AA)-, 8 eicosapentaenoic acid (EPA)- and 18 docosahexaenoic acid (DHA)-metabolites could be detected in plasma. For most oxylipins no differences were found between the low and high hsCRP groups before and after weight reduction. Interestingly, in subjects with low- grade inflammation several AA-derived oxylipins (5-, 8-, 12-hydroxyeicosatetraenoic acids (HETE)) were significantly higher compared to subjects with no inflammation before weight reduction and significantly reduced after weight reduction. Conclusion: Even moderate weight loss in obese subjects correlates to a significant improvement in the inflammatory state, by reducing hsCRP, IL-6, TNF-α and few oxylipins. The biological consequences of these changes remain to be further investigated.

Keywords

    C-Reactive Protein/metabolism, Caloric Restriction/methods, Diet, Fat-Restricted/methods, Female, Humans, Interleukin-6/blood, Male, Middle Aged, Obesity/blood, Oxylipins/blood, Treatment Outcome, Tumor Necrosis Factor-alpha/blood, Weight Loss, Obesity, PUFA, Weight loss, Inflammation, Oxylipins

ASJC Scopus subject areas

Sustainable Development Goals

Cite this

Influence of weight reduction on blood levels of C-reactive protein, tumor necrosis factor-α, interleukin-6, and oxylipins in obese subjects. / Möller, Katharina; Ostermann, Annika I; Rund, Katharina et al.
In: Prostaglandins Leukotrienes and Essential Fatty Acids, Vol. 106, No. 3, 01.03.2016, p. 39-49.

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@article{3dbdc38e5fcb4b84adb9dd84ed8033d7,
title = "Influence of weight reduction on blood levels of C-reactive protein, tumor necrosis factor-α, interleukin-6, and oxylipins in obese subjects",
abstract = "Introduction: Obesity is associated with inflammation and weight reduction has been shown to influence the inflammatory process. Besides classic inflammatory markers, oxidized polyunsaturated fatty acid (PUFA) metabolites (oxylipins) are potent mediators of inflammation. Little is known about endogenous levels of oxylipins, e.g. hydroxy, epoxy and dihydroxy FA in obese subjects with persistent low-grade inflammation. We aimed to evaluate levels of inflammatory markers and blood oxylipins in obese subjects before and after weight reduction. Subjects and methods: In the present study, 42 obese (BMI 32.7±0.22 kg/m 2) men and women were classified in groups according to high-sensitivity C-reactive protein (hsCRP) levels (no inflammation<1 mg/L; low-grade inflammation≥3 mg/L). Subjects underwent an intervention for eight weeks, which consisted of two phases: (1) week 1 and 2: total replacement of three meals by a formula diet and (2) six week partial formula diet (replacement of 1-2 meals). Blood samples were taken prior and post intervention for analysis of plasma protein levels of hsCRP, tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6). Plasma Levels of free (unesterified) hydroxy, epoxy, and dihydroxy FAs as well as several prostanoids were analyzed in plasma by means of LC-MS-based targeted metabolomics. Results: At baseline subjects with low-grade inflammation (hsCRP 8.95±1.39 mg/L) showed significant higher levels of IL-6 (22.7±1.15 ng/L) and TNF-α (17.4±0.75 ng/L) compared to subjects with no inflammation (hsCRP: 0.69±0.05 mg/L; IL-6: 15.9±1.18 ng/L; TNF-α: 14.6±0.80 ng/L). In both group's body weight was significantly reduced (p<0.001) after intervention (no inflammation group: -7.19±0.86 kg, -7.3±0.89%, p<0.001; low-grade inflammation group: -6.78±0.87 kg, -6.7±0.81%, p<0.001). Moreover, we observed significant decreases in levels of hsCRP (4.66±0.64 mg/L; p=0.006), IL-6 (6.81±1.15 ng/L; p<0.001) and TNF-α (6.09±0.47 ng/L; p<0.001) in subjects with low-grade inflammation. Of 60 quantified oxylipins, 11 linoleic acid (LA)-, 1 dihomo-γ-linolenic acid (DGLA)-, 7 alpha linolenic acid (ALA)-, 15 arachidonic acid (AA)-, 8 eicosapentaenoic acid (EPA)- and 18 docosahexaenoic acid (DHA)-metabolites could be detected in plasma. For most oxylipins no differences were found between the low and high hsCRP groups before and after weight reduction. Interestingly, in subjects with low- grade inflammation several AA-derived oxylipins (5-, 8-, 12-hydroxyeicosatetraenoic acids (HETE)) were significantly higher compared to subjects with no inflammation before weight reduction and significantly reduced after weight reduction. Conclusion: Even moderate weight loss in obese subjects correlates to a significant improvement in the inflammatory state, by reducing hsCRP, IL-6, TNF-α and few oxylipins. The biological consequences of these changes remain to be further investigated. ",
keywords = "C-Reactive Protein/metabolism, Caloric Restriction/methods, Diet, Fat-Restricted/methods, Female, Humans, Interleukin-6/blood, Male, Middle Aged, Obesity/blood, Oxylipins/blood, Treatment Outcome, Tumor Necrosis Factor-alpha/blood, Weight Loss, Obesity, PUFA, Weight loss, Inflammation, Oxylipins",
author = "Katharina M{\"o}ller and Ostermann, {Annika I} and Katharina Rund and Stefanie Thoms and Cornelia Blume and Frank Stahl and Andreas Hahn and Schebb, {Nils Helge} and Schuchardt, {Jan Philipp}",
note = "Funding information: The provision of the test products by Certmedica International GmbH (Aschaffenburg, Germany) is kindly acknowledged. The authors are solely responsible for the design and conduct of the study, collection, management, analysis, and interpretation of the data, as well as preparation of the manuscript. We would like to thank the participants who contributed their time to this project. This study was supported by a Marie Curie Career Integration Grant to NHS ( CIG 293536 ), a grant of the fellowship of the Fonds der Chemischen Industrie to NHS, and grants from German Research Foundation (Grant SCHE 1801 and SCHU 2516 ) to NHS and JPS.",
year = "2016",
month = mar,
day = "1",
doi = "10.1016/j.plefa.2015.12.001",
language = "English",
volume = "106",
pages = "39--49",
journal = "Prostaglandins Leukotrienes and Essential Fatty Acids",
issn = "0952-3278",
publisher = "Churchill Livingstone",
number = "3",

}

Download

TY - JOUR

T1 - Influence of weight reduction on blood levels of C-reactive protein, tumor necrosis factor-α, interleukin-6, and oxylipins in obese subjects

AU - Möller, Katharina

AU - Ostermann, Annika I

AU - Rund, Katharina

AU - Thoms, Stefanie

AU - Blume, Cornelia

AU - Stahl, Frank

AU - Hahn, Andreas

AU - Schebb, Nils Helge

AU - Schuchardt, Jan Philipp

N1 - Funding information: The provision of the test products by Certmedica International GmbH (Aschaffenburg, Germany) is kindly acknowledged. The authors are solely responsible for the design and conduct of the study, collection, management, analysis, and interpretation of the data, as well as preparation of the manuscript. We would like to thank the participants who contributed their time to this project. This study was supported by a Marie Curie Career Integration Grant to NHS ( CIG 293536 ), a grant of the fellowship of the Fonds der Chemischen Industrie to NHS, and grants from German Research Foundation (Grant SCHE 1801 and SCHU 2516 ) to NHS and JPS.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Introduction: Obesity is associated with inflammation and weight reduction has been shown to influence the inflammatory process. Besides classic inflammatory markers, oxidized polyunsaturated fatty acid (PUFA) metabolites (oxylipins) are potent mediators of inflammation. Little is known about endogenous levels of oxylipins, e.g. hydroxy, epoxy and dihydroxy FA in obese subjects with persistent low-grade inflammation. We aimed to evaluate levels of inflammatory markers and blood oxylipins in obese subjects before and after weight reduction. Subjects and methods: In the present study, 42 obese (BMI 32.7±0.22 kg/m 2) men and women were classified in groups according to high-sensitivity C-reactive protein (hsCRP) levels (no inflammation<1 mg/L; low-grade inflammation≥3 mg/L). Subjects underwent an intervention for eight weeks, which consisted of two phases: (1) week 1 and 2: total replacement of three meals by a formula diet and (2) six week partial formula diet (replacement of 1-2 meals). Blood samples were taken prior and post intervention for analysis of plasma protein levels of hsCRP, tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6). Plasma Levels of free (unesterified) hydroxy, epoxy, and dihydroxy FAs as well as several prostanoids were analyzed in plasma by means of LC-MS-based targeted metabolomics. Results: At baseline subjects with low-grade inflammation (hsCRP 8.95±1.39 mg/L) showed significant higher levels of IL-6 (22.7±1.15 ng/L) and TNF-α (17.4±0.75 ng/L) compared to subjects with no inflammation (hsCRP: 0.69±0.05 mg/L; IL-6: 15.9±1.18 ng/L; TNF-α: 14.6±0.80 ng/L). In both group's body weight was significantly reduced (p<0.001) after intervention (no inflammation group: -7.19±0.86 kg, -7.3±0.89%, p<0.001; low-grade inflammation group: -6.78±0.87 kg, -6.7±0.81%, p<0.001). Moreover, we observed significant decreases in levels of hsCRP (4.66±0.64 mg/L; p=0.006), IL-6 (6.81±1.15 ng/L; p<0.001) and TNF-α (6.09±0.47 ng/L; p<0.001) in subjects with low-grade inflammation. Of 60 quantified oxylipins, 11 linoleic acid (LA)-, 1 dihomo-γ-linolenic acid (DGLA)-, 7 alpha linolenic acid (ALA)-, 15 arachidonic acid (AA)-, 8 eicosapentaenoic acid (EPA)- and 18 docosahexaenoic acid (DHA)-metabolites could be detected in plasma. For most oxylipins no differences were found between the low and high hsCRP groups before and after weight reduction. Interestingly, in subjects with low- grade inflammation several AA-derived oxylipins (5-, 8-, 12-hydroxyeicosatetraenoic acids (HETE)) were significantly higher compared to subjects with no inflammation before weight reduction and significantly reduced after weight reduction. Conclusion: Even moderate weight loss in obese subjects correlates to a significant improvement in the inflammatory state, by reducing hsCRP, IL-6, TNF-α and few oxylipins. The biological consequences of these changes remain to be further investigated.

AB - Introduction: Obesity is associated with inflammation and weight reduction has been shown to influence the inflammatory process. Besides classic inflammatory markers, oxidized polyunsaturated fatty acid (PUFA) metabolites (oxylipins) are potent mediators of inflammation. Little is known about endogenous levels of oxylipins, e.g. hydroxy, epoxy and dihydroxy FA in obese subjects with persistent low-grade inflammation. We aimed to evaluate levels of inflammatory markers and blood oxylipins in obese subjects before and after weight reduction. Subjects and methods: In the present study, 42 obese (BMI 32.7±0.22 kg/m 2) men and women were classified in groups according to high-sensitivity C-reactive protein (hsCRP) levels (no inflammation<1 mg/L; low-grade inflammation≥3 mg/L). Subjects underwent an intervention for eight weeks, which consisted of two phases: (1) week 1 and 2: total replacement of three meals by a formula diet and (2) six week partial formula diet (replacement of 1-2 meals). Blood samples were taken prior and post intervention for analysis of plasma protein levels of hsCRP, tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6). Plasma Levels of free (unesterified) hydroxy, epoxy, and dihydroxy FAs as well as several prostanoids were analyzed in plasma by means of LC-MS-based targeted metabolomics. Results: At baseline subjects with low-grade inflammation (hsCRP 8.95±1.39 mg/L) showed significant higher levels of IL-6 (22.7±1.15 ng/L) and TNF-α (17.4±0.75 ng/L) compared to subjects with no inflammation (hsCRP: 0.69±0.05 mg/L; IL-6: 15.9±1.18 ng/L; TNF-α: 14.6±0.80 ng/L). In both group's body weight was significantly reduced (p<0.001) after intervention (no inflammation group: -7.19±0.86 kg, -7.3±0.89%, p<0.001; low-grade inflammation group: -6.78±0.87 kg, -6.7±0.81%, p<0.001). Moreover, we observed significant decreases in levels of hsCRP (4.66±0.64 mg/L; p=0.006), IL-6 (6.81±1.15 ng/L; p<0.001) and TNF-α (6.09±0.47 ng/L; p<0.001) in subjects with low-grade inflammation. Of 60 quantified oxylipins, 11 linoleic acid (LA)-, 1 dihomo-γ-linolenic acid (DGLA)-, 7 alpha linolenic acid (ALA)-, 15 arachidonic acid (AA)-, 8 eicosapentaenoic acid (EPA)- and 18 docosahexaenoic acid (DHA)-metabolites could be detected in plasma. For most oxylipins no differences were found between the low and high hsCRP groups before and after weight reduction. Interestingly, in subjects with low- grade inflammation several AA-derived oxylipins (5-, 8-, 12-hydroxyeicosatetraenoic acids (HETE)) were significantly higher compared to subjects with no inflammation before weight reduction and significantly reduced after weight reduction. Conclusion: Even moderate weight loss in obese subjects correlates to a significant improvement in the inflammatory state, by reducing hsCRP, IL-6, TNF-α and few oxylipins. The biological consequences of these changes remain to be further investigated.

KW - C-Reactive Protein/metabolism

KW - Caloric Restriction/methods

KW - Diet, Fat-Restricted/methods

KW - Female

KW - Humans

KW - Interleukin-6/blood

KW - Male

KW - Middle Aged

KW - Obesity/blood

KW - Oxylipins/blood

KW - Treatment Outcome

KW - Tumor Necrosis Factor-alpha/blood

KW - Weight Loss

KW - Obesity

KW - PUFA

KW - Weight loss

KW - Inflammation

KW - Oxylipins

UR - http://www.scopus.com/inward/record.url?scp=84959499648&partnerID=8YFLogxK

U2 - 10.1016/j.plefa.2015.12.001

DO - 10.1016/j.plefa.2015.12.001

M3 - Article

C2 - 26751601

VL - 106

SP - 39

EP - 49

JO - Prostaglandins Leukotrienes and Essential Fatty Acids

JF - Prostaglandins Leukotrienes and Essential Fatty Acids

SN - 0952-3278

IS - 3

ER -

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