Abstract
Aims
Interleukin-8 (IL-8) is a chemokine involved in systemic immunity, macrophages infiltration and activation in adipose tissue and may play a significant role in the pathogenesis of type 2 diabetes (T2D) and atherosclerosis. Aims of this study were to evaluate circulating IL-8 levels in adult patients with T2D in comparison with non-diabetic subjects and to describe clinical and biochemical correlates of IL-8 concentration.
Methods
For this cross-sectional study, we enrolled 79 consecutive T2D individuals referring to our diabetes outpatient clinics at Sapienza University of Rome, and 37 sex, age and BMI comparable non-diabetic subjects as a control group. Clinical parameters and medical history were recorded; fasting blood sampling was performed for biochemistry and for measuring serum IL-8, IL-6, TNF-α, CRP, adiponectin and 25(OH)vitamin D [25(OH)D] levels.
Results
Patients with T2D exhibited significantly higher serum IL-8 levels than non-diabetic subjects (69.27 ± 112.83 vs. 16.03 ± 24.27 pg/mL, p < 0.001). In diabetic patients, increased IL-8 concentration correlated with higher IL-6 (p < 0.001), TNF-α (p = 0.02), FBG (p = 0.035), HbA1c (p = 0.04) and LDL-C (p = 0.04) and with lower adiponectin (p = 0.02) and 25(OH)D (p = 0.003) concentrations.
Conclusions
Patients with T2D display a marked elevation of circulating IL-8 levels which identify subjects with worse inflammatory, glycometabolic and lipid profile and lower vitamin D levels. Further studies are warranted for evaluating a possible role of IL-8 as a novel marker for risk stratification in T2D patients.
Similar content being viewed by others
References
Paniagua JA (2016) Nutrition, insulin resistance and dysfunctional adipose tissue determine the different components of metabolic syndrome. World J Diabetes 7:483–514
Lopes HF, Corrêa-Giannella ML, Consolim-Colombo FM, Egan BM (2016) Visceral adiposity syndrome. Diabetol Metab Syndr 8:40. doi:10.1186/s13098-016-0156-2
Jung UJ, Choi MS (2014) Obesity and its metabolic complications: the role of adipokines and the relationship between obesity, inflammation, insulin resistance, dyslipidemia and nonalcoholic fatty liver disease. Int J Mol Sci 15:6184–6223. doi:10.3390/ijms15046184
Chen L, Chen R, Wang H, Liang F (2015) Mechanisms linking inflammation to insulin resistance. Int J Endocrinol 2015:508409. doi:10.1155/2015/508409
Kammoun HL, Kraakman MJ, Febbraio MA (2014) Adipose tissue inflammation in glucose metabolism. Rev Endocr Metab Disord 15:31–44. doi:10.1007/s11154-013-9274-4
Alisi A, Carpino G, Oliveira FL, Panera N, Nobili V, Gaudio E (2017) The role of tissue macrophage-mediated inflammation on NAFLD pathogenesis and its clinical implications. Mediators Inflamm 2017:8162421. doi:10.1155/2017/8162421
Nakamura K, Fuster JJ, Walsh K (2014) Adipokines: a link between obesity and cardiovascular disease. J Cardiol 63:250–259. doi:10.1016/j.jjcc.2013.11.006
Wensveen FM, Valentić S, Šestan M, Turk Wensveen T, Polić B (2015) The “Big Bang” in obese fat: events initiating obesity-induced adipose tissue inflammation. Eur J Immunol 45:2446–2456. doi:10.1002/eji.201545502
Kraakman MJ, Murphy AJ, Jandeleit-Dahm K, Kammoun HL (2014) Macrophage polarization in obesity and type 2 diabetes: weighing down our understanding of macrophage function? Front Immunol 5:470. doi:10.3389/fimmu.2014.00470
Meshkani R, Vakili S (2016) Tissue resident macrophages: key players in the pathogenesis of type 2 diabetes and its complications. Clin Chim Acta 462:77–89. doi:10.1016/j.cca.2016.08.015
Blüher M (2016) Adipose tissue inflammation: a cause or consequence of obesity-related insulin resistance? Clin Sci 18:1603–1614. doi:10.1042/CS20160005
Bastard JP, Maachi M, Lagathu C et al (2006) Recent advances in the relationship between obesity, inflammation, and insulin resistance. Eur Cytokine Netw 1:4–12
Hotamisligil GS, Shargill NS, Spiegelman BM (1993) Adipose expression of tumor necrosis factor-alpha: direct role in obesity-linked insulin resistance. Science 5091:87–91
Calle MC, Fernandez ML (2012) Inflammation and type 2 diabetes. Diabetes Metab 38:183–191. doi:10.1016/j.diabet.2011.11.006
Mirza S, Hossain M, Mathews C et al (2012) Type 2-diabetes is associated with elevated levels of TNF-alpha, IL-6 and adiponectin and low levels of leptin in a population of Mexican Americans: a cross-sectional study. Cytokine 1:136–142. doi:10.1016/j.cyto.2011.09.029
Pickup JC, Chusney GD, Thomas SM, Burt D (2000) Plasma interleukin-6, tumour necrosis factor alpha and blood cytokine production in type 2 diabetes. Life Sci 67:291–300
Pradhan AD, Manson JE, Rifai N, Buring JE, Ridker PM (2001) C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus. JAMA 286:327–334
Kim CS, Park HS, Kawada T et al (2006) Circulating levels of MCP-1 and IL-8 are elevated in human obese subjects and associated with obesity-related parameters. Int J Obes 9:1347–1355
Cavusoglu E, Marmur JD, Yanamadala S et al (2015) Elevated baseline plasma IL-8 levels are an independent predictor of long-term all-cause mortality in patients with acute coronary syndrome. Atherosclerosis 242:589–594. doi:10.1016/j.atherosclerosis.2015.08.022
Ajmera V, Perito ER, Bass NM et al (2017) Novel plasma biomarkers associated with liver disease severity in adults with nonalcoholic fatty liver disease. Hepatology 65:65–77. doi:10.1002/hep.28776
Mukaida N, Shiroo M, Matsushima K (1989) Genomic structure of the human monocyte-derived neutrophil chemotactic factor IL-8. J Immunol 143(4):1366–1371 PMID: 2663993
Remick DG (2005) Interleukin-8. Crit Care Med 33:S466–S467
Baggiolini M, Loetscher P, Moser B (1995) Interleukin-8 and the chemokine family. Int J Immunopharmacol 17:103–108
Leonard EJ, Yoshimura T (1990) Neutrophil attractant/activation protein-1 (NAP-1 [interleukin-8]). Am J Respir Cell Mol Biol 2(6):479–486 Review. PMID: 2189453
Moreau M, Brocheriou I, Petit L, Ninio E, Chapman MJ, Rouis M (1999) Interleukin-8 mediates downregulation of tissue inhibitor of metalloproteinase-1 expression in cholesterol-loaded human macrophages: relevance to stability of atherosclerotic plaque. Circulation 99(3):420–426 PMID: 9918530
Koch AE, Polverini PJ, Kunkel SL et al (1992) Interleukin-8 as a macrophage-derived mediator of angiogenesis. Science 258(5089):1798–1801 PMID: 1281554
Yue TL, Mckenna PJ, Gu JL, Feuerstein GZ (1993) Interleukin-8 is chemotactic for vascular smooth muscle cells. Eur J Pharmacol 240(1):81–84 PMID: 8405125
Gerszten RE, Garcia-Zepeda EA, Lim YC et al (1999) MCP-1 and IL-8 trigger firm adhesion of monocytes to vascular endothelium under flow conditions. Nature 398(6729):718–723 PMID: 10227295
Joshi-Barve S, Barve SS, Butt W, Klein J, McClain CJ (2003) Inhibition of proteasome function leads to NF-kappaB-independent IL-8 expression in human hepatocytes. Hepatology 38(5):1178–1187 PubMed PMID: 14578856
Zimmermann HW, Seidler S, Gassler N et al (2011) Interleukin-8 is activated in patients with chronic liver diseases and associated with hepatic macrophage accumulation in human liver fibrosis. PLoS ONE 6(6):e21381. doi:10.1371/journal.pone.0021381 Epub 2011 Jun 22. PubMed PMID: 21731723; PubMed Central PMCID: PMC3120868
Xu L, Kitade H, Ni Y, Ota T (2015) Roles of chemokines and chemokine receptors in obesity-associated insulin resistance and nonalcoholic fatty liver disease. Biomolecules 5(3):1563–1579. doi:10.3390/biom5031563 Review. PubMed PMID: 26197341; PubMed Central PMCID: PMC4598764
Mirza MS (2011) Obesity, visceral fat, and NAFLD: querying the role of adipokines in the progression of nonalcoholic fatty liver disease. ISRN Gastroenterol 2011:592404. doi: 10.5402/2011/592404. Epub 2011 Aug 28. PubMed PMID: 21991518; PubMed Central PMCID: PMC3168494
Kim JS, Lê KA, Mahurkar S, Davis JN, Goran MI (2012) Influence of elevated liver fat on circulating adipocytokines and insulin resistance in obese Hispanic adolescents. Pediatr Obes 7(2):158–164. doi:10.1111/j.2047-6310.2011.00014.x Epub 2012 Feb 9. PubMed PMID: 22434756; PubMed Central PMCID: PMC3767148
Jarrar MH, Baranova A, Collantes R et al (2008) Adipokines and cytokines in non-alcoholic fatty liver disease. Aliment Pharmacol Ther 27(5):412–421 Epub 2007 Dec 10 PubMed PMID: 18081738
Chu CJ, Lu RH, Wang SS et al (2007) Plasma levels of interleukin-6 and interleukin-8 in Chinese patients with non-alcoholic fatty liver disease. Hepatogastroenterology 54(79):2045–2048 PubMed PMID: 18251157
Huang YS, Chan CY, Wu JC, Pai CH, Chao Y, Lee SD (1996) Serum levels of interleukin-8 in alcoholic liver disease: relationship with disease stage, biochemical parameters and survival. J Hepatol 24:377–384
Bahcecioglu IH, Yalniz M, Ataseven H et al (2005) Levels of serum hyaluronic acid, TNF-alpha and IL-8 in patients with nonalcoholic steatohepatitis. Hepatogastroenterology 65:1549–1553
Yamaguchi R, Yamamoto T, Sakamoto A et al (2015) Chemokine profiles of human visceral adipocytes from cryopreserved preadipocytes: neutrophil activation and induction of nuclear factor-kappa B repressing factor. Life Sci 143:225–230. doi:10.1016/j.lfs.2015.11.010
Kobashi C, Asamizu S, Ishiki M et al (2009) Inhibitory effect of IL-8 on insulin action in human adipocytes via MAP kinase pathway. J Inflamm 6:25. doi:10.1186/1476-9255-6-25
Marino F, Tozzi M, Schembri L et al (2015) Production of IL-8, VEGF and elastase by circulating and intraplaque neutrophils in patients with carotid atherosclerosis. PLoS ONE 10:e0124565. doi:10.1371/journal.pone.0124565
Kobashi C, Asamizu S, Ishiki M et al (2009) Inhibitory effect of IL-8 on insulin action in human adipocytes via MAP kinase pathway. J Inflamm (Lond) 6:25. doi:10.1186/1476-9255-6-25 PubMed PMID: 19709445; PubMed Central PMCID: PMC2746203
Matsuda M, DeFronzo RA (1999) Insulin sensitivity indices obtained from oral glucose tolerance testing: comparison with the euglycemic insulin clamp. Diabetes Care 22:1462–1470
Zozuliñska D, Majchrzak A, Sobieska M, Wiktorowicz K, Wierusz-Wysocka B (1999) Serum interleukin-8 level is increased in diabetic patients. Diabetologia 42:117–118
Esposito K, Nappo F, Giugliano F et al (2003) Cytokine milieu tends toward inflammation in type 2 diabetes. Diabetes Care 26:1647
Nomura S, Shouzu A, Omoto S, Nishikawa M, Fukuhara S (2000) Significance of chemokines and activated platelets in patients with diabetes. Clin Exp Immunol 121:437–443
Samaras K, Botelho NK, Chisholm DJ, Lord RV (2010) Subcutaneous and visceral adipose tissue gene expression of serum adipokines that predict type 2 diabetes. Obesity (Silver Spring). 18(5):884–889. doi:10.1038/oby.2009.443
Hajer GR, van Haeften TW, Visseren FL (2008) Adipose tissue dysfunction in obesity, diabetes, and vascular diseases. Eur Heart J 29(24):2959–2971. doi:10.1093/eurheartj/ehn387
Carnethon MR, Rasmussen-Torvik LJ, Palaniappan L (2014) The obesity paradox in diabetes. Curr Cardiol Rep 16(2):446. doi:10.1007/s11886-013-0446-3
Mancuso P (2016) The role of adipokines in chronic inflammation. Immunotargets Ther 5:47–56. doi:10.2147/ITT.S73223
Kwon H, Pessin JE (2013) Adipokines mediate inflammation and insulin resistance. Front Endocrinol 4:71. doi:10.3389/fendo.2013.00071
Calton EK, Keane KN, Newsholme P, Soares MJ (2015) The impact of vitamin D levels on inflammatory status: a systematic review of immune cell studies. PLoS ONE 10:e0141770. doi:10.1371/journal.pone.0141770
Wei R, Christakos S (2015) Mechanisms underlying the regulation of innate and adaptive immunity by vitamin D. Nutrients 7:8251–8260. doi:10.3390/nu7105392
Jung CH, Kim KJ, Kim BY, Kim CH, Kang SK, Mok JO (2016) Relationship between vitamin D status and vascular complications in patients with type 2 diabetes mellitus. Nutr Res 2:117–124. doi:10.1016/j.nutres.2015.11.008
Li DM, Zhang Y, Li Q, Xu XH, Ding B, Ma JH (2016) Low 25-hydroxy vitamin D level is associated with peripheral arterial disease in type 2 diabetes patients. Arch Med Res 47:49–54. doi:10.1016/j.arcmed.2016.01.007
Hamdy Al-Said N, Abd El Ghaffar Mohamed N, Salam RF, Fawzy MW (2015) Vitamin D as a risk factor for premature atherosclerosis in patients with type 2 diabetes. Ther Adv Endocrinol Metab 6:249–257. doi:10.1177/2042018815600640
Chowdhury R, Kunutsor S, Vitezova A et al (2014) Vitamin D and risk of cause specific death: systematic review and meta-analysis of observational cohort and randomized intervention studies. BMJ 348:g1903. doi:10.1136/bmj.g1903
Funding
This study has been funded by research Grants from the Sapienza University Ateneo Scientific Research (MGC, IB).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
Ethical standard
All procedures performed in the study were in accordance with the ethical standards of the institutional (Sapienza University of Rome) and national research committee and with the 1964 Helsinki Declaration and its 2008 amendments.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Managed By Antonio Secchi.
Rights and permissions
About this article
Cite this article
Cimini, F.A., Barchetta, I., Porzia, A. et al. Circulating IL-8 levels are increased in patients with type 2 diabetes and associated with worse inflammatory and cardiometabolic profile. Acta Diabetol 54, 961–967 (2017). https://doi.org/10.1007/s00592-017-1039-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00592-017-1039-1