PMID- 24884787 OWN - NLM STAT- MEDLINE DCOM- 20141031 LR - 20221207 IS - 1475-2840 (Electronic) IS - 1475-2840 (Linking) VI - 13 DP - 2014 May 24 TI - A pilot three-month sitagliptin treatment increases serum adiponectin level in Japanese patients with type 2 diabetes mellitus--a randomized controlled trial START-J study. PG - 96 LID - 10.1186/1475-2840-13-96 [doi] AB - BACKGROUND: The dipeptidyl-peptidase-IV (DPP-4) inhibitors, including sitagliptin, are used for the treatment of type 2 diabetes mellitus (T2DM). Adiponectin, an adipocyte-derived circulating protein, has anti-atherosclerotic and anti-diabetic properties and is effectively elevated in bloodstream by thiazolidinediones, an insulin sensitizer. However, the effect of sitagliptin treatment on serum adiponectin level in T2DM has not fully elucidated in Japanese T2DM patients. The aim of the present study was to examine the effect of sitagliptin treatment on serum adiponectin levels in T2DM subjects. METHODS: Twenty-six consecutive Japanese T2DM outpatients were recruited between April 2011 and March 2013, and randomized into the control (conventional treatment, n = 10) group and sitagliptin treatment group (n = 16). Serum adiponectin was measured by enzyme-linked immunosorbent assay. RESULTS: Indices of glycemic control, such as hemoglobin A1c, glycated albumin, and 1.5-anhydro-D-glucitol, were significantly improved after the three-month treatment in both the control and sitagliptin groups. Serum adiponectin level was significantly increased in sitagliptin group from 6.7 +/- 0.8 to 7.4 +/- 1.0 mug/mL without change of body mass index (p = 0.034), while serum adiponectin level was not altered in the control group (p = 0.601). CONCLUSION: In Japanese T2DM patients, serum adiponectin level was elevated by three-month treatment with sitagliptin without change of body weight. TRIAL REGISTRATION: UMIN000004721. FAU - Hibuse, Toshiyuki AU - Hibuse T FAU - Maeda, Norikazu AU - Maeda N AD - Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, 2-2 B-5, Yamada-oka, Suita, Osaka 565-0871, Japan. norikazu_maeda@endmet.med.osaka-u.ac.jp. FAU - Kishida, Ken AU - Kishida K FAU - Kimura, Takekazu AU - Kimura T FAU - Minami, Tomoko AU - Minami T FAU - Takeshita, Eriko AU - Takeshita E FAU - Hirata, Ayumu AU - Hirata A FAU - Nakagawa, Yasuhiko AU - Nakagawa Y FAU - Kashine, Susumu AU - Kashine S FAU - Oka, Akemi AU - Oka A FAU - Hayashi, Masumi AU - Hayashi M FAU - Nishizawa, Hitoshi AU - Nishizawa H FAU - Funahashi, Tohru AU - Funahashi T FAU - Shimomura, Iichiro AU - Shimomura I LA - eng SI - JPRN/UMIN000004721 PT - Journal Article PT - Randomized Controlled Trial DEP - 20140524 PL - England TA - Cardiovasc Diabetol JT - Cardiovascular diabetology JID - 101147637 RN - 0 (ADIPOQ protein, human) RN - 0 (Adiponectin) RN - 0 (Biomarkers) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Pyrazines) RN - 0 (Triazoles) RN - TS63EW8X6F (Sitagliptin Phosphate) SB - IM MH - Adiponectin/biosynthesis/*blood MH - Aged MH - *Asian People/ethnology MH - Biomarkers/blood MH - Body Weight MH - Diabetes Mellitus, Type 2/*blood/*drug therapy/ethnology MH - Dipeptidyl-Peptidase IV Inhibitors/*therapeutic use MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pilot Projects MH - Prospective Studies MH - Pyrazines/*therapeutic use MH - Sitagliptin Phosphate MH - Time Factors MH - Treatment Outcome MH - Triazoles/*therapeutic use PMC - PMC4049487 EDAT- 2014/06/03 06:00 MHDA- 2014/11/02 06:00 PMCR- 2014/05/24 CRDT- 2014/06/03 06:00 PHST- 2014/05/12 00:00 [received] PHST- 2014/05/18 00:00 [accepted] PHST- 2014/06/03 06:00 [entrez] PHST- 2014/06/03 06:00 [pubmed] PHST- 2014/11/02 06:00 [medline] PHST- 2014/05/24 00:00 [pmc-release] AID - 1475-2840-13-96 [pii] AID - 10.1186/1475-2840-13-96 [doi] PST - epublish SO - Cardiovasc Diabetol. 2014 May 24;13:96. doi: 10.1186/1475-2840-13-96.