PMID- 28523459 OWN - NLM STAT- MEDLINE DCOM- 20180627 LR - 20220318 IS - 1720-8386 (Electronic) IS - 0391-4097 (Linking) VI - 40 IP - 11 DP - 2017 Nov TI - Plasma vascular endothelial growth factor B levels are increased in patients with newly diagnosed type 2 diabetes mellitus and associated with the first phase of glucose-stimulated insulin secretion function of beta-cell. PG - 1219-1226 LID - 10.1007/s40618-017-0677-z [doi] AB - PURPOSE: To detect plasma vascular endothelial growth factor B (VEGF-B) in individuals with different glucose tolerance and investigate the relationship between plasma VEGF-B levels and the first phase of glucose-stimulated insulin secretion. METHODS: A cross-sectional study was conducted involving 45 patients with newly diagnosed type 2 diabetes mellitus (T2DM), 37 patients with impaired glucose regulation (IGR), and 39 Normal glucose tolerance (NGT) subjects, all of whom underwent intravenous glucose tolerance test. Plasma VEGF-B levels were assayed by ELISA. The first phase of insulin secretion was evaluated by acute insulin response (AIR), the area under the curve of the first-phase (0-10 min) insulin secretion (AUC) and glucose disposition index (GDI). RESULTS: The T2DM and IGR groups had higher plasma VEGF-B levels than the NGT group (P < 0.01). Plasma VEGF-B levels were negatively correlated with AIR, AUC, GDI, HOMA-beta (P < 0.01), and positively correlated with plasma glucose, HbA1c, triglyceride, free fatty acid (FFA), fasting insulin, and HOMA-IR (P < 0.01). Logistic regression analysis revealed that higher VEGF-B levels [145.59-180.07 pg/ml, OR 3.55 (95% CI 1.05-12.02) and >180.07 pg/ml, OR 3.64 (95% CI 1.16-11.42)] were related to a greater probability of beta-cell hypofunction, compared with low VEGF-B levels (<145.59 pg/ml). After adjusting for triglyceride or FFA, the association between VEGF-B levels and beta-cell hypofunction disappeared (P > 0.05). CONCLUSIONS: Our study provides evidence that plasma VEGF-B levels were higher in patients with newly diagnosed T2DM, and were strongly associated with glucose and lipid metabolism and the first-phase insulin secretion function of beta-cells. VEGF-B may be involved in the mechanism of beta-cell dysfunction in T2DM. FAU - Wu, J AU - Wu J AD - Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuan Jiagang, Yuzhong District, Chongqing, 400016, People's Republic of China. FAU - Wei, H AU - Wei H AD - Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuan Jiagang, Yuzhong District, Chongqing, 400016, People's Republic of China. FAU - Qu, H AU - Qu H AD - Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuan Jiagang, Yuzhong District, Chongqing, 400016, People's Republic of China. FAU - Feng, Z AU - Feng Z AD - Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuan Jiagang, Yuzhong District, Chongqing, 400016, People's Republic of China. FAU - Long, J AU - Long J AD - Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuan Jiagang, Yuzhong District, Chongqing, 400016, People's Republic of China. FAU - Ge, Q AU - Ge Q AD - Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuan Jiagang, Yuzhong District, Chongqing, 400016, People's Republic of China. FAU - Deng, H AU - Deng H AUID- ORCID: 0000-0002-7912-6508 AD - Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuan Jiagang, Yuzhong District, Chongqing, 400016, People's Republic of China. deng_huacong@126.com. LA - eng PT - Journal Article DEP - 20170518 PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 RN - 0 (Sweetening Agents) RN - 0 (VEGFB protein, human) RN - 0 (Vascular Endothelial Growth Factor B) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*blood/drug therapy/*pathology MH - Female MH - Glucose/*pharmacology MH - Glucose Tolerance Test MH - Humans MH - Insulin-Secreting Cells/drug effects/metabolism/*pathology MH - Male MH - Middle Aged MH - Prognosis MH - Sweetening Agents/pharmacology MH - Vascular Endothelial Growth Factor B/*blood OTO - NOTNLM OT - Diabetes OT - Intravenous glucose tolerance test OT - Lipid metabolism OT - The first phase of insulin secretion OT - Vascular endothelial growth factor B EDAT- 2017/05/20 06:00 MHDA- 2018/06/28 06:00 CRDT- 2017/05/20 06:00 PHST- 2016/12/28 00:00 [received] PHST- 2017/04/21 00:00 [accepted] PHST- 2017/05/20 06:00 [pubmed] PHST- 2018/06/28 06:00 [medline] PHST- 2017/05/20 06:00 [entrez] AID - 10.1007/s40618-017-0677-z [pii] AID - 10.1007/s40618-017-0677-z [doi] PST - ppublish SO - J Endocrinol Invest. 2017 Nov;40(11):1219-1226. doi: 10.1007/s40618-017-0677-z. Epub 2017 May 18.