Abstract
Background
The Vascular endothelial growth factor (VEGF) regulates endothelial cell proliferation, migration and angiogenesis, promotes vascular and capillary permeability and also is involved in inflammation. VEGF gene has been suggested to play an important role in the pathogenesis of metabolic syndrome. The aim of this study was to investigate the association between inflammatory potential of a diet and + 405 VEGF C/G (rs2010963) polymorphism and metabolic components in patients with metabolic syndrome.
Methods
One hundred fifty patients with metabolic syndrome and fifty healthy individuals were enrolled. A semi-quantitative food-frequency questionnaire (FFQ) was used for dietary assessments and dietary inflammatory index (DII) calculation. Biochemical assays including fasting serum glucose (FSG), serum insulin, matrix metalloproteinase-3 (MMP-3), liver enzymes and lipid profile were measured. Polymerase chain reaction-restriction fragments length polymorphism (PCR-RFLP) method was used for the determination of gene polymorphism.
Results
In the current study, patients with metabolic syndrome had higher serum low density lipoprotein (LDL) and lower high density lipoprotein (HDL) concentrations compared with healthy subjects. Patients with lower DII quartiles and lower inflammatory potential of the diet had lower waist to hip ratio (WHR) and lower diastolic blood pressure (DBP) compared with patients in higher DII quartiles (P < 0.05). Moreover, patients and healthy subjects in second quartile of DII had significantly higher aspartate aminotransferase (AST) and alanine aminotransferase (ALT) concentrations compared with subjects in the first quartile; also healthy subjects in third quartile had significantly higher triglyceride (TG) and total cholesterol (TC) concentrations compared with subjects in second quartile (P < 0.05). Among different genotypes of 6 P21 rs2010963 gene variants in patients with metabolic syndrome, CC genotype indicated the highest DII compared with other genotypes (P < 0.05).
Conclusion
The current study revealed the association between DII and metabolic risk factors of metabolic syndrome.
Level of evidence
Level III, case-control analytic study.
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Abbreviations
- ANOVA:
-
Analysis of variance
- CAD:
-
Coronary artery disease
- CVD:
-
Cardiovascular disease
- MetS:
-
Metabolic syndrome
- HDL:
-
High-density lipoprotein cholesterol
- LDL:
-
Low-density lipoprotein cholesterol
- TC:
-
Total cholesterol
- TNF-α:
-
Tumor necrosis factor-α
- DII:
-
Dietary inflammatory index
- CRP:
-
C-reactive protein
- IL:
-
Interleukin
- FSG:
-
Fasting serum glucose
- MMP-3:
-
Matrix metalloproteinase-3
- PCR-RFLP:
-
Polymerase chain reaction-restriction fragments length polymorphism
- TLGS:
-
Tehran lipid and glucose study
- VEGF:
-
Vascular endothelial growth factor
- NCEP-ATP III:
-
National Cholesterol Education Program’s Adult Treatment Panel III
References
Reaven GM (1988) Role of insulin resistance in human disease. Diabetes 37(12):1595–1607. https://doi.org/10.2337/diab.37.12.1595
National Cholesterol Education Program (NCEP) (2002) Expert panel on detection and treatment of high blood cholesterol in adults. Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) final report. Circulation 106(25):3143–421. https://doi.org/10.1161/circ.106.25.3143
Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA et al (2005) Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation 112(17):2735–2752. https://doi.org/10.1161/circulationaha.105.169404
Isomaa B, Almgren P, Tuomi T, Forsén B, Lahti K, Nissén M (2001) Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2(4):683–689. https://doi.org/10.2337/diacare.24.4.683
Ritz E (2008) Metabolic syndrome and kidney disease. Blood Purif 26(1):59–62. https://doi.org/10.1159/000110566
Marchesini G, Brizi M, Bianchi G, Tomassetti S, Bugianesi E, Lenzi M (2001) Nonalcoholic fatty liver disease a feature of the metabolic syndrome. Diabetes 50(8):1844–1850. https://doi.org/10.2337/diabetes.50.8.1844
Tenenbaum A, Fisman EZ, Motro M (2003) Metabolic syndrome and type 2 diabetes mellitus: focus on peroxisome proliferator activated receptors (PPAR). Cardiovasc Diabetol 2:4–14. https://doi.org/10.1186/1475-2840-2-4
Heiskanen TH, Niskanen LK, Hintikka JJ, Koivumaa-Honkanen HT, Honkalampi KM, Haatainen KM (2006) Metabolic syndrome and depression: a cross-sectional analysis. J Clin Psychiatry 67(9):1422–1427
Mottillo S, Filion KB, Genest J, Joseph L, Pilote L, Poirier P (2010) The metabolic syndrome and cardiovascular risk: a systematic review and meta-analysis. J Am Coll Cardiol 56(14):1113–1132. https://doi.org/10.1016/j.jacc.2010.05.034
Ford ES, Giles WH, Dietz WH (2002) Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA 287(3):356–359. https://doi.org/10.1001/jama.287.3.356
Zabetian A, Hadaegh F, Azizi F (2007) Prevalence of metabolic syndrome in Iranian adult population, concordance between the IDF with the ATP III and the WHO definitions. Diabetes Res Clin Pract 77(2):251–257. https://doi.org/10.1186/1472-6823-12-25
Esposito K, Giugliano D (2004) The metabolic syndrome and inflammation: association or causation? Nutr Metab Cardiovasc Dis 14(5):228–232. https://doi.org/10.1016/S0939-4753(04)80048-6
Luca CD, Olefsky JM (2008) Inflammation and insulin resistance. FEBS Lett 582(1):97–105. https://doi.org/10.1016/j.febslet.2007.11.057
Barazzoni R, Gortan Cappellari G, Ragni M, Nisoli E (2018) Insulin resistance in obesity: an overview of fundamental alterations. Eat Weight Disord 23(2):149–157. https://doi.org/10.1007/s40519-018-0481-6
Heshmat R, Shafiee G, Qorbani M, Azizi-Soleiman F, Djalalinia SH, Motlagh ME et al (2016) Association of ghrelin with cardiometabolic risk factors in Iranian adolescents: the CASPIAN-III study. J Cardiovasc Thorac Res 8(3):107–112. https://doi.org/10.15171/jcvtr.2016.23
Farhangi MA, Mesgari-Abbasi M, Hajiluian G, Nameni G, Shahabi P (2017) Adipose tissue inflammation and oxidative stress: the ameliorative effects of vitamin D. Inflammation 40(5):1688–1697. https://doi.org/10.1007/s10753-017-0610-9
Barazzoni R, Gortan Cappellari G, Palus S, Vinci P, Ruozi G, Zanetti M, Semolic A, Ebner N, von Heahling S, Sinagra G, Giacca M, Springer J (2017) Acylated ghrelin treatment normalizes skeletal muscle mitochondrial oxidative capacity and AKT phosphorylation in rat chronic heart failure. J Cachexia Sarcopenia Muscle. https://doi.org/10.1002/jcsm.12254
Nicholson JK, Holmes E, Kinross J, Burcelin R, Gibson G, Jia W, Pettersson S (2012) Host-gut microbiota metabolic interactions. Science 336(6086):1262–1267. https://doi.org/10.1126/science.1223813
Kern PA, Saghizadeh M, Ong JM, Bosch RJ, Deem R, Simsolo RB (1995) The expression of tumor necrosis factor in human adipose tissue. Regulation by obesity, weight loss, and relationship to lipoprotein lipase. J Clin Investig 95(5):2111–2119. https://doi.org/10.1172/JCI117899
Sharma P (2011) Inflammation and the metabolic syndrome. Indian J Clin Biochem 26(4):317–318. https://doi.org/10.1007/s12291-011-0175-6
Tang X, Yang Y, Yuan H, You J, Burkatovskaya M, Amar S (2013) Novel transcriptional regulation of VEGF in inflammatory processes. J Cell Mol Med 17:386–397. https://doi.org/10.1111/jcmm.12020PMID
Miyazawa-Hoshimoto S, Takahashi K, Bujo H, Hashimoto N, Saito Y (2003) Elevated serum vascular endothelial growth factor is associated with visceral fat accumulation in human obese subjects. Diabetologia 46(11):1483–1488. https://doi.org/10.1007/s00125-003-1221-6
Lee CG, Link H, Baluk P, Homer RJ, Chapoval S, Bhandari V et al (2004) Vascular endothelial growth factor (VEGF) induces remodeling and enhances TH2-mediated sensitization and inflammation in the lung. Nat Med 10(10):1095–1100. https://doi.org/10.1038/nm1105
Scaldaferri F, Vetrano S, Sans M, Arena V, Straface G, Stigliano E et al (2009) VEGF-A links angiogenesis and inflammation in inflammatory bowel disease pathogenesis. Gastroenterology 136(2):585–595. https://doi.org/10.1053/j.gastro.2008.09.064
Barylski M, Kowalczyk E, Banach M, Ciecwierz J, Pawlicki L, Kowalski J (2009) Plasma total antioxidant activity in comparison with plasma NO and VEGF levels in patients with metabolic syndrome. Angiology 60:87–92. https://doi.org/10.1177/0003319708327165
Siervo M, Ruggiero D, Sorice R, Nutile T, Aversano M, Iafusco M et al (2012) Body mass index is directly associated with biomarkers of angiogenesis and inflammation in children and adolescents. Nutrition 28:262–266. https://doi.org/10.1016/j.nut.2011.06.007
Hagberg CE, Mehlem A, Falkevall A, Muhl L, Fam BC, Ortsäter H et al (2012) Targeting VEGF-B as a novel treatment for insulin resistance and type 2 diabetes. Nature 490(7420):426–430. https://doi.org/10.1038/nature11464
Vincenti V, Cassano C, Rocchi M, Persico MG (1996) Assignment of the vascular endothelial growth factor gene to human chromosome 6p21.3. Circulation 93(8):1493–1495. https://doi.org/10.1161/01.CIR.93.8.1493
Vural P, Kusku-Kiraz Z, Dogru-Abbasoglu S, Cil EKB, Uysal M (2010) Vascular endothelial growth factor +405G/C, −460 T/C and −2578 A/C polymorphisms are not associated with insulin resistance in polycystic ovary syndrome. Int J Immunogenet 37(4):239–243. https://doi.org/10.1111/j.1744-313X.2010.00915.x
Badr Mohammed S, Al-awadi S, Algenabi A (2013) Vascular endothelial growth factor +405 G/C polymorphism and diabetic retinopathy. Int J Adv Res 1(8):278–286
Salem AB, Megdich F, Kacem O, Souayeh M, Ben-Ali FH, Hizem S et al (2016) Vascular endothelial growth factor (VEGFA) gene variation in polycystic ovary syndrome in a Tunisian women population. BMC Genom 17(Suppl 9):748–755. https://doi.org/10.1186/s12864-016-3092-5
Moradzadegan A, Vaisi-Raygani A, Nikzamir A, Rahimi Z (2015) Angiotensin converting enzyme insertion/deletion (I/D) (rs4646994) and Vegf polymorphism (+405G/C; rs2010963) in type II diabetic patients: association with the risk of coronary artery disease. J Renin Angiotensin Aldosterone Syst 16(3):672–680. https://doi.org/10.1177/1470320313497819
Van-der Meer P, De-Boer RA, White HL, van-der Steege G, Hall AS, Voors AA et al (2005) The VEGF +405 CC promoter polymorphism is associated with an impaired prognosis in patients with chronic heart failure: a MERIT-HF substudy. J Card Fail 11:279–284. https://doi.org/10.1016/j.cardfail.2004.11.006
Kanaki T, Bujo H, Mori S, Yanjuan Z, Takahashi K, Yokote K et al (2002) Functional analysis of aortic endothelial cells expressing mutant PDGF receptors with respect to expression of matrix metalloproteinase-3. Biochem Biophys Res Commun 294:231–237. https://doi.org/10.1016/S0006-291X(02)00468-0
Sreenath T, Matrisian LM, Stetler-Stevenson W, Gattoni-Celli S, Pozzatti RO (1992) Expression of matrix metalloproteinase genes in transformed rat cell lines of high and low metastatic potential. Cancer 52:4942–4947
Bini A, Mann KG, Kudryk BJ, Schoen FJ (1999) Noncollagenous bone matrix proteins, calcification, and thrombosis in carotid artery atherosclerosis. Arterioscler Thromb Vasc Biol 19:1852–1861
Hopps E, Caimi G (2012) Matrix metalloproteinases in metabolic syndrome. Eur J Intern Med 23(2):99–104. https://doi.org/10.1016/j.ejim.2011.09.012
Lijnen HR, Maquoi E, Demeulemeester D, Van Hoef B, Collen D (2002) Modulation of fibrinolytic and gelatinolytic activity during adipose tissue development in a mouse model of nutritionally induced obesity. J Thromb Haemost 88(2):345–353. https://doi.org/10.1055/s-0037-1613208
Gummesson A, Hagg D, Olson FJ, Hulthe J, Carlsson LM, Fagerberg B (2009) Adipose tissue is not an important source for matrix metalloproteinase-9 in the circulation. Scand J Clin Lab Investig 69(636):42. https://doi.org/10.3109/00365510902912747
Cicero AF, Derosa G, Manca M, Bove M, Borghi C, Gaddi AV (2007) Vascular remodeling and prothrombotic markers in subjects affected by familial combined hyperlipidemia and/or metabolic syndrome in primary prevention for cardiovascular disease. Endothelium 14:193–198. https://doi.org/10.1080/10623320701606731
Miksztowicz V, Muzzio ML, Royer M et al (2008) Increased plasma activity of metalloproteinase 2 in women with metabolic syndrome. Metabolism 57:1493–1496. https://doi.org/10.1016/j.metabol.2008.06.001
Goncalves FM, Jacob-Ferreira AL, Gomes VA, Casella-Filho A, Chagas AC, Marcaccini AM et al (2009) Increased circulating levels of matrix metalloproteinase (MMP)-8, MMP-9, and pro-inflammatory markers in patients with metabolic syndrome. Clin Chim Acta 403(1–2):173–177. https://doi.org/10.1016/j.cca.2009.02.013
Aggarwal A, Aggarwal S, Sarkar PG, Sharma V (2014) Predisposing factors to premature coronary artery disease in young (age less than 45 years) smokers: a single center retrospective case control study from India. JCVTR 6(1):15–19. https://doi.org/10.5681/jcvtr.2014.003
Azizi H, Asadollahi KH, Esmaeili ED, Mirzapoor M (2015) Iranian dietary patterns and risk of colorectal cancer. Health Promot Perspect 5(1):72–80. https://doi.org/10.15171/hpp.2015.009
Sokhanvar S, Khoshi A, Hajiaghaei S, Mousavinasab N, Golmohammadi Z (2012) Association between Apo lipoprotein B levels at admission of patients and short-term morbidity and mortality after myocardial infarction. J Cardiovasc Thorac Res 4(3):61–64. https://doi.org/10.5681/jcvtr.2012.015
Farhangi MA, Najafi M, Jafarabadi MA, Jahangiry L (2017) Mediterranean dietary quality index and dietary phytochemical index among patients candidate for coronary artery bypass grafting (CABG) surgery. BMC Cardiovasc Disord 17(1):114–120. https://doi.org/10.1186/s12872-017-0544-z
Cavicchia PP, Steck SE, Hurley TG, Hussey JR, Ma Y, Ockene IS et al (2009) A new dietary inflammatory index predicts interval changes in serum high-sensitivity C-reactive protein. J Nutr 139(12):2365–2372. https://doi.org/10.3945/jn.109.114025
Shivappa N, Steck SE, Hurley TG, Hussey JR, Hébert JR (2014) Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutr 17(08):1689–1696. https://doi.org/10.1017/s1368980013002115
Shivappa N, Steck SE, Hurley TG, Hussey JR, Ma Y, Ockene IS et al (2013) A population based dietary inflammatory index predicts levels of C-reactive protein in the Seasonal Variation of Blood Cholesterol Study (SEASONS). Public Health Nutr. https://doi.org/10.1017/S1368980013002565
Garcia-Arellano A, Ramallal R, Ruiz-Canela M, Salas-Salvadó J, Corella D, Shivappa N et al (2015) Dietary inflammatory index and incidence of cardiovascular disease in the PREDIMED study. Nutrients 7(6):4124–4138. https://doi.org/10.3390/nu7064124
Wood LG, Shivappa N, Berthon B, Gibson PG, Hebert JR (2015) Dietary inflammatory index is related to asthma risk, lung function and systemic inflammation in asthma. Clin Exp Allergy 45(1):177–183. https://doi.org/10.1111/cea.12323
Orchard T, Yildiz V, Steck SE, Hebert JR, Ma Y, Cauley JA et al (2017) Dietary inflammatory index, bone mineral density, and risk of fracture in postmenopausal women: results from the women’s health initiative. J Bone Miner Res 32(5):1136–1146. https://doi.org/10.1002/jbmr.3070
Shivappa N, Bosetti C, Zucchetto A, Montella M, Serraino D, La Vecchia C et al (2015) Association between dietary inflammatory index and prostate cancer among Italian men. Br J Nutr 113(2):278–283. https://doi.org/10.1017/s0007114514003572
Tabung FK, Steck SE, Ma Y, Liese AD, Zhang J, Caan B et al (2015) The association between dietary inflammatory index and risk of colorectal cancer among postmenopausal women: results from the Women’s Health Initiative. Cancer Causes Control 26(3):399–408. https://doi.org/10.1007/s10552-014-0515-y
Ren Z, Zhao A, Wang Y, Meng L, Man-Yau Szeto I, Li T et al (2018) Association between dietary inflammatory index, C-reactive protein and metabolic syndrome: a cross-sectional study. Nutrients 10:831–844. https://doi.org/10.3390/nu10070831
Alkerwi AA, Shivappa N, Crichton G, Hébert JR (2014) No significant independent relationships with cardiometabolic biomarkers were detected in the Observation of Cardiovascular Risk Factors in Luxembourg study population. Nutr Res 34(12):1058–1065. https://doi.org/10.1016/j.nutres.2014.07.017
Carvalho CA, Silva AAM, Assuncao MCF, Fonseca PCA, Barbieri MA, Bettiol H et al (2019) The dietary inflammatory index and insulin resistance or metabolic syndrome in young adults. Nutrition (Burbank, Los Angeles County, Calif) 58:187–193. https://doi.org/10.1016/j.nut.2018.07.014
Kim HY, Lee J, Kim J (2018) Association between dietary inflammatory index and metabolic syndrome in the general Korean population. Nutrients 10(5):E648. https://doi.org/10.3390/nu10050648
Nikniaz L, Nikniaz Z, Shivappa N, Hébert JR (2018) The association between dietary inflammatory index and metabolic syndrome components in Iranian adults. Prim Care Diabetes. https://doi.org/10.1016/j.pcd.2018.07.008(pii:S1751-9918(18)30209-2)
Neufcourt L, Assmann KE, Fezeu LK, Touvier M, Graffouillère L, Shivappa N et al (2015) Prospective association between the dietary inflammatory index and metabolic syndrome: findings from the SU.VI.MAX study. Nutr Metab Cardiovasc Dis 25(11):988–996. https://doi.org/10.1016/j.numecd.2015.09.002
Hajiluian G, Farhangi MA, Jahangiry L (2017) Mediterranean dietary pattern and VEGF +405 G/C gene polymorphisms in patients with metabolic syndrome: an aspect of genenutrient interaction. PLoS ONE 12(2):e0171637. https://doi.org/10.1371/journal.pone.0171637
Farhangi MA, Jahangiry L, Mirinazhad MM, Shojaeezade D, Montazeri A, Yaghoubi A (2017) A web-based interactive lifestyle modification program improves lipid profile and serum adiponectin concentrations in patients with metabolic syndrome: the “Red Ruby” study. Int J Diabetes Dev Ctries 37(1):21–30. https://doi.org/10.1007/s13410-015-0395-z
Farhangi MA, Jahangiry L, Jafarabadi MA, Najafi M (2016) Association between dietary patterns and metabolic syndrome in a sample of Tehranian adults. Obes Res Clin Pract 10S:S64–S73. https://doi.org/10.1016/j.orcp.2015.05.011
Ebrahimi-Mameghani M, Mehrabi E, Kamalifard M, Yavarikia P (2013) Correlation between body mass index and central adiposity with pregnancy complications in pregnant women. Health Prom Perspect 3(1):73–79. https://doi.org/10.5681/hpp.2013.009
Hosseini Esfahani F, Asghari G, Mirmiran P, Azizi F (2010) Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol 20(2):150–158. https://doi.org/10.2188/jea.JE20090083
Farzi A, Hagh MF (2014) Association between Vascular Endothelial Growth Factor (VEGF) + 405 C/G polymorphism and hypertension in North West of Iran. Int Res J Appl Basic Sci 8(1):122–125
Azimi-Nezhad M, Mirhafez SR, Stathopoulou MG, Murray H, Ndiaye NC, Bahrami A et al (2018) The relationship between vascular endothelial growth factor cis- and trans-acting genetic variants and metabolic syndrome. Am J Med Sci 355(6):559–565. https://doi.org/10.1016/j.amjms.2018.03.009
Facemire CS, Nixon AB, Griffiths R, Hurwitz H, Coffman TM (2009) Vascular endothelial growth factor receptor 2 controls blood pressure by regulating nitric oxide synthase expression. Hypertension 54(3):652–658. https://doi.org/10.1161/HYPERTENSIONAHA
Hoseini Z, Azimi-Nezhad M, Ghayour-Mobarhan M, Avan A, Eslami S, Nematy M et al (2018) VEGF gene polymorphism interactions with dietary trace elements intake in determining the risk of metabolic syndrome. J Cell Biochem. https://doi.org/10.1002/jcb.27171
Ramallal R, Toledo E, Martínez-González MA, Hernández-Hernández A, García-Arellano A, Shivappa N et al (2015) Dietary inflammatory index and incidence of cardiovascular disease in the SUN cohort. PLoS ONE 10(9):e0135221. https://doi.org/10.1371/journal.pone.0135221
Wirth M, Burch J, Shivappa N, Violanti JM, Burchfiel CM, Fekedulegn D et al (2014) Association of a dietary inflammatory index with inflammatory indices and the metabolic syndrome among police officers. J Occup Environ Med 56(9):986–989. https://doi.org/10.1097/JOM.0000000000000213
Woudenbergh GJ, Theofylaktopoulou D, Kuijsten A, Ferreira I, van Greevenbroek MK, van der Kallen CJ et al (2013) Adapted dietary inflammatory index and its association with a summary score for low-grade inflammation and markers of glucose metabolism: the Cohort study on Diabetes and Atherosclerosis Maastricht (CODAM) and the Hoorn study. Am J Clin Nutr 98(6):1533–1542. https://doi.org/10.3945/ajcn.112.056333
McCullough ML, Feskanich D, Stampfer MJ, Giovannucci EL, Rimm EB, Hu FB et al (2002) Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance. Am J Clin Nutr 76(6):1261–1271. https://doi.org/10.1093/ajcn/76.6.1261
Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB (2008) Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med 168(7):713–720. https://doi.org/10.1001/archinte.168.7.713
Kant AK, Schatzkin A, Ziegler RG (1995) Dietary diversity and subsequent cause-specific mortality in the NHANES I epidemiologic follow-up study. J Am Coll Nutr 14(3):233–238. https://doi.org/10.1080/07315724.1995.10718501
Wirth MD, Hébert JR, Shivappa N, Hand G, Hurley TG, Drenowatz C et al (2016) Anti-inflammatory Dietary Inflammatory Index scores are associated with healthier scores on other dietary indices. Nutr Res 36(3):214–219. https://doi.org/10.1016/j.nutres.2015.11.009
Borini P, Guimarães RC (1999) Indicators of inflammation and cellular damage in chronic asymptomatic or oligosymptomatic alcoholics: correlation with alteration of bilirubin and hepatic and pancreatic enzymes. Revista do Hospital das Clínicas 54(2):53–60. https://doi.org/10.1590/S0041-87811999000200005
Jaeschke H (2006) Mechanisms of liver injury. II. Mechanisms of neutrophil-induced liver cell injury during hepatic ischemia-reperfusion and other acute inflammatory conditions. Am J Physiol Gastrointest Liver Physiol 290(6):G1083–G1088. https://doi.org/10.1152/ajpgi.00568.2005
Esteve E, Ricart W, Fernández-Real JM (2005) Dyslipidemia and inflammation: an evolutionary conserved mechanism. Clin Nutr 24(1):16–31. https://doi.org/10.1016/j.clnu.2004.08.004
Chen W, Jump DB, Grant MB, Esselman WJ, Busik JV (2003) Dyslipidemia, but not hyperglycemia, induces inflammatory adhesion molecules in human retinal vascular endothelial cells. Investig Ophthalmol Vis Sci 44(11):5016–5022. https://doi.org/10.1167/iovs.03-0418
Sharifi N, Mahdavi R, Ebrahimi-Mameghani M (2013) Perceived barriers to weight loss programs for overweight or obese women. Health Prom Perspect 3(1):11–22. https://doi.org/10.5681/hpp.2013.002
Steck SE, Shivappa N, Tabung FK, Harmon BE, Wirth MD, Hurley TG, Hebert JR (2014) The dietary inflammatory index: a new tool for assessing diet quality based on inflammatory potential. Digest 49(3):1–10
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We thank all of the study participants.
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The work has been granted by a grant from Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
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All authors read and approved the final version of the manuscript. MAF designed the idea of the project, performed the statistical analysis, wrote the first draft of the manuscript and revised it, MV was involved in manuscript revision and LN and ZN both were involved in the data collection, laboratory assessments and manuscript drafting.
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This work is the first study evaluates the gene-nutrient interaction from the perspective of DII-gene interactions.
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Abbasalizad Farhangi, M., Vajdi, M., Nikniaz, L. et al. The interaction between dietary inflammatory index and 6 P21 rs2010963 gene variants in metabolic syndrome. Eat Weight Disord 25, 1049–1060 (2020). https://doi.org/10.1007/s40519-019-00729-1
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DOI: https://doi.org/10.1007/s40519-019-00729-1