- Clinical Study
- Correlation of Glypican-4 Level with Basal Active Glucagon-Like
Peptide 1 Level in Patients with Type 2 Diabetes Mellitus
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Sang Ah Lee, Gwanpyo Koh, Suk Ju Cho, So-Yeon Yoo, Sang Ouk Chin
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Endocrinol Metab. 2016;31(3):439-445. Published online September 26, 2016
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DOI: https://doi.org/10.3803/EnM.2016.31.3.439
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Abstract
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- Background
Previous studies have reported that glypican-4 (GPC4) regulates insulin
signaling by interacting with insulin receptor and through adipocyte
differentiation. However, GPC4 has not been studied with regard to its
effects on clinical factors in patients with type 2 diabetes mellitus
(T2DM). We aimed to identify factors associated with GPC4 level in T2DM. MethodsBetween January 2010 and December 2013, we selected 152 subjects with T2DM
and collected serum and plasma into tubes pretreated with aprotinin and
dipeptidyl peptidase-4 inhibitor to preserve active gastric inhibitory
polypeptide (GIP) and glucagon-like peptide 1 (GLP-1). GPC4, active GLP-1,
active GIP, and other factors were measured in these plasma samples. We
performed a linear regression analysis to identify factors associated with
GPC4 level. ResultsThe subjects had a mean age of 58.1 years, were mildly obese (mean body mass
index [BMI], 26.1 kg/m2), had T2DM of long-duration (mean, 101.3
months), glycated hemoglobin 7.5%, low insulin secretion, and low insulin
resistance (mean homeostatic model assessment of insulin resistance
[HOMA-IR], 1.2). Their mean GPC4 was 2.0±0.2 ng/mL. In multivariate
analysis, GPC4 was independently associated with age (β=0.224,
P=0.009), and levels of active GLP-1 (β=0.171,
P=0.049) and aspartate aminotransferase (AST;
β=–0.176, P=0.043) after being adjusted for
other clinical factors. ConclusionGPC4 was independently associated with age, active GLP-1, and AST in T2DM
patients, but was not associated with HOMA-IR and BMI, which are well known
factors related to GPC4. Further study is needed to identify the mechanisms
of the association between GPC4 and basal active GLP-1 levels.
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Citations
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