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Severe hyperinsulinemia, decreased GLUT3 and GLUT4 expression, and increased retinol binding protein 4 in a patient with chronic graft‐versus‐host disease post bone marrow transplantation
Author(s) -
Livadas Sarantis,
Voutetakis Antonis,
Bourhis JeanClaude,
Maratou Eirini,
Dimitriadis George,
Margeli Alexandra,
Chandrinou Helen,
Goussetis Evgenios,
Papassotiriou Ioannis,
DacouVoutetakis Catherine
Publication year - 2012
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2011.01562.x
Subject(s) - medicine , retinol binding protein 4 , hyperinsulinemia , graft versus host disease , bone marrow transplantation , glut4 , glut3 , bone marrow , transplantation , immunology , diabetes mellitus , endocrinology , insulin resistance , glut1 , glucose transporter , insulin , adipokine
Livadas S, Voutetakis A, Bourhis J‐C, Maratou E, Dimitriadis G, Margeli A, Chandrinou H, Goussetis E, Papassotiriou I, Dacou‐Voutetakis C. Severe hyperinsulinemia, decreased GLUT3 and GLUT4 expression, and increased retinol binding protein 4 in a patient with chronic graft‐versus‐host disease post bone marrow transplantation.
Pediatr Transplantation 2011. © 2011 John Wiley & Sons A/S. Abstract: Hyperinsulinemia with or without DM2 is a frequent long‐term sequela of BMT, especially following cGvHD. In this report, an extensive evaluation of a patient with cGvHD is described: glucose and insulin during OGTT, markers of inflammation, adiponectin and RBP4, body composition analysis, and the kinetics of GLUT3 and GLUT4 in circulating monocytes were evaluated. Hyperinsulinemia, associated with partial lipodystrophy, elevated RBP4, low adiponectin levels, and decreased expression of GLUT3 and GLUT4 were detected. The defects disclosed in this particular patient possibly explain, at least in part, the mechanisms underlying insulin resistance in patients undergoing BMT. It is not clear whether insulin resistance was caused by the drugs, the process itself, or the residual damage to the muscles and/or adipose tissue.