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Circulation. 2003;107:671-674
Published online before print January 27, 2003, doi: 10.1161/01.CIR.0000055188.83694.B3
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(Circulation. 2003;107:671.)
© 2003 American Heart Association, Inc.


Brief Rapid Communications

Reciprocal Association of C-Reactive Protein With Adiponectin in Blood Stream and Adipose Tissue

Noriyuki Ouchi, MD, PhD; Shinji Kihara, MD, PhD; Tohru Funahashi, MD, PhD; Tadashi Nakamura, MD, PhD; Makoto Nishida, MD, PhD; Masahiro Kumada, MD; Yoshihisa Okamoto, MD; Koji Ohashi, MD; Hiroyuki Nagaretani, MD; Ken Kishida, MD, PhD; Hitoshi Nishizawa, MD, PhD; Norikazu Maeda, MD; Hideki Kobayashi, MS; Hisatoyo Hiraoka, MD, PhD; Yuji Matsuzawa, MD, PhD

From the Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.

Correspondence to Noriyuki Ouchi, MD, PhD, Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University, 2-2, Yamada-oka, Suita, Osaka, 565-0871, Japan. E-mail ouchi{at}imed2.med.osaka-u.ac.jp

Background— High-sensitive C-reactive protein (hs-CRP) is a well-known risk factor for coronary artery disease (CAD). Recently, we have demonstrated that adiponectin served as an antiatherogenic plasma protein which was secreted specifically from adipocytes. The present study investigated the association between adiponectin and CRP in the blood stream and adipose tissue.

Methods and Results— We studied a total of 101 male patients, 71 of whom had angiographically documented coronary atherosclerosis. As a control group, 30 patients with normal coronary angiogram were included. The plasma hs-CRP levels were negatively correlated with the plasma adiponectin levels (r=-0.29, P<0.01). The plasma adiponectin concentrations were significantly lower and the hs-CRP levels were significantly higher in the CAD patients compared with control subjects. The mRNA levels of CRP and adiponectin were analyzed by quantitative real-time polymerase chain reaction method. We found that the CRP mRNA was expressed in human adipose tissue. A significant inverse correlation was observed between the CRP and adiponectin mRNA levels in human adipose tissue (r=-0.89, P<0.01). In addition, the CRP mRNA level of white adipose tissue in adiponectin deficient mice was higher than that of wild-type mice.

Conclusions— The reciprocal association of adiponectin and CRP levels in both human plasma and adipose tissue might participate in the development of atherosclerosis.


Key Words: coronary disease • risk factors • inflammation • proteins




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Circ. Res., May 13, 2005; 96(9): 939 - 949.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. C. W. Lau, B. Dhillon, H. Yan, P. E. Szmitko, and S. Verma
Adipokines: molecular links between obesity and atheroslcerosis
Am J Physiol Heart Circ Physiol, May 1, 2005; 288(5): H2031 - H2041.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
N. Ouchi, R. Shibata, and K. Walsh
AMP-Activated Protein Kinase Signaling Stimulates VEGF Expression and Angiogenesis in Skeletal Muscle
Circ. Res., April 29, 2005; 96(8): 838 - 846.
[Abstract] [Full Text] [PDF]


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CMAJHome page
B. J. Nicklas, T. You, and M. Pahor
Behavioural treatments for chronic systemic inflammation: effects of dietary weight loss and exercise training
Can. Med. Assoc. J., April 26, 2005; 172(9): 1199 - 1209.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M.-P. Chen, J. C.-R. Tsai, F.-M. Chung, S.-S. Yang, L.-L. Hsing, S.-J. Shin, and Y.-J. Lee
Hypoadiponectinemia Is Associated With Ischemic Cerebrovascular Disease
Arterioscler Thromb Vasc Biol, April 1, 2005; 25(4): 821 - 826.
[Abstract] [Full Text] [PDF]


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CirculationHome page
D. M. Maahs, L. G. Ogden, G. L. Kinney, P. Wadwa, J. K. Snell-Bergeon, D. Dabelea, J. E. Hokanson, J. Ehrlich, R. H. Eckel, and M. Rewers
Low Plasma Adiponectin Levels Predict Progression of Coronary Artery Calcification
Circulation, February 15, 2005; 111(6): 747 - 753.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
J. R. Greenfield, K. Samaras, C. S. Hayward, D. J. Chisholm, and L. V. Campbell
Beneficial Postprandial Effect of a Small Amount of Alcohol on Diabetes and Cardiovascular Risk Factors: Modification by Insulin Resistance
J. Clin. Endocrinol. Metab., February 1, 2005; 90(2): 661 - 672.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
M. B. Schulze, I. Shai, E. B. Rimm, T. Li, N. Rifai, and F. B. Hu
Adiponectin and Future Coronary Heart Disease Events Among Men With Type 2 Diabetes
Diabetes, February 1, 2005; 54(2): 534 - 539.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
M. von Eynatten, J. G. Schneider, P. M. Humpert, G. Rudofsky, N. Schmidt, P. Barosch, A. Hamann, M. Morcos, J. Kreuzer, A. Bierhaus, et al.
Decreased Plasma Lipoprotein Lipase in Hypoadiponectinemia: An association independent of systemic inflammation and insulin resistance
Diabetes Care, December 1, 2004; 27(12): 2925 - 2929.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
G. K. Shetty, P. A. Economides, E. S. Horton, C. S. Mantzoros, and A. Veves
Circulating Adiponectin and Resistin Levels in Relation to Metabolic Factors, Inflammatory Markers, and Vascular Reactivity in Diabetic Patients and Subjects at Risk for Diabetes
Diabetes Care, October 1, 2004; 27(10): 2450 - 2457.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. Prasad and A. A. Quyyumi
Renin-Angiotensin System and Angiotensin Receptor Blockers in the Metabolic Syndrome
Circulation, September 14, 2004; 110(11): 1507 - 1512.
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DiabetesHome page
B. B. Duncan, M. I. Schmidt, J. S. Pankow, H. Bang, D. Couper, C. M. Ballantyne, R. C. Hoogeveen, and G. Heiss
Adiponectin and the Development of Type 2 Diabetes: The Atherosclerosis Risk in Communities Study
Diabetes, September 1, 2004; 53(9): 2473 - 2478.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
A. D. Kriketos, J. R. Greenfield, P. W. Peake, S. M. Furler, G. S. Denyer, J. A. Charlesworth, and L. V. Campbell
Inflammation, Insulin Resistance, and Adiposity: A study of first-degree relatives of type 2 diabetic subjects
Diabetes Care, August 1, 2004; 27(8): 2033 - 2040.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. K. Rutter, J. B. Meigs, L. M. Sullivan, R. B. D'Agostino Sr, and P. W.F. Wilson
C-Reactive Protein, the Metabolic Syndrome, and Prediction of Cardiovascular Events in the Framingham Offspring Study
Circulation, July 27, 2004; 110(4): 380 - 385.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
R. Mills and D. L. Bhatt
The yin and yang of arterial inflammation
J. Am. Coll. Cardiol., July 7, 2004; 44(1): 50 - 52.
[Full Text] [PDF]


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Diabetes CareHome page
M. B. Schulze, E. B. Rimm, I. Shai, N. Rifai, and F. B. Hu
Relationship Between Adiponectin and Glycemic Control, Blood Lipids, and Inflammatory Markers in Men With Type 2 Diabetes
Diabetes Care, July 1, 2004; 27(7): 1680 - 1687.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. R. Greenfield, K. Samaras, A. B. Jenkins, P. J. Kelly, T. D. Spector, J. R. Gallimore, M. B. Pepys, and L. V. Campbell
Obesity Is an Important Determinant of Baseline Serum C-Reactive Protein Concentration in Monozygotic Twins, Independent of Genetic Influences
Circulation, June 22, 2004; 109(24): 3022 - 3028.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
J. Sutinen, K. Kannisto, E. Korsheninnikova, R. M. Fisher, E. Ehrenborg, T. Nyman, A. Virkamaki, T. Funahashi, Y. Matsuzawa, H. Vidal, et al.
Effects of rosiglitazone on gene expression in subcutaneous adipose tissue in highly active antiretroviral therapy-associated lipodystrophy
Am J Physiol Endocrinol Metab, June 1, 2004; 286(6): E941 - E949.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Kumada, S. Kihara, N. Ouchi, H. Kobayashi, Y. Okamoto, K. Ohashi, K. Maeda, H. Nagaretani, K. Kishida, N. Maeda, et al.
Adiponectin Specifically Increased Tissue Inhibitor of Metalloproteinase-1 Through Interleukin-10 Expression in Human Macrophages
Circulation, May 4, 2004; 109(17): 2046 - 2049.
[Abstract] [Full Text] [PDF]


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JAMAHome page
T. Pischon, C. J. Girman, G. S. Hotamisligil, N. Rifai, F. B. Hu, and E. B. Rimm
Plasma Adiponectin Levels and Risk of Myocardial Infarction in Men
JAMA, April 14, 2004; 291(14): 1730 - 1737.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
K. Shinohara, A. Wakatsuki, K. Watanabe, N. Ikenoue, T. Fukaya, N. Sattar, J. Ramsey, N. Jamieson, and I. A. Greer
Plasma Adiponectin Concentrations in Women With Preeclampsia * Response: Adiponectin Concentrations in Preeclampsia
Hypertension, April 1, 2004; 43(4): e17 - e17.
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J. Clin. Endocrinol. Metab.Home page
K. C. B. Tan, A. Xu, W. S. Chow, M. C. W. Lam, V. H. G. Ai, S. C. F. Tam, and K. S. L. Lam
Hypoadiponectinemia Is Associated with Impaired Endothelium-Dependent Vasodilation
J. Clin. Endocrinol. Metab., February 1, 2004; 89(2): 765 - 769.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Mazurek, L. Zhang, A. Zalewski, J. D. Mannion, J. T. Diehl, H. Arafat, L. Sarov-Blat, S. O'Brien, E. A. Keiper, A. G. Johnson, et al.
Human Epicardial Adipose Tissue Is a Source of Inflammatory Mediators
Circulation, November 18, 2003; 108(20): 2460 - 2466.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
J. R. Turk, J. A. Carroll, M. H. Laughlin, T. R. Thomas, J. Casati, D. K. Bowles, and M. Sturek
C-reactive protein correlates with macrophage accumulation in coronary arteries of hypercholesterolemic pigs
J Appl Physiol, September 1, 2003; 95(3): 1301 - 1304.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
M. Chandran, S. A. Phillips, T. Ciaraldi, and R. R. Henry
Adiponectin: More Than Just Another Fat Cell Hormone?
Diabetes Care, August 1, 2003; 26(8): 2442 - 2450.
[Full Text] [PDF]


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Diabetes CareHome page
J. Krakoff, T. Funahashi, C. D.A. Stehouwer, C. G. Schalkwijk, S. Tanaka, Y. Matsuzawa, S. Kobes, P. A. Tataranni, R. L. Hanson, W. C. Knowler, et al.
Inflammatory Markers, Adiponectin, and Risk of Type 2 Diabetes in the Pima Indian
Diabetes Care, June 1, 2003; 26(6): 1745 - 1751.
[Abstract] [Full Text] [PDF]