PMID- 32390941 OWN - NLM STAT- MEDLINE DCOM- 20210528 LR - 20221207 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 11 DP - 2020 TI - Receptor-Mediated Bioassay Reflects Dynamic Change of Glucose-Dependent Insulinotropic Polypeptide by Dipeptidyl Peptidase 4 Inhibitor Treatment in Subjects With Type 2 Diabetes. PG - 214 LID - 10.3389/fendo.2020.00214 [doi] LID - 214 AB - Objective: We recently observed a greater increase in plasma levels of bioactive glucose-dependent insulinotropic polypeptide (GIP) than glucagon-like peptide 1 (GLP-1) using the receptor-mediated bioassays in the subjects with normal glycemic tolerance (NGT) treated with dipeptidyl peptidase 4 (DPP-4) inhibitors, which may be unappreciated using conventional enzyme-linked immunosorbent assays (ELISAs) during oral glucose tolerance test. Thus, we determined incretin levels in addition to glucagon level using the bioassays in type 2 diabetes mellitus (T2DM) subjects with or without treatment of DPP-4 inhibitor, to evaluate whether these assays can accurately measure bioactivity of these peptides. Methods: We performed single meal tolerance test (MTT) by using a cookie meal (carbohydrate 75.0 g, protein 8.0 g, fat 28.5 g) in the subjects with NGT (n = 9), the subjects with T2DM treated without DPP-4 inhibitor (n = 7) and the subjects with T2DM treated with DPP-4 inhibitor (n = 10). All subjects fasted for 10-12 h before the MTT, and blood samples were collected at 0, 30, 60, and 120 min. We used the cell lines stably cotransfected with human-form GIP, GLP-1 or glucagon receptor, and a cyclic adenosine monophosphate-inducible luciferase expression construct for the bioassays. We measured active GIP, active GLP-1, and glucagon by the bioassays. To evaluate the efficacy of bioassay, we measured identical samples via ELISA kits. Results: During the single MTT study, postprandial active GIP (bioassay) levels of T2DM with DPP-4 inhibitor treatment were drastically higher than those of NGT and T2DM without DPP-4 inhibitor, although the DPP-4 inhibitor-treated group showed moderate increase of active GIP(ELISA) and active GLP-1 (bioassay) , while active GLP-1 (bioassay) levels of T2DM subjects without DPP-4 inhibitor were comparable to those of NGT subjects. During the serial MTT, administration of DPP-4 inhibitor significantly increased active GIP (bioassay) levels, but not active GLP-1 (bioassay) . Conclusions: In comparison to conventional ELISA, receptor-mediated bioassay reflects dynamic change of GIP polypeptide by DPP-4 inhibitor treatment in subjects with type 2 diabetes. CI - Copyright (c) 2020 Yanagimachi, Fujita, Takeda, Honjo, Yokoyama and Haneda. FAU - Yanagimachi, Tsuyoshi AU - Yanagimachi T AD - Division of Metabolism and Biosystemic Science, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, Japan. FAU - Fujita, Yukihiro AU - Fujita Y AD - Division of Metabolism and Biosystemic Science, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, Japan. AD - Department of Diabetology, Endocrinology and Nephrology, Department of Internal Medicine, Shiga University of Medical Science, Otsu, Japan. FAU - Takeda, Yasutaka AU - Takeda Y AD - Division of Metabolism and Biosystemic Science, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, Japan. FAU - Honjo, Jun AU - Honjo J AD - Division of Metabolism and Biosystemic Science, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, Japan. AD - Jiyugaoka Medical Clinic, Internal Medicine, Obihiro, Japan. FAU - Yokoyama, Hiroki AU - Yokoyama H AD - Jiyugaoka Medical Clinic, Internal Medicine, Obihiro, Japan. FAU - Haneda, Masakazu AU - Haneda M AD - Division of Metabolism and Biosystemic Science, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200424 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (Glycated Hemoglobin A) RN - 0 (Receptors, Gastrointestinal Hormone) RN - 0 (hemoglobin A1c protein, human) RN - 59392-49-3 (Gastric Inhibitory Polypeptide) RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - 9007-92-5 (Glucagon) RN - D6H00MV7K8 (gastric inhibitory polypeptide receptor) SB - IM MH - Aged MH - Biological Assay MH - Biomarkers/*blood MH - Blood Glucose/analysis MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*blood/drug therapy/pathology MH - Dipeptidyl-Peptidase IV Inhibitors/*administration & dosage MH - Female MH - Follow-Up Studies MH - Gastric Inhibitory Polypeptide/*blood MH - Glucagon/*blood MH - Glucagon-Like Peptide 1/*blood MH - Glucose Tolerance Test MH - Glycated Hemoglobin/analysis MH - Humans MH - Male MH - Prognosis MH - Receptors, Gastrointestinal Hormone/*blood PMC - PMC7193081 OTO - NOTNLM OT - dipeptidyl peptidase 4 OT - glucagon OT - glucagon-like peptide 1 OT - glucose-dependent insulinotropic polypeptide OT - receptor-mediated bioassay EDAT- 2020/05/12 06:00 MHDA- 2021/05/29 06:00 PMCR- 2020/01/01 CRDT- 2020/05/12 06:00 PHST- 2019/12/06 00:00 [received] PHST- 2020/03/25 00:00 [accepted] PHST- 2020/05/12 06:00 [entrez] PHST- 2020/05/12 06:00 [pubmed] PHST- 2021/05/29 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2020.00214 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2020 Apr 24;11:214. doi: 10.3389/fendo.2020.00214. eCollection 2020.