Association between high serum levels of soluble vascular cell adhesion molecule-1 and obesity in women
DOI:
https://doi.org/10.13181/mji.oa.257801Keywords:
adhesion molecule-1, body mass index, homeostatic model assessment, obesity, vascular cellAbstract
BACKGROUND Obesity and metabolic disorders are associated with persistent low-level inflammation connected to soluble vascular cell adhesion molecule-1 (sVCAM-1). Recent research highlights its connection to endothelial dysfunction in female obesity. This study aimed to investigate the relationship between sVCAM-1 levels and obesity-related risk factors in women from Kirkuk City, Iraq.
METHODS A case-control study was conducted on 90 women aged 20–50, including 43 participants with obesity and 47 healthy controls. Blood samples were collected, processed, and analyzed to measure various biochemical markers, including sVCAM-1. Logistic regression analysis was utilized to examine the association between sVCAM-1 levels and obesity-related parameters. Correlation analysis was performed to assess associations with body mass index (BMI). Statistical analysis was conducted using SPSS software version 23.0.
RESULTS Correlation analysis revealed that BMI was significantly correlated with alanine aminotransferase (r = 0.37, p = 0.011), uric acid (r = 0.30, p = 0.04), insulin (r = 0.37, p = 0.01), homeostatic model assessment of insulin resistance (r = 0.47, p = 0.002), and sVCAM-1 (r = 0.53, p = 0.001). These results suggest that elevated sVCAM-1 levels may serve as predictive biomarkers for increased insulin resistance in obese individuals. These findings indicate that sVCAM-1 is strongly linked to female obesity and insulin resistance.
CONCLUSIONS This study confirms the potential use of sVCAM-1 as a prognostic biomarker for obesity-related metabolic disturbances and its role in identifying individuals with a higher risk of developing insulin resistance.
Downloads
References
Mohammed AK, Khurshid CA, Abdulrahman HB. Assessment the linking of insulin-like growth factor 1 hormone and their gene polymorphism with excess adiposity. Syst Rev Pharm. 2020;11(5):649-53. https://doi.org/10.31838/srp.2020.5.91
Al-Thuwaini TM. Body mass index and shortened telomere length in middle-aged female and male running head: middle-aged and shortened telomere length. Baghdad Sci J. 2022;19(2):246-54. https://doi.org/10.21123/bsj.2022.19.2.0246
Kwaifa IK, Bahari H, Yong YK, Noor SM. Endothelial dysfunction in obesity-induced inflammation: molecular mechanisms and clinical implications. Biomolecules. 2020;10(2):291. https://doi.org/10.3390/biom10020291
Balsan GA, Vieira JL, Oliveira AM, Portal VL. Relationship between adiponectin, obesity and insulin resistance. Rev Assoc Med Bras. 2015;61(1):72-80. https://doi.org/10.1590/1806-9282.61.01.072
Salih MA, Alobaidi AH, Alsamarai AM. Obesity as a risk factor for disease development: part-I cardiovascular disease and renal failure. Indian J Public Heal Res Dev. 2020;11(1):1926. https://doi.org/10.37506/v11/i1/2020/ijphrd/194136
Akha MH, Hashemvarzi SA. Investigating the protective effects of endurance and resistance trainings on serum level of cellular and vascular adhesive molecules in obese men. Med Lab J. 2021;15(3):27-32. https://doi.org/10.61186/mlj.15.3.27
Zhang L, Mao H. The relationship between serum VCAM-1 and Alzheimer's disease in patients with type 2 diabetes mellitus. Diabetes Metab Syndr Obes. 2020;13:4661-7. https://doi.org/10.2147/DMSO.S274232
Li J, Wang Q, Zhang Q, Wang Z, Wan X, Miao C, et al. Higher blood vascular cell adhesion molecule-1 is related to the increased risk of cardiovascular events in chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2020;15:2289-95. https://doi.org/10.2147/COPD.S264889
Thompson AM, Zhang Y, Tong W, Xu T, Chen J, Zhao L, et al. Association of obesity and biomarkers of inflammation and endothelial dysfunction in adults in Inner Mongolia, China. Int J Cardiol. 2011;150(3):247-52. https://doi.org/10.1016/j.ijcard.2010.04.011
Hocaoglu-Emre FS, Saribal D, Yenmis G, Guvenen G. Vascular cell adhesion molecule 1, intercellular adhesion molecule 1, and cluster of differentiation 146 levels in patients with type 2 diabetes with complications. Endocrinol Metab (Seoul). 2017;32(1):99-105. https://doi.org/10.3803/EnM.2017.32.1.99
Raosoft, Inc. Sample size calculator [Internet]. Seattle (WA): Raosoft, Inc.; c2004 [cited 2024 Jun 15]. Available from: http://www.raosoft.com/samplesize.html.
WHO Consultation on Obesity (1999: Geneva, Switzerland), World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation [Internet]. Geneva: World Health Organization; 2000 [cited 2024 Jul 16]. Available from: https://iris.who.int/handle/10665/42330.
Notrica S, Klein MW, Miyada DS, Nakamura RM. Effect on chemical values of using polystyrene beads for serum separation. Clin Chem. 1973;19(7):792-3. https://doi.org/10.1093/clinchem/19.7.792
Kumar V, Khanna AK, Khan MM, Singh R, Singh S, Chander R, et al. Hypoglycemic, lipid lowering and antioxidant activities in root extract of Anthocephalus indicus in alloxan induced diabetic rats. Indian J Clin Biochem. 2009;24(1):65-9. https://doi.org/10.1007/s12291-009-0011-4
Agrawal N, Kumar Agrawal M, Kumari T, Kumar S. Correlation between body mass index and blood glucose levels in Jharkhand population. Int J Contemp Med Res. 2017;4:1633-6.
Rosli N, Kwon HJ, Lim J, Yoon YA, Jeong JS. Measurement comparability of insulin assays using conventional immunoassay kits. J Clin Lab Anal. 2022;36(7):e24521. https://doi.org/10.1002/jcla.24521
Goy RW, Shrestha HK, Colman RJ, Dukes NJ, Ziegler TE, Kapoor A. Development and validation of an LC-MS/MS based quantitative assay for marmoset insulin in serum. J Chromatogr B Analyt Technol Biomed Life Sci. 2022;1195:123150. https://doi.org/10.1016/j.jchromb.2022.123150
Al-Thuwaini TM. Association of antidiabetic therapy with shortened telomere length in middle-aged type 2 diabetic patients. J Diabetes Metab Disord. 2021;20(2):1161-8. https://doi.org/10.1007/s40200-021-00835-x
Stoś K, Rychlik E, Woźniak A, Ołtarzewski M, Jankowski M, Gujski M, et al. Prevalence and sociodemographic factors associated with overweight and obesity among adults in Poland: a 2019/2020 nationwide cross-sectional survey. Int J Environ Res Public Health. 2022;19(3):1502. https://doi.org/10.3390/ijerph19031502
Mohammed AK, Al-Thuwaini TM, Al-Shuhaib MB. Single nucleotide polymorphism rs7908486 of the TCF7L2 gene is highly associated with obesity in the Iraqi population. Arch Biol Sci. 2021;73(1):39-45. https://doi.org/10.2298/ABS201213056M
Wiebe N, Muntner P, Tonelli M. Associations of body mass index, fasting insulin, and inflammation with mortality: a prospective cohort study. Int J Obes (Lond). 2022;46(12):2107-13. https://doi.org/10.1038/s41366-022-01211-2
Chait A, Den Hartigh LJ. Adipose tissue distribution, inflammation and its metabolic consequences, including diabetes and cardiovascular disease. Front Cardiovasc Med. 2020;7:22. https://doi.org/10.3389/fcvm.2020.00022
Palmer AK, Jensen MD. Metabolic changes in aging humans: current evidence and therapeutic strategies. J Clin Invest. 2022;132(16):e158451. https://doi.org/10.1172/JCI158451
Pataky MW, Young WF, Nair KS. Hormonal and metabolic changes of aging and the influence of lifestyle modifications. Mayo Clin Proc. 2021;96(3):788-814. https://doi.org/10.1016/j.mayocp.2020.07.033
Musafer JKN, Zulkeflee HA, Wan Nik WN, Ab Rahim SN, Ismail TT. Unraveling the complex role of zinc, boron, chromium, and selenium in the pathogenesis of diabetes mellitus: a review. IIUM Med J Malaysia. 2024;23(3):4-12. https://doi.org/10.31436/imjm.v23i03.2459
Musafer JK, Mohammed AK, Chobok AS, Al-Mousawi MR, Huyop F, Al-Thuwaini TM. The impact of some vitamins and minerals supplements on type 2 diabetes (T2DM) management. J Trop Life Sci. 2024;8(3):211-6. https://doi.org/10.11594/jtls.14.02.01
Tchalla A, Wellenius GA, Boyer S, Travison TG, Habtemariam D, Gagnon M, et al. High levels of an endothelial dysfunction marker (sVCAM-1) are associated with injurious and recurrent falls and mortality over a 5-year interval in an older population. Exp Gerontol. 2018;106:1-7. https://doi.org/10.1016/j.exger.2018.02.020
Zaki M, Hussein J, Ibrahim AM, Youness ER. Circulating plasma free fatty acids, insulin resistance and metabolic markers in obese women. Biomed Pharmacol J. 2020;13(4):1595-600. https://doi.org/10.13005/bpj/2034
Richard AJ, White U, Elks CM, Jacqueline M. Adipose tissue: physiology to metabolic dysfunction. In: Feingold KR, Ahmed SF, Anawalt B, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555602/.
Kajikawa M, Higashi Y. Obesity and endothelial function. Biomedicines. 2022;10(7):1745. https://doi.org/10.3390/biomedicines10071745
Di Pietrantonio N, Palmerini C, Pipino C, Baldassarre MP, Bologna G, Mohn A, et al. Plasma from obese children increases monocyte-endothelial adhesion and affects intracellular insulin signaling in cultured endothelial cells: potential role of mTORC1-S6K1. Biochim Biophys Acta Mol Basis Dis. 2021;1867(4):166076. https://doi.org/10.1016/j.bbadis.2021.166076
Zhang J. Biomarkers of endothelial activation and dysfunction in cardiovascular diseases. Rev Cardiovasc Med. 2022;23(2):73. https://doi.org/10.31083/j.rcm2302073
Al-Dahr MH. Inflammatory biomarkers and endothelial dysfunction among obese type 2 diabetic patients: a correlational study. Eur J Gen Med. 2016;13(3):31-3. https://doi.org/10.29333/ejgm/81901
Gimbrone MA Jr, García-Cardeña G. Endothelial cell dysfunction and the pathobiology of atherosclerosis. Circ Res. 2016;118(4):620-36. https://doi.org/10.1161/CIRCRESAHA.115.306301
Yin C, Hu W, Wang M, Xiao Y. The role of the adipocytokines vaspin and visfatin in vascular endothelial function and insulin resistance in obese children. BMC Endocr Disord. 2019;19(1):127. https://doi.org/10.1186/s12902-019-0452-6
Sitar-Taut AV, Coste SC, Tarmure S, Orasan OH, Fodor A, Negrean V, et al. Diabetes and obesity-cumulative or complementary effects on adipokines, inflammation, and insulin resistance. J Clin Med. 2020;9(9):2767. https://doi.org/10.3390/jcm9092767
Machoń NJ, Zdanowska N, Klimek-Trojan P, Owczarczyk-Saczonek A. Vascular cell adhesion molecule 1 and e-selectin as potential cardiovascular risk biomarkers in psoriasis. Int J Mol Sci. 2025;26(2):792. https://doi.org/10.3390/ijms26020792
Clemente-Suárez VJ, Redondo-Flórez L, Beltrán-Velasco AI, Martín-Rodríguez A, Martínez-Guardado I, Navarro-Jiménez E, et al. The role of adipokines in health and disease. Biomedicines. 2023;11(5):1290. https://doi.org/10.3390/biomedicines11051290
Singh V, Kaur R, Kumari P, Pasricha C, Singh R. ICAM-1 and VCAM-1: gatekeepers in various inflammatory and cardiovascular disorders. Clin Chim Acta. 2023;548:117487. https://doi.org/10.1016/j.cca.2023.117487
Henning RJ. Obesity and obesity-induced inflammatory disease contribute to atherosclerosis: a review of the pathophysiology and treatment of obesity. Am J Cardiovasc Dis. 2021;11(4):504-29.
Mohammed AK. Comparison of TNF-α and IL-19 concentrations at different stages of breast cancer. J Med Life. 2022;15(6):845-9. https://doi.org/10.25122/jml-2021-0359
Mulhem A, Moulla Y, Klöting N, Ebert T, Tönjes A, Fasshauer M, et al. Circulating cell adhesion molecules in metabolically healthy obesity. Int J Obes (Lond). 2021;45(2):331-6. https://doi.org/10.1038/s41366-020-00667-4
Ashtary-Larky D, Niknam S, Alipour M, Bagheri R, Asbaghi O, Mohammadian M, et al. Are women with normal-weight obesity at higher risk for cardiometabolic disorders? Biomedicines. 2023;11(2):341. https://doi.org/10.3390/biomedicines11020341
Dilhara EL, Pushpakumara KD, Dias P, Priyadarshani AM. Association between Asia-Pacific body mass index classification and serum liver enzymes: alanine aminotransferase, aspartate aminotransferase and gamma-glutamyl transferase in healthy individuals. Egypt Liver J. 2023;13(1):42. https://doi.org/10.1186/s43066-023-00275-7
Duan Y, Liang W, Zhu L, Zhang T, Wang L, Nie Z, et al. Association between serum uric acid levels and obesity among university students (China). Nutr Hosp. 2015;31(6):2407-11. https://doi.org/10.3305/nh.2015.31.6.8734.
Al-Musa HM. Impact of obesity on serum levels of thyroid hormones among euthyroid Saudi adults. J Thyroid Res. 2017;2017(1):5739806. https://doi.org/10.1155/2017/5739806
Isoppo de Souza C, Rosa DD, Ettrich B, Cibeira GH, Giacomazzi J, Tusset P, et al. Association of adipokines and adhesion molecules with indicators of obesity in women undergoing mammography screening. Nutr Metab (Lond). 2012;9(1):97. https://doi.org/10.1186/1743-7075-9-97
Musafer KN, Huyop FZ, Ewadh MJ, Supriyanto E, Rava M. A systematic mapping study on the risk factors leading to type II diabetes mellitus. Karbala Int J Mod Sci. 2020;6(3):275-83. https://doi.org/10.33640/2405-609X.1677
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Karar Nadhum Jawad Musafer, Amera Kamal Mohammed, Tahreer Mohammed Al-Thuwaini, Fahrul Huyop, Sarwan Wasman Bradosty

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Medical Journal of Indonesia agree to the following terms:
- Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.