Lipid Metabolism in Obesity and Diabetes, 2nd Edition

A special issue of Metabolites (ISSN 2218-1989). This special issue belongs to the section "Endocrinology and Clinical Metabolic Research".

Deadline for manuscript submissions: closed (31 October 2024) | Viewed by 3125

Special Issue Editors


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Guest Editor
Department of Internal Medicine, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary
Interests: lipid metabolism; high-density lipoprotein; atherosclerosis; paraoxonase-1; adipokine; hepatokine; organokine; diabetes; obesity; insulin resistance
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E-Mail Website
Guest Editor
Department of Internal Medicine, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary
Interests: lipid metabolism; familial hypercholesterolemia; inherited dyslipidemias; atherosclerosis; non-lipid effects of lipid lowering treatment; obesity; diabetes; adipokine; hepatokine
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue is a continuation of our previous Special Issue, “Lipid Metabolism in Obesity and Diabetes 2023”.

Obesity is characterized by an excessive accumulation of fat, which leads to a plethora of medical complications including coronary artery disease, hypertension, type 2 diabetes mellitus, insulin resistance and dyslipidemia. Furthermore, enhanced atherogenesis and premature atherosclerosis are associated with the above-mentioned diseases and cause early cardiovascular complications and increased mortality. Previously, both harmful and beneficial effects of organokines, such as adipokines, hepatokines and gut hormones, have been observed for obesity and diabetes, especially in the regulation of glucose and lipid metabolism, insulin sensitivity, inflammation, vascular senescence and endogenous oxidative stress.

Due to the success of the first volume of this Special Issue, we welcome up-to-date reviews as well as clinical and original research articles studying lipid metabolism and/or organokine disturbances in the field of obesity; moreover, we welcome papers addressing related complications such as type 2 diabetes, dyslipidemias and atherosclerosis. The non-lipid effects of lipid-lowering and antidiabetic drugs in diabetes will also be covered.

Dr. Hajnalka Lőrincz
Dr. Mariann Harangi
Guest Editors

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Keywords

  • lipoprotein
  • lipid metabolism
  • dyslipidemia
  • atherosclerosis
  • obesity
  • insulin resistance
  • diabetes
  • adipokine
  • hepatokine
  • oxidative stress
  • vascular senescence
  • lipid-lowering treatment
  • antidiabetic drugs

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Published Papers (2 papers)

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Research

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11 pages, 729 KiB  
Article
Low Serum Fibroblast Growth Factor 21 Level and Its Altered Regulation by Thyroid Hormones in Patients with Hashimoto’s Thyroiditis on Levothyroxine Substitution
by Eszter Berta, Sándor Halmi, István Molnár, Dávid Hutkai, Sára Csiha, Harjit Pal Bhattoa, Hajnalka Lőrincz, Sándor Somodi, Mónika Katkó, Mariann Harangi, György Paragh, Endre V. Nagy and Miklós Bodor
Metabolites 2024, 14(10), 565; https://doi.org/10.3390/metabo14100565 - 21 Oct 2024
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Abstract
Background/Objectives: Fibroblast growth factor 21 (FGF21) is a hormonal regulator of lipid and glucose metabolism exerting protection against atherosclerosis by multiple actions on the blood vessels, liver, and adipose tissues. We aimed to investigate serum FGF21 level and its relation to thyroid hormones [...] Read more.
Background/Objectives: Fibroblast growth factor 21 (FGF21) is a hormonal regulator of lipid and glucose metabolism exerting protection against atherosclerosis by multiple actions on the blood vessels, liver, and adipose tissues. We aimed to investigate serum FGF21 level and its relation to thyroid hormones and metabolic parameters among patients with Hashimoto’s thyroiditis (HT). Methods: Eighty patients with HT on levothyroxine treatment and eighty-two age- and BMI-matched adults without thyroid disease serving as controls were enrolled. Serum FGF21 concentrations were determined with an enzyme-linked immunosorbent assay. Results: Median serum FGF21 level was significantly lower in HT patients compared with controls (74.2 (33.4–148.3) pg/mL vs. 131.9 (44.8–236.3) pg/mL; p = 0.03). We found a positive correlation between FGF21 and age, triglyceride, total cholesterol, and low-density lipoprotein cholesterol in both groups, while thyroid stimulating hormone and C-reactive protein showed a positive correlation, and thyroxine had an inverse correlation with FGF21 only in control subjects. According to multiple regression analyses, thyroid status is the main predictor of FGF21 in healthy controls, while it is not a significant predictor of FGF21 among HT patients on levothyroxine supplementation therapy. Conclusions: Our results indicate that the physiological role of thyroid function in the regulation of FGF21 synthesis is impaired in HT patients, which may contribute to the metabolic alterations characteristic of HT patients. Full article
(This article belongs to the Special Issue Lipid Metabolism in Obesity and Diabetes, 2nd Edition)
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Review

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20 pages, 1068 KiB  
Review
Ketoacidosis and SGLT2 Inhibitors: A Narrative Review
by Carmela Morace, Giuseppe Lorello, Federica Bellone, Cristina Quartarone, Domenica Ruggeri, Annalisa Giandalia, Giuseppe Mandraffino, Letteria Minutoli, Giovanni Squadrito, Giuseppina T. Russo and Herbert Ryan Marini
Metabolites 2024, 14(5), 264; https://doi.org/10.3390/metabo14050264 - 6 May 2024
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Abstract
An acute metabolic complication of diabetes mellitus, especially type 1, is diabetic ketoacidosis (DKA), which is due to an increase in blood ketone concentrations. Sodium/glucose co-transporter-2 inhibitor (SGLT2-i) drugs have been associated with the occurrence of a particular type of DKA defined as [...] Read more.
An acute metabolic complication of diabetes mellitus, especially type 1, is diabetic ketoacidosis (DKA), which is due to an increase in blood ketone concentrations. Sodium/glucose co-transporter-2 inhibitor (SGLT2-i) drugs have been associated with the occurrence of a particular type of DKA defined as euglycemic (euDKA), characterized by glycemic levels below 300 mg/dL. A fair number of euDKA cases in SGLT2-i-treated patients have been described, especially in the last few years when there has been a significant increased use of these drugs. This form of euDKA is particularly insidious because of its latent onset, associated with unspecific symptomatology, until it evolves (progressing) to severe systemic forms. In addition, its atypical presentation can delay diagnosis and treatment. However, the risk of euDKA associated with SGLT2-i drugs remains relatively low, but it is essential to promptly diagnose and manage it to prevent its serious life-threatening complications. In this narrative review, we intended to gather current research evidence on SGLT2i-associated euDKA from randomized controlled trials and real-world evidence studies, its diagnostic criteria and precipitating factors. Full article
(This article belongs to the Special Issue Lipid Metabolism in Obesity and Diabetes, 2nd Edition)
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