PMID- 33456123 OWN - NLM STAT- MEDLINE DCOM- 20210125 LR - 20240330 IS - 1333-9451 (Electronic) IS - 0353-9466 (Print) IS - 0353-9466 (Linking) VI - 59 IP - 2 DP - 2020 Jun TI - ADROPIN - POTENTIAL LINK IN CARDIOVASCULAR PROTECTION FOR OBESE MALE TYPE 2 DIABETES MELLITUS PATIENTS TREATED WITH LIRAGLUTIDE. PG - 344-350 LID - 10.20471/acc.2020.59.02.19 [doi] AB - The aim of this study was to determine plasma adropin concentration and parameters of insulin resistance in obese male type 2 diabetes mellitus (T2DM) patients before and after 3-month liraglutide treatment. In this interventional study, we enrolled 15 obese male T2DM patients with body mass index (BMI) >35 kg/m(2), uncontrolled disease and HbA(1c) >7.5%, having previously taken taking two oral antidiabetic drugs. We modified their therapy to metformin and liraglutide for the next three months. After three months of liraglutide treatment, we observed significant decrease in body weight (from 111.5+/-18.7 kg to 109.2+/-17.5 kg, p=0.016) and BMI (from 40.9+/-7.3 to 40.1+/-7.0 kg/m(2), p=0.021). Plasma adropin concentration increased significantly (p=0.003) compared with baseline. Fasting plasma insulin level decreased from 17.79+/-6.53 to 13.38+/-3.51 mU/L (p=0.002), fasting plasma glucose level decreased from 8.66+/-3.07 to 7.41+/-2.21 mmol/L (p=0.004) and HbA(1c) decreased from 7.98+/-0.70% to 7.26+/-0.36% (p=0.003). Insulin resistance presented as HOMA-IR decreased significantly from 7.30+/-5.19 to 4.52+/-2.61 (p=0.002). Systolic blood pressure, lipid status, liver and kidney function improved, but not reaching statistical significance. Treating obese male T2DM patients with liraglutide resulted in a significantly higher plasma adropin concentration, significant weight loss and improved parameters of insulin resistance, i.e. decreased fasting plasma insulin, plasma glucose levels and HOMA-IR. FAU - Ticinovic Kurir, Tina AU - Ticinovic Kurir T AD - 1Department of Endocrinology and Diabetes, Split University Hospital Centre Split, Croatia; 2Department of Pathophysiology, University of Split School of Medicine, Split, Croatia. FAU - Milicevic, Tanja AU - Milicevic T AD - 1Department of Endocrinology and Diabetes, Split University Hospital Centre Split, Croatia; 2Department of Pathophysiology, University of Split School of Medicine, Split, Croatia. FAU - Novak, Anela AU - Novak A AD - 1Department of Endocrinology and Diabetes, Split University Hospital Centre Split, Croatia; 2Department of Pathophysiology, University of Split School of Medicine, Split, Croatia. FAU - Vilovic, Marino AU - Vilovic M AD - 1Department of Endocrinology and Diabetes, Split University Hospital Centre Split, Croatia; 2Department of Pathophysiology, University of Split School of Medicine, Split, Croatia. FAU - Bozic, Josko AU - Bozic J AD - 1Department of Endocrinology and Diabetes, Split University Hospital Centre Split, Croatia; 2Department of Pathophysiology, University of Split School of Medicine, Split, Croatia. LA - eng PT - Journal Article PL - Croatia TA - Acta Clin Croat JT - Acta clinica Croatica JID - 9425483 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 839I73S42A (Liraglutide) SB - IM MH - Aged MH - Blood Glucose MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Glycated Hemoglobin MH - Humans MH - *Hypoglycemic Agents/therapeutic use MH - Insulin MH - *Liraglutide/therapeutic use MH - Male MH - Middle Aged MH - *Obesity/complications PMC - PMC7808222 OTO - NOTNLM OT - Adropin OT - Diabetes mellitus type 2 OT - Endothelial cell dysfunction OT - Insulin resistance OT - Liraglutide OT - Obesity EDAT- 2021/01/19 06:00 MHDA- 2021/01/26 06:00 PMCR- 2020/06/01 CRDT- 2021/01/18 05:27 PHST- 2021/01/18 05:27 [entrez] PHST- 2021/01/19 06:00 [pubmed] PHST- 2021/01/26 06:00 [medline] PHST- 2020/06/01 00:00 [pmc-release] AID - acc-59-344 [pii] AID - 10.20471/acc.2020.59.02.19 [doi] PST - ppublish SO - Acta Clin Croat. 2020 Jun;59(2):344-350. doi: 10.20471/acc.2020.59.02.19.