PMID- 27704740 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 2093-596X (Print) IS - 2093-5978 (Electronic) IS - 2093-596X (Linking) VI - 31 IP - 3 DP - 2016 Sep TI - Correlation of Glypican-4 Level with Basal Active Glucagon-Like Peptide 1 Level in Patients with Type 2 Diabetes Mellitus. PG - 439-445 LID - 10.3803/EnM.2016.31.3.439 [doi] AB - 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. METHODS: Between 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. RESULTS: The subjects had a mean age of 58.1 years, were mildly obese (mean body mass index [BMI], 26.1 kg/m(2)), 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 (beta=0.224, P=0.009), and levels of active GLP-1 (beta=0.171, P=0.049) and aspartate aminotransferase (AST; beta=-0.176, P=0.043) after being adjusted for other clinical factors. CONCLUSION: GPC4 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. FAU - Lee, Sang Ah AU - Lee SA AUID- ORCID: 0000-0002-9797-8050 AD - Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. salee@jejunu.ac.kr. FAU - Koh, Gwanpyo AU - Koh G AD - Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. FAU - Cho, Suk Ju AU - Cho SJ AD - Department of Anesthesiology, Jeju National University School of Medicine, Jeju, Korea. FAU - Yoo, So Yeon AU - Yoo SY AD - Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. FAU - Chin, Sang Ouk AU - Chin SO AD - Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. LA - eng PT - Journal Article PL - Korea (South) TA - Endocrinol Metab (Seoul) JT - Endocrinology and metabolism (Seoul, Korea) JID - 101554139 PMC - PMC5053057 OTO - NOTNLM OT - Active glucagon-like peptide 1 OT - Diabetes mellitus OT - Glypicans COIS- No potential conflict of interest relevant to this article was reported. EDAT- 2016/10/06 06:00 MHDA- 2016/10/06 06:01 PMCR- 2016/09/01 CRDT- 2016/10/06 06:00 PHST- 2016/04/20 00:00 [received] PHST- 2016/06/17 00:00 [revised] PHST- 2016/07/04 00:00 [accepted] PHST- 2016/10/06 06:00 [entrez] PHST- 2016/10/06 06:00 [pubmed] PHST- 2016/10/06 06:01 [medline] PHST- 2016/09/01 00:00 [pmc-release] AID - 31.439 [pii] AID - 10.3803/EnM.2016.31.3.439 [doi] PST - ppublish SO - Endocrinol Metab (Seoul). 2016 Sep;31(3):439-445. doi: 10.3803/EnM.2016.31.3.439.