Title : Higher serum levels of uric acid are associated with a reduced insulin clearance in non-diabetic individuals.

Pub. Date : 2018 Aug

PMID : 29774469






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1 Higher serum levels of uric acid are associated with a reduced insulin clearance in non-diabetic individuals. Uric Acid insulin Homo sapiens
2 The aim of this study was to evaluate whether higher levels of uric acid (UA), a known risk factor of type 2 diabetes, are associated with a reduced insulin clearance. Uric Acid insulin Homo sapiens
3 The aim of this study was to evaluate whether higher levels of uric acid (UA), a known risk factor of type 2 diabetes, are associated with a reduced insulin clearance. Uric Acid insulin Homo sapiens
4 RESULTS: Subjects with higher levels of UA displayed an unfavorable metabolic phenotype with a worse lipid profile, increased levels of 2-h post-load glucose levels, fasting, and 2-h post-load insulin levels, hsCRP, liver IR index, and lower levels of eGFR and skeletal muscle insulin sensitivity, in comparison to individuals with lower UA levels. Uric Acid insulin Homo sapiens
5 Moreover, subjects with higher UA concentrations exhibited decreased levels of insulin clearance even after adjustment for age, gender, BMI, eGFR, and skeletal muscle insulin sensitivity. Uric Acid insulin Homo sapiens
6 In a multivariate regression analysis model including several confounding factors, UA concentration was an independent predictor of insulin clearance (beta = - 0.145; P = 0.03). Uric Acid insulin Homo sapiens
7 However, when liver IR index was included in the model, the independent association between UA levels and insulin clearance was not retained. Uric Acid insulin Homo sapiens
8 Accordingly, in a mediation analysis, liver IR index was a mediator of the negative effects of UA levels on insulin clearance (t = - 2.55, P = 0.01). Uric Acid insulin Homo sapiens
9 CONCLUSIONS: Higher serum levels of UA may affect insulin clearance by impairing hepatic insulin sensitivity. Uric Acid insulin Homo sapiens