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Open AccessJournal ArticleDOI

Complement C3 is a risk factor for the development of diabetes: a population-based cohort study.

TLDR
It is concluded that the risk of developing diabetes is related to levels of complement C3, and only C3 was significantly associated with diabetes development after further adjustments for potential confounders, including BMI, insulin, and other inflammatory markers.
Abstract
Cross-sectional studies have reported strong correlations between plasma levels of complement C3, insulin, and glucose. This prospective study explored whether elevated levels of C3, C4, and other inflammation-sensitive plasma proteins (ISPs; fibrinogen, orosomucoid, alpha1-antitrypsin, haptoglobin, and ceruloplasmin) are associated with the development of diabetes. Plasma proteins were measured in 2,815 nondiabetic healthy men, age 38-50 years, who were reexamined after a mean follow-up of 6.1 years. Diabetes development (n = 123) was studied in relation to baseline levels of plasma proteins. After adjusting for age, screening year, and glucose at baseline, the odds ratio (95% CI) for developing diabetes was 1.00, 2.4 (1.1-5.3), 2.9 (1.4-6.0), and 5.6 (2.8-10.9), respectively, for men with C3 in the 1st, 2nd, 3rd, and 4th quartiles (trend: P < 0.00001). Fibrinogen, haptoglobin, C4, and the number of elevated ISPs were also related to future diabetes in this model. Only C3 was significantly associated with diabetes development after further adjustments for potential confounders, including BMI, insulin, and other inflammatory markers. We concluded that the risk of developing diabetes is related to levels of complement C3.

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Citations
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Journal ArticleDOI

The vulnerable blood. Coagulation and clot structure in diabetes mellitus.

TL;DR: This review provides an overview concerning the changes that lead to alterations of platelet function and clot structure in diabetes.
Journal ArticleDOI

Protective Role of Complement C3 Against Cytokine-Mediated β-Cell Apoptosis

TL;DR: RNA sequencing and protein-protein interaction analyses of human islets exposed to proinflammatory cytokines suggest that locally produced C3 is an important prosurvival mechanism in pancreatic β-cells under a proinflammatory assault.
Journal ArticleDOI

Can complement factors 5 and 8 and transthyretin be used as biomarkers for MODY 1 (HNF4A-MODY) and MODY 3 (HNF1A-MODY)?

TL;DR: This work set out to determine whether serum concentrations of C5, C8 and TTR can be used as biomarkers for patients with HNF4A‐MODY and HNF1A-MODY.
Journal ArticleDOI

C3aR and C5aR1 act as key regulators of human and mouse β-cell function

TL;DR: A functional link between activation of components of the innate immune system and improved β-cell function is demonstrated, suggesting that low-level chronic inflammation may improve glucose homeostasis through direct effects on β-cells.
Journal ArticleDOI

Water T2 as an early, global and practical biomarker for metabolic syndrome: an observational cross-sectional study.

TL;DR: Water T2 detects a constellation of early abnormalities associated with metabolic syndrome, providing a global view of an individual’s metabolic health and circumvents the pitfalls associated with fasting glucose and hemoglobin A1c and the limitations of the current clinical criteria for metabolic syndrome.
References
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Journal ArticleDOI

Homeostasis model assessment : insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man

TL;DR: The correlation of the model's estimates with patient data accords with the hypothesis that basal glucose and insulin interactions are largely determined by a simple feed back loop.
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C-Reactive Protein, Interleukin 6, and Risk of Developing Type 2 Diabetes Mellitus

TL;DR: Elevated levels of CRP and IL-6 predict the development of type 2 DM, and data support a possible role for inflammation in diabetogenesis.
Journal ArticleDOI

C-Reactive Protein in Healthy Subjects: Associations With Obesity, Insulin Resistance, and Endothelial Dysfunction A Potential Role for Cytokines Originating From Adipose Tissue?

TL;DR: The data suggest that adipose tissue is an important determinant of a low level, chronic inflammatory state as reflected by levels of interleukin-6, tumor necrosis factor-alpha, and C-reactive protein, and that infection with H pylori, C pneumoniae, and cytomegalovirus is not.
Journal ArticleDOI

Elevated Levels of Acute-Phase Proteins and Plasminogen Activator Inhibitor-1 Predict the Development of Type 2 Diabetes: The Insulin Resistance Atherosclerosis Study

TL;DR: Chronic inflammation emerges as a new risk factor for the development of type 2 diabetes; PAI-1 predicts type 1 diabetes independent of insulin resistance and other known risk factors for diabetes.
Journal ArticleDOI

Is Type II diabetes mellitus a disease of the innate immune system

TL;DR: It is suggested that in Type II diabetes and impaired glucose tolerance long-term lifestyle and environmental stimulants, probably in those with an innately hypersensitive acute-phase response, produce disease instead of repair.
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