PMID- 30084185 OWN - NLM STAT- MEDLINE DCOM- 20190819 LR - 20190819 IS - 1463-1326 (Electronic) IS - 1462-8902 (Linking) VI - 21 IP - 1 DP - 2019 Jan TI - Endogenous glucagon-like peptide-1 system response is impaired during ST-elevation myocardial infarction in type 2 diabetes patients. PG - 194-198 LID - 10.1111/dom.13490 [doi] AB - We previously demonstrated increased glucagon-like peptide-1 (GLP-1) secretion during acute ST elevation myocardial infarction (STEMI) in non-diabetic (ND) patients. Whether the endogenous GLP-1 system response is different in patients with type 2 diabetes (T2D) during STEMI is unknown. Patients with STEMI (20 ND, 13 T2D) and 3 control groups (non-STEMI [14 ND, 13 T2D], stable angina pectoris [SAP] [8 ND, 10 T2D] patients and healthy subjects) (n = 25) were studied. Plasma levels of total and active GLP-1 and soluble dipeptidyl peptidase-4 (sDPP4) were estimated by enzyme-linked immunosorbent assay on admission and at 24 and 48 hours after percutaneous coronary intervention in all patients. Sharply elevated levels of total and active GLP-1 were found in ND STEMI patients at 24 h (P < 0.05 and P < 0.005, respectively), but not in T2D STEMI patients. All patients demonstrated decreased sDPP4 levels compared with healthy controls (P < 0.0005) accompanied by increased active/total GLP-1 ratio regardless of their ischemic state. These data demonstrate that T2D patients fail to further upregulate their endogenous GLP-1 system during STEMI. This may underlie their worse cardiovascular outcome. CI - (c) 2018 John Wiley & Sons Ltd. FAU - Elbaz-Greener, Gabby AU - Elbaz-Greener G AD - Intensive Coronary Care Unit, Assaf Harofeh Medical Center Affiliated to Sackler Medical School Tel Aviv University, Zerifin, Israel. FAU - Bloch, Olga AU - Bloch O AD - Diabetes Research Laboratory, Assaf Harofeh Medical Center Affiliated to Sackler Medical School, Tel Aviv University, Zerifin, Israel. FAU - Kumets, Ilya AU - Kumets I AD - Department "C" of Internal Medicine, Assaf Harofeh Medical Center Affiliated to Sackler Medical School, Tel Aviv University, Zerifin, Israel. FAU - Blatt, Alex AU - Blatt A AD - Intensive Coronary Care Unit, Assaf Harofeh Medical Center Affiliated to Sackler Medical School Tel Aviv University, Zerifin, Israel. FAU - Rapoport, Micha J AU - Rapoport MJ AUID- ORCID: 0000-0002-6925-2041 AD - Diabetes Research Laboratory, Assaf Harofeh Medical Center Affiliated to Sackler Medical School, Tel Aviv University, Zerifin, Israel. AD - Department "C" of Internal Medicine, Assaf Harofeh Medical Center Affiliated to Sackler Medical School, Tel Aviv University, Zerifin, Israel. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180905 PL - England TA - Diabetes Obes Metab JT - Diabetes, obesity & metabolism JID - 100883645 RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - EC 3.4.14.5 (DPP4 protein, human) RN - EC 3.4.14.5 (Dipeptidyl Peptidase 4) MH - Adult MH - Aged MH - Aged, 80 and over MH - Diabetes Mellitus, Type 2/*complications/epidemiology MH - Dipeptidyl Peptidase 4/metabolism MH - Female MH - Glucagon-Like Peptide 1/blood/*metabolism MH - Humans MH - Male MH - Middle Aged MH - ST Elevation Myocardial Infarction/*complications/epidemiology/*metabolism OTO - NOTNLM OT - ST-elevation myocardial infarction OT - endogenous GLP-1 system OT - soluble DPP4 OT - type 2 diabetes EDAT- 2018/08/08 06:00 MHDA- 2019/08/20 06:00 CRDT- 2018/08/08 06:00 PHST- 2018/05/13 00:00 [received] PHST- 2018/07/18 00:00 [revised] PHST- 2018/08/01 00:00 [accepted] PHST- 2018/08/08 06:00 [pubmed] PHST- 2019/08/20 06:00 [medline] PHST- 2018/08/08 06:00 [entrez] AID - 10.1111/dom.13490 [doi] PST - ppublish SO - Diabetes Obes Metab. 2019 Jan;21(1):194-198. doi: 10.1111/dom.13490. Epub 2018 Sep 5.