PMID- 27110135 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160425 LR - 20201001 IS - 1178-7074 (Print) IS - 1178-7074 (Electronic) IS - 1178-7074 (Linking) VI - 9 DP - 2016 TI - Effects of teneligliptin on PDMPs and PAI-1 in patients with diabetes on hemodialysis. PG - 65-71 LID - 10.2147/IJGM.S102070 [doi] AB - BACKGROUND: Cardiovascular disease (CVD) is the main cause of death among hemodialysis (HD) patients. The effects of the dipeptidyl peptidase-4 inhibitor teneligliptin on CVD-related biomarkers in patients with type 2 diabetes mellitus (T2DM) receiving HD treatment are poorly understood. To determine whether teneligliptin has anti-CVD properties, we assessed its effects on soluble P-selectin (sP-selectin), platelet-derived microparticles (PDMPs), plasminogen activator inhibitor 1 (PAI-1), soluble E-selectin (sE-selectin), soluble vascular adhesion molecule 1 (sVCAM-1), and adiponectin plasma levels in HD and non-HD patients with T2DM. METHODS: Patients with T2DM eligible for teneligliptin monotherapy or combination therapy (eg, teneligliptin plus a sulfonylurea) were administered teneligliptin (20 mg/d) once daily for 6 months. Plasma levels of sP-selectin, PDMPs, PAI-1, sE-selectin, sVCAM-1, and adiponectin were measured by enzyme-linked immunosorbent assay at baseline and after 3 months and 6 months of treatment. RESULTS: Teneligliptin therapy significantly reduced plasma levels of sP-selectin, PDMPs, and PAI-1 compared with baseline levels, while significantly increasing adiponectin levels. sE-selectin and sVCAM-1 levels were significantly decreased only at 6 months. The reduction in sP-selectin, PDMPs, and PAI-1 was more significant in HD patients than in non-HD patients. However, the improvement in adiponectin levels was unchanged with HD treatment. CONCLUSION: By modulating PDMPs or PAI-1, teneligliptin shows an antiatherothrombotic effect that may be beneficial in the primary prevention of CVD in patients with T2DM on HD. FAU - Okuda, Yoshinori AU - Okuda Y AD - Division of Internal Medicine, Meisei Memorial Hospital, Osaka, Japan. FAU - Omoto, Seitaro AU - Omoto S AD - Division of Internal Medicine, Kohrigaoka Yukeikai Hospital, Osaka, Japan. FAU - Taniura, Takehito AU - Taniura T AD - Division of Internal Medicine, Daiwa Hospital, Osaka, Japan. FAU - Shouzu, Akira AU - Shouzu A AD - Division of Internal Medicine, Saiseikai Izuo Hospital, Osaka, Japan. FAU - Nomura, Shosaku AU - Nomura S AD - First Department of Internal Medicine, Kansai Medical University, Osaka, Japan. LA - eng PT - Journal Article DEP - 20160412 PL - New Zealand TA - Int J Gen Med JT - International journal of general medicine JID - 101515487 PMC - PMC4835142 OTO - NOTNLM OT - PAI-1 OT - PDMP OT - hemodialysis OT - teneligliptin OT - type 2 diabetes mellitus EDAT- 2016/04/26 06:00 MHDA- 2016/04/26 06:01 PMCR- 2016/04/12 CRDT- 2016/04/26 06:00 PHST- 2016/04/26 06:00 [entrez] PHST- 2016/04/26 06:00 [pubmed] PHST- 2016/04/26 06:01 [medline] PHST- 2016/04/12 00:00 [pmc-release] AID - ijgm-9-065 [pii] AID - 10.2147/IJGM.S102070 [doi] PST - epublish SO - Int J Gen Med. 2016 Apr 12;9:65-71. doi: 10.2147/IJGM.S102070. eCollection 2016.