PMID- 32436432 OWN - NLM STAT- MEDLINE DCOM- 20210308 LR - 20231111 IS - 1473-2300 (Electronic) IS - 0300-0605 (Print) IS - 0300-0605 (Linking) VI - 48 IP - 5 DP - 2020 May TI - Altered features of neurotransmitters: NPY, alpha-MSH, and AgRP in type 2 diabetic patients with hypertension. PG - 300060520919580 LID - 10.1177/0300060520919580 [doi] LID - 0300060520919580 AB - OBJECTIVE: To investigate the features of neuropeptide Y (NPY), alpha-melanocyte stimulating hormone (alpha-MSH), and agouti-related protein (AgRP) in type 2 diabetes mellitus (T2DM) patients with hypertension. METHODS: Patients with T2DM (n = 384) and healthy volunteers (n = 80) were enrolled into this study. Serum NPY, alpha-MSH, and AgRP levels were detected using ELISA. RESULTS: Significantly higher NPY and lower alpha-MSH and AgRP levels were observed in patients with diabetes compared with those without diabetes, and the mean NPY levels increased, while alpha-MSH and AgRP levels decreased, with the development of hypertension compared with diabetic patients without hypertension. alpha-MSH and AgRP levels decreased with an increase in blood pressure in hypertension compared with the non-hypertension patients. Multiple stepwise linear regression analysis showed that NPY, alpha-MSH, and AgRP levels were closely associated with blood pressure and glucose control. Receiver operating characteristic (ROC) curve analyses indicated that alpha-MSH may be a better marker compared with NPY and AgRP for regulating glucose and blood pressure and to distinguish between T2DM patients with and without hypertension. CONCLUSION: NPY, alpha-MSH, and AgRP might play different roles and be closely related to the occurrence and development of diabetes and hypertension. FAU - Li, Baoxin AU - Li B AD - Department of Endocrinology, Baoding NO. 1 Central Hospital, Baoding, Hebei, China. FAU - Ma, Shuang AU - Ma S AD - Department of Endocrinology, Baoding NO. 1 Central Hospital, Baoding, Hebei, China. FAU - Guo, Shuqin AU - Guo S AD - Department of Endocrinology, Baoding NO. 1 Central Hospital, Baoding, Hebei, China. FAU - Li, Na AU - Li N AD - Department of Endocrinology, Baoding NO. 1 Central Hospital, Baoding, Hebei, China. FAU - Liu, Dandan AU - Liu D AD - Department of Endocrinology, Baoding NO. 1 Central Hospital, Baoding, Hebei, China. FAU - Wang, He AU - Wang H AD - Department of Endocrinology, Baoding NO. 1 Central Hospital, Baoding, Hebei, China. FAU - Zhai, Na AU - Zhai N AD - Department of Endocrinology, Baoding NO. 1 Central Hospital, Baoding, Hebei, China. FAU - Zhang, Yunliang AU - Zhang Y AUID- ORCID: 0000-0002-0511-1071 AD - Department of Endocrinology, Baoding NO. 1 Central Hospital, Baoding, Hebei, China. LA - eng PT - Journal Article PT - Observational Study PL - England TA - J Int Med Res JT - The Journal of international medical research JID - 0346411 RN - 0 (AGRP protein, human) RN - 0 (Agouti-Related Protein) RN - 0 (Biomarkers) RN - 0 (Neuropeptide Y) RN - 581-05-5 (alpha-MSH) SB - IM MH - Aged MH - Agouti-Related Protein/*blood/metabolism MH - Animals MH - Biomarkers/blood/metabolism MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/blood/complications/*metabolism MH - Female MH - Healthy Volunteers MH - Humans MH - Hypertension/blood/complications/*diagnosis/metabolism MH - Male MH - Middle Aged MH - Neuropeptide Y/*blood/metabolism MH - ROC Curve MH - alpha-MSH/*blood/metabolism PMC - PMC7243407 OTO - NOTNLM OT - AgRP OT - NPY OT - Type 2 diabetes mellitus OT - glucose control OT - hypertension OT - alpha-MSH EDAT- 2020/05/22 06:00 MHDA- 2021/03/09 06:00 PMCR- 2020/05/21 CRDT- 2020/05/22 06:00 PHST- 2020/05/22 06:00 [entrez] PHST- 2020/05/22 06:00 [pubmed] PHST- 2021/03/09 06:00 [medline] PHST- 2020/05/21 00:00 [pmc-release] AID - 10.1177_0300060520919580 [pii] AID - 10.1177/0300060520919580 [doi] PST - ppublish SO - J Int Med Res. 2020 May;48(5):300060520919580. doi: 10.1177/0300060520919580.