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(Circulation. 2000;102:42.)
© 2000 American Heart Association, Inc.


Clinical Investigation and Reports

Chronic Subclinical Inflammation as Part of the Insulin Resistance Syndrome

The Insulin Resistance Atherosclerosis Study (IRAS)

Andreas Festa, MD; Ralph D’Agostino, Jr, PhD; George Howard, DrPH; Leena Mykkänen, MD, PhD; Russell P. Tracy, PhD; Steven M. Haffner, MD

From the Department of Medicine, Division of Clinical Epidemiology, University of Texas Health Science Center at San Antonio (A.F., L.M., S.M.H.); Department of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, NC (R.D’A., G.H.); and Laboratory for Clinical Biochemistry Research, Department of Pathology, University of Vermont College of Medicine, Burlington (R.P.T.).

Correspondence to Andreas Festa, MD, University of Texas Health Science Center at San Antonio, Mail Code 7873, 7703 Floyd Curl Dr, San Antonio, TX 78228-3900. E-mail festa{at}magnet.at

Background—Inflammation has been suggested as a risk factor for the development of atherosclerosis. Recently, some components of the insulin resistance syndrome (IRS) have been related to inflammatory markers. We hypothesized that insulin insensitivity, as directly measured, may be associated with inflammation in nondiabetic subjects.

Methods and Results—We studied the relation of C-reactive protein (CRP), fibrinogen, and white cell count to components of IRS in the nondiabetic population of the Insulin Resistance Atherosclerosis Study (IRAS) (n=1008; age, 40 to 69 years; 33% with impaired glucose tolerance), a multicenter, population-based study. None of the subjects had clinical coronary artery disease. Insulin sensitivity (SI) was measured by a frequently sampled intravenous glucose tolerance test, and CRP was measured by a highly sensitive competitive immunoassay. All 3 inflammatory markers were correlated with several components of the IRS. Strong associations were found between CRP and measures of body fat (body mass index, waist circumference), SI, and fasting insulin and proinsulin (all correlation coefficients >0.3, P<0.0001). The associations were consistent among the 3 ethnic groups of the IRAS. There was a linear increase in CRP levels with an increase in the number of metabolic disorders. Body mass index, systolic blood pressure, and SI were related to CRP levels in a multivariate linear regression model.

Conclusions—We suggest that chronic subclinical inflammation is part of IRS. CRP, a predictor of cardiovascular events in previous reports, was independently related to SI. These findings suggest potential benefits of anti-inflammatory or insulin-sensitizing treatment strategies in healthy individuals with features of IRS.


Key Words: inflammation • proteins • insulin resistance syndrome • insulin • atherosclerosis




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H. S. Markus, R. Labrum, S. Bevan, M. Reindl, G. Egger, C. J. Wiedermann, Q. Xu, S. Kiechl, and J. Willeit
Genetic and Acquired Inflammatory Conditions Are Synergistically Associated With Early Carotid Atherosclerosis
Stroke, September 1, 2006; 37(9): 2253 - 2259.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
J. G Leichman, D. Aguilar, T. M King, A. Vlada, M. Reyes, and H. Taegtmeyer
Association of plasma free fatty acids and left ventricular diastolic function in patients with clinically severe obesity.
Am. J. Clinical Nutrition, August 1, 2006; 84(2): 336 - 341.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
N. de Rekeneire, R. Peila, J. Ding, L. H. Colbert, M. Visser, R. I. Shorr, S. B. Kritchevsky, L. H. Kuller, E. S. Strotmeyer, A. V. Schwartz, et al.
Diabetes, Hyperglycemia, and Inflammation in Older Individuals: The Health, Aging and Body Composition study
Diabetes Care, August 1, 2006; 29(8): 1902 - 1908.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
J. B. Meigs, P. W. F. Wilson, C. S. Fox, R. S. Vasan, D. M. Nathan, L. M. Sullivan, and R. B. D'Agostino
Body Mass Index, Metabolic Syndrome, and Risk of Type 2 Diabetes or Cardiovascular Disease
J. Clin. Endocrinol. Metab., August 1, 2006; 91(8): 2906 - 2912.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
S. E. Kahn, B. Zinman, S. M. Haffner, M. C. O'Neill, B. G. Kravitz, D. Yu, M. I. Freed, W. H. Herman, R. R. Holman, N. P. Jones, et al.
Obesity is a major determinant of the association of C-reactive protein levels and the metabolic syndrome in type 2 diabetes.
Diabetes, August 1, 2006; 55(8): 2357 - 2364.
[Abstract] [Full Text] [PDF]


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StrokeHome page
R. Somani, P. J. Grant, K. Kain, A. J. Catto, and A. M. Carter
Complement C3 and C-Reactive Protein Are Elevated in South Asians Independent of a Family History of Stroke
Stroke, August 1, 2006; 37(8): 2001 - 2006.
[Abstract] [Full Text] [PDF]


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ANN INTERN MEDHome page
N. R. Cook, J. E. Buring, and P. M Ridker
The Effect of Including C-Reactive Protein in Cardiovascular Risk Prediction Models for Women
Ann Intern Med, July 4, 2006; 145(1): 21 - 29.
[Abstract] [Full Text] [PDF]


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CLIN APPL THROMB HEMOSTHome page
D. M. Paternoster, S. Fantinato, A. Stella, K. N. Nanhorngue, M. Milani, M. Plebani, U. Nicolini, and A. Girolami
C-Reactive Protein in Hypertensive Disorders in Pregnancy
Clinical and Applied Thrombosis/Hemostasis, July 1, 2006; 12(3): 330 - 337.
[Abstract] [PDF]


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J Am Coll CardiolHome page
A. B. Goldfine, J. A. Beckman, R. A. Betensky, H. Devlin, S. Hurley, N. Varo, U. Schonbeck, M. E. Patti, and M. A. Creager
Family History of Diabetes Is a Major Determinant of Endothelial Function
J. Am. Coll. Cardiol., June 20, 2006; 47(12): 2456 - 2461.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
C. Langenberg, J. Bergstrom, C. Scheidt-Nave, J. Pfeilschifter, and E. Barrett-Connor
Cardiovascular Death and the Metabolic Syndrome: Role of adiposity-signaling hormones and inflammatory markers.
Diabetes Care, June 1, 2006; 29(6): 1363 - 1369.
[Abstract] [Full Text] [PDF]


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Hum Mol GenetHome page
Z. Su, Y. Li, J. C. James, A. H. Matsumoto, G. A. Helm, A. J. Lusis, and W. Shi
Genetic linkage of hyperglycemia, body weight and serum amyloid-P in an intercross between C57BL/6 and C3H apolipoprotein E-deficient mice
Hum. Mol. Genet., May 15, 2006; 15(10): 1650 - 1658.
[Abstract] [Full Text] [PDF]


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ANGIOLOGYHome page
A. Guven, A. Cetinkaya, M. Aral, G. Sokmen, M. A. Buyukbese, A. Guven, and N. Koksal
High-Sensitivity C-Reactive Protein in Patients with Metabolic Syndrome
Angiology, May 1, 2006; 57(3): 295 - 302.
[Abstract] [PDF]


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Diabetes CareHome page
K. Esposito, M. Ciotola, D. Carleo, B. Schisano, F. Saccomanno, F. C. Sasso, D. Cozzolino, R. Assaloni, D. Merante, A. Ceriello, et al.
Effect of Rosiglitazone on Endothelial Function and Inflammatory Markers in Patients With the Metabolic Syndrome
Diabetes Care, May 1, 2006; 29(5): 1071 - 1076.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
J. M. Starkey, S. J. Haidacher, W. S. LeJeune, X. Zhang, B. C. Tieu, S. Choudhary, A. R. Brasier, L. A. Denner, and R. G. Tilton
Diabetes-Induced Activation of Canonical and Noncanonical Nuclear Factor-{kappa}B Pathways in Renal Cortex.
Diabetes, May 1, 2006; 55(5): 1252 - 1259.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
J. A. Bell, E. Volpi, S. Fujita, J. G. Cadenas, M. Sheffield-Moore, and B. B. Rasmussen
Skeletal Muscle Protein Anabolic Response to Increased Energy and Insulin Is Preserved in Poorly Controlled Type 2 Diabetes
J. Nutr., May 1, 2006; 136(5): 1249 - 1255.
[Abstract] [Full Text] [PDF]


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Eur Heart J SupplHome page
S. M. Haffner
Abdominal obesity, insulin resistance, and cardiovascular risk in pre-diabetes and type 2 diabetes
Eur. Heart J. Suppl., May 1, 2006; 8(suppl_B): B20 - B25.
[Abstract] [Full Text] [PDF]


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Arch Intern MedHome page
L. E. Bernstein, J. Berry, S. Kim, B. Canavan, and S. K. Grinspoon
Effects of Etanercept in Patients With the Metabolic Syndrome.
Arch Intern Med, April 24, 2006; 166(8): 902 - 908.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. Festa, K. Williams, R. P. Tracy, L. E. Wagenknecht, and S. M. Haffner
Progression of Plasminogen Activator Inhibitor-1 and Fibrinogen Levels in Relation to Incident Type 2 Diabetes
Circulation, April 11, 2006; 113(14): 1753 - 1759.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
A. Oberbach, A. Tonjes, N. Kloting, M. Fasshauer, J. Kratzsch, M. W Busse, R. Paschke, M. Stumvoll, and M. Bluher
Effect of a 4 week physical training program on plasma concentrations of inflammatory markers in patients with abnormal glucose tolerance.
Eur. J. Endocrinol., April 1, 2006; 154(4): 577 - 585.
[Abstract] [Full Text] [PDF]


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Nutr Clin PractHome page
L. Moretti and T. Canada
A Randomized Study Comparing the Effects of a Low-Carbohydrate Diet and a Conventional Diet on Lipoprotein Subfractions and C-reactive Protein Levels in Patients With Severe Obesity
Nutr Clin Pract, April 1, 2006; 21(2): 187 - 188.
[Abstract] [Full Text] [PDF]


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British Journal of Diabetes & Vascular DiseaseHome page
R. P Raghavan, D. W Laight, K. M Shaw, and M. H Cummings
Review: Aspirin and diabetes
The British Journal of Diabetes & Vascular Disease, March 1, 2006; 6(2): 74 - 82.
[Abstract] [PDF]


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J. Clin. Endocrinol. Metab.Home page
M. Mohlig, M. Freudenberg, T. Bobbert, M. Ristow, H. Rochlitz, M. O. Weickert, A. F. H. Pfeiffer, and J. Spranger
Acetylsalicylic Acid Improves Lipid-Induced Insulin Resistance in Healthy Men
J. Clin. Endocrinol. Metab., March 1, 2006; 91(3): 964 - 967.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
K. Lobner, A. Knopff, A. Baumgarten, U. Mollenhauer, S. Marienfeld, M. Garrido-Franco, E. Bonifacio, and A.-G. Ziegler
Predictors of Postpartum Diabetes in Women With Gestational Diabetes Mellitus
Diabetes, March 1, 2006; 55(3): 792 - 797.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
M. Soinio, J. Marniemi, M. Laakso, S. Lehto, and T. Ronnemaa
High-Sensitivity C-Reactive Protein and Coronary Heart Disease Mortality in Patients With Type 2 Diabetes: A 7-year follow-up study
Diabetes Care, February 1, 2006; 29(2): 329 - 333.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
C. Gubern, A. Lopez-Bermejo, J. Biarnes, J. Vendrell, W. Ricart, and J. M. Fernandez-Real
Natural Antibiotics and Insulin Sensitivity: The Role of Bactericidal/Permeability-Increasing Protein
Diabetes, January 1, 2006; 55(1): 216 - 224.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
J. F. Navarro and C. Mora
Role of inflammation in diabetic complications
Nephrol. Dial. Transplant., December 1, 2005; 20(12): 2601 - 2604.
[Full Text] [PDF]


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DiabetesHome page
A. Tsuchida, T. Yamauchi, S. Takekawa, Y. Hada, Y. Ito, T. Maki, and T. Kadowaki
Peroxisome Proliferator-Activated Receptor (PPAR){alpha} Activation Increases Adiponectin Receptors and Reduces Obesity-Related Inflammation in Adipose Tissue: Comparison of Activation of PPAR{alpha}, PPAR{gamma}, and Their Combination
Diabetes, December 1, 2005; 54(12): 3358 - 3370.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
H. Koyama, T. Shoji, H. Yokoyama, K. Motoyama, K. Mori, S. Fukumoto, M. Emoto, T. Shoji, H. Tamei, H. Matsuki, et al.
Plasma Level of Endogenous Secretory RAGE Is Associated With Components of the Metabolic Syndrome and Atherosclerosis
Arterioscler Thromb Vasc Biol, December 1, 2005; 25(12): 2587 - 2593.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
A. J.G. Hanley, K. Williams, A. Festa, L. E. Wagenknecht, R. B. D'Agostino Jr, and S. M. Haffner
Liver Markers and Development of the Metabolic Syndrome: The Insulin Resistance Atherosclerosis Study
Diabetes, November 1, 2005; 54(11): 3140 - 3147.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
L. Kalra, C. Rambaran, P. Chowienczyk, D. Goss, I. Hambleton, J. Ritter, A. Shah, R. Wilks, and T. Forrester
Ethnic Differences in Arterial Responses and Inflammatory Markers in Afro-Caribbean and Caucasian Subjects
Arterioscler Thromb Vasc Biol, November 1, 2005; 25(11): 2362 - 2367.
[Abstract] [Full Text] [PDF]


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Diabetes and Vascular Disease ResearchHome page
A. M Carter
Inflammation, thrombosis and acute coronary syndromes
Diabetes and Vascular Disease Research, October 1, 2005; 2(3): 113 - 121.
[Abstract] [PDF]


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Eur Heart JHome page
T. A. Lakka, H.-M. Lakka, T. Rankinen, A. S. Leon, D.C. Rao, J. S. Skinner, J. H. Wilmore, and C. Bouchard
Effect of exercise training on plasma levels of C-reactive protein in healthy adults: the HERITAGE Family Study
Eur. Heart J., October 1, 2005; 26(19): 2018 - 2025.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
the Diabetes Prevention Program Research Group
Lipid, Lipoproteins, C-Reactive Protein, and Hemostatic Factors at Baseline in the Diabetes Prevention Program
Diabetes Care, October 1, 2005; 28(10): 2472 - 2479.
[Abstract] [Full Text] [PDF]