Abstract
Purpose
Betatrophin and fibroblast growth factor-21 (FGF-21), which are recently discovered members of hepatokine/adipokine family, have been proposed to be associated with some metabolic disorders in which insulin resistance plays a major role.
Methods
We aimed to investigate serum betatrophin and FGF-21 concentrations in women with polycystic ovary syndrome (PCOS). In this cross-sectional study, we recruited 31 women with PCOS and 34 women as healthy controls. Serum betatrophin level and its relationship with serum FGF-21 level as well as metabolic parameters were examined.
Results
Serum betatrophin level was significantly higher in women with PCOS than the control group [1.10 (0.20–4.20) vs 0.70 (0.20–3.50) ng/ml, p = 0.004], whereas FGF-21 did not differ between the groups [74.80 (7.80–435.90) vs 119.30 (10.50–443.40) pg/ml, p = 0.13]. Serum betatrophin correlated positively with LH levels (r = 0.26, p = 0.03). After controlling BMI, there was a significant positive correlation between betatrophin and FGF-21 (r = 0.25, p = 0.04). Multivariate regression analysis revealed that FGF-21 and presence of PCOS were the significant predictors of betatrophin concentrations (R2 = 0.22, F = 2.56, p = 0.03).
Conclusions
Our results indicate that betatrophin levels are increased and associated with LH and FGF-21 levels, but not with insulin resistance, in women with PCOS.
Similar content being viewed by others
References
Goodarzi MO, Dumesic DA, Chazenbalk G, Azziz R (2011) Polycystic ovary syndrome: etiology, pathogenesis and diagnosis. Nat Rev Endocrinol 7:219–231
Azziz R et al (2016) Polycystic ovary syndrome. Nat Rev Dis Primers 2:16057
Santulli G (2014) Angiopoietin-like proteins: a comprehensive look. Front Endocrinol (Lausanne) 5:4
Abu-Farha M, Abubaker J, Tuomilehto J (2017) ANGPTL8 (betatrophin) role in diabetes and metabolic diseases. Diabetes Metab Res Rev 33:e2919
Iroz A, Couty JP, Postic C (2015) Hepatokines: unlocking the multi-organ network in metabolic diseases. Diabetologia 58:1699–1703
Ahnfelt-Ronne J, Madsen OD (2014) Betatrophin. Islets 6:e28686
El Ouaamari A et al (2013) Liver-derived systemic factors drive beta cell hyperplasia in insulin-resistant states. Cell Rep 3:401–410
Araújo TG, Oliveira AG, Saad MJ (2013) Insulin-resistance-associated compensatory mechanisms of pancreatic beta cells: a current opinion. Front Endocrinol (Lausanne) 4:146
Espes D, Martinell M, Liljebäck H, Carlsson PO (2015) Betatrophin in diabetes mellitus: the epidemiological evidence in humans. Curr Diabetes Rep 15:104
Chen X et al (2015) Circulating betatrophin levels are increased in patients with type 2 diabetes and associated with insulin resistance. J Clin Endocrinol Metab 100:E96–E100
Hu H et al (2014) Increased circulating levels of betatrophin in newly diagnosed type 2 diabetic patients. Diabetes Care 37:2718–2722
Ebert T et al (2015) Betatrophin levels are increased in women with gestational diabetes mellitus compared to healthy pregnant controls. Eur J Endocrinol 173:1–7
Trebotic LK et al (2015) Circulating betatrophin is strongly increased in pregnancy and gestational diabetes mellitus. PLoS One 10:e0136701
Wang H et al (2016) The effects of serum ANGPTL8/betatrophin on the risk of developing the metabolic syndrome—a prospective study. Sci Rep 6:28431
Calan M et al (2016) Elevated circulating levels of betatrophin are associated with polycystic ovary syndrome. Endocrine 53:271–279
Li L et al (2017) Association of betatrophin with metabolic characteristics in overweight/obese and lean women with PCOS. Gynecol Endocrinol 33:238–243
Giralt M, Gavalda-Navarro A, Villarroya F (2015) Fibroblast growth factor-21, energy balance and obesity. Mol Cell Endocrinol 418(Pt 1):66–73
Chavez AO et al (2009) Circulating fibroblast growth factor-21 is elevated in impaired glucose tolerance and type 2 diabetes and correlates with muscle and hepatic insulin resistance. Diabetes Care 32:1542–1546
Zhang X et al (2008) Serum FGF21 levels are increased in obesity and are independently associated with the metabolic syndrome in humans. Diabetes 57:1246–1253
Gorar S et al (2010) Serum fibroblast growth factor 21 levels in polycystic ovary syndrome. Gynecol Endocrinol 26:819–826
Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group (2004) Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod 19:41–47
Sahin Ersoy G et al (2017) Novel adipokines WISP1 and betatrophin in PCOS: relationship to AMH levels, atherogenic and metabolic profile. Gynecol Endocrinol 33:119–123
Erol O et al (2017) Assessment of circulating betatrophin concentrations in lean glucose-tolerant women with polycystic ovary syndrome. J Obstet Gynaecol 37:633–638
Qu Q, Zhao D, Zhang F, Bao H, Yang Q (2017) Serum betatrophin levels are increased and associated with insulin resistance in patients with polycystic ovary syndrome. J Int Med Res 45:193–202
Adamska A et al (2017) Serum concentrations of betatrophin and its association with indirect indices of insulin resistance and beta cell function in women with polycystic ovary syndrome. Int J Endocrinol 2017:2316986
Erbag G et al (2016) Relationship between betatrophin levels and metabolic parameters in patients with polycystic ovary syndrome. Cell Mol Biol (Noisy-le-grand) 62:20–24
Fu Z, Abou-Samra AB, Zhang R (2014) An explanation for recent discrepancies in levels of human circulating betatrophin. Diabetologia 57:2232–2234
Ollila ME et al (2016) Overweight and obese but not normal weight women with PCOS are at increased risk of type 2 diabetes mellitus-a prospective, population-based cohort study. Hum Reprod 32:423–431
Iizuka K (2017) The transcription factor carbohydrate-response element-binding protein (ChREBP): a possible link between metabolic disease and cancer. Biochim Biophys Acta 1863:474–485
Filhoulaud G, Guilmeau S, Dentin R, Girard J, Postic C (2013) Novel insights into ChREBP regulation and function. Trends Endocrinol Metab 24:257–268
Maurer L et al (2016) Weight loss partially restores glucose-driven betatrophin response in humans. J Clin Endocrinol Metab 101:4014–4020
Fenzl A et al (2014) Circulating betatrophin correlates with atherogenic lipid profiles but not with glucose and insulin levels in insulin-resistant individuals. Diabetologia 57:1204–1208
Jiao Y, Le Lay J, Yu M, Naji A, Kaestner KH (2014) Elevated mouse hepatic betatrophin expression does not increase human beta-cell replication in the transplant setting. Diabetes 63:1283–1288
Wang S, Hong X, Tu Z, Yuan G (2017) Angiopoietin-like protein 8: an attractive biomarker for the evaluation of subjects with insulin resistance and related disorders. Diabetes Res Clin Pract 133:168–177
Zhang R, Abou-Samra AB (2014) A dual role of lipasin (betatrophin) in lipid metabolism and glucose homeostasis: consensus and controversy. Cardiovasc Diabetol 13:133
Diamanti-Kandarakis E, Papavassiliou AG, Kandarakis SA, Chrousos GP (2007) Pathophysiology and types of dyslipidemia in PCOS. Trends Endocrinol Metab 18:280–285
Wild RA, Rizzo M, Clifton S, Carmina E (2011) Lipid levels in polycystic ovary syndrome: systematic review and meta-analysis. Fertil Steril 95:1073–1079
Gomez-Ambrosi J et al (2016) Altered concentrations in dyslipidemia evidence a role for ANGPTL8/betatrophin in lipid metabolism in humans. J Clin Endocrinol Metab 101:3803–3811
Dunaif A, Finegood DT (1996) Beta-cell dysfunction independent of obesity and glucose intolerance in the polycystic ovary syndrome. J Clin Endocrinol Metab 81:942–947
Legro RS, Kunselman AR, Dunaif A (2001) Prevalence and predictors of dyslipidemia in women with polycystic ovary syndrome. Am J Med 111:607–613
Funding
This project was supported by Gazi University Research Foundation (BAP-01/2016-19).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that there is no conflict of interest.
Ethical approval
The study protocol was approved by local ethics committee.
Informed consent
All subjects were informed about the content of the study and their consent was taken accordingly.
Rights and permissions
About this article
Cite this article
Kahraman, S., Altinova, A.E., Yalcin, M.M. et al. Association of serum betatrophin with fibroblast growth factor-21 in women with polycystic ovary syndrome. J Endocrinol Invest 41, 1069–1074 (2018). https://doi.org/10.1007/s40618-018-0831-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40618-018-0831-2