PMID- 34515141 OWN - NLM STAT- MEDLINE DCOM- 20220207 LR - 20220207 IS - 1423-0143 (Electronic) IS - 1420-4096 (Linking) VI - 46 IP - 5 DP - 2021 TI - Measurement of Plasma Glucagon Levels Using Mass Spectrometry in Patients with Type 2 Diabetes on Maintenance Hemodialysis. PG - 652-656 LID - 10.1159/000518027 [doi] AB - BACKGROUND: Recently, attention has been focused on the effect of glucagon on blood glucose variability. The dynamics of glucagon have attracted attention as a new target in the treatment of diabetes patients. However, the dynamics of glucagon in hemodialysis (HD) patients with type 2 diabetes mellitus (T2DM) remain unclear. OBJECTIVES: The aim of this study was to assess the dynamics of glucagon in HD patients with T2DM. MATERIALS AND METHODS: We measured plasma glucagon in HD patients with T2DM by liquid chromatography-high-resolution mass spectrometry (LC-HRMS), sandwich enzyme-linked immunosorbent assay (ELISA), and radioimmunoassay (RIA). The glucagon levels measured by each method were compared. We used the glucagon levels determined by our developed LC-HRMS method as the standard in this study. RESULTS: Plasma glucagon levels measured by LC-HRMS before HD were significantly higher than those measured after HD. Plasma glucagon levels measured using sandwich ELISA had a significantly higher correlation with those measured using LC-HRMS compared with RIA. CONCLUSIONS: This was the first study to assess glucagon levels in HD patients with T2DM using LC-HRMS, which is considered a highly accurate method. Sandwich ELISA was shown to measure glucagon levels accurately as well. CI - (c) 2021 The Author(s) Published by S. Karger AG, Basel. FAU - Yoshizawa, Yuta AU - Yoshizawa Y AD - Department of Applied Molecular Medicine, Kidney Research Center, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. AD - Division of Clinical Nephrology and Rheumatology, Kidney Research Center, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. FAU - Hosojima, Michihiro AU - Hosojima M AD - Department of Clinical Nutrition Science, Kidney Research Center, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. FAU - Kabasawa, Hideyuki AU - Kabasawa H AD - Department of Clinical Nutrition Science, Kidney Research Center, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. FAU - Tanabe, Naohito AU - Tanabe N AD - Department of Health and Nutrition, Faculty of Human Life Studies, University of Niigata Prefecture, Niigata, Japan. FAU - Miyachi, Atsushi AU - Miyachi A AD - Radioisotope and Chemical Analysis Center, Sanwa Kagaku Kenkyusho Co., Ltd., Mie, Japan. FAU - Hamajima, Hitoshi AU - Hamajima H AD - Radioisotope and Chemical Analysis Center, Sanwa Kagaku Kenkyusho Co., Ltd., Mie, Japan. FAU - Mieno, Eri AU - Mieno E AD - Radioisotope and Chemical Analysis Center, Sanwa Kagaku Kenkyusho Co., Ltd., Mie, Japan. FAU - Kobayashi, Masaki AU - Kobayashi M AD - Metabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Gunma, Japan. FAU - Kitamura, Tadahiro AU - Kitamura T AD - Metabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Gunma, Japan. FAU - Narita, Ichiei AU - Narita I AD - Division of Clinical Nephrology and Rheumatology, Kidney Research Center, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. FAU - Saito, Akihiko AU - Saito A AD - Department of Applied Molecular Medicine, Kidney Research Center, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. LA - eng PT - Journal Article DEP - 20210817 PL - Switzerland TA - Kidney Blood Press Res JT - Kidney & blood pressure research JID - 9610505 RN - 9007-92-5 (Glucagon) SB - IM MH - Aged MH - Chromatography, Liquid MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Glucagon/*blood MH - Humans MH - Male MH - Mass Spectrometry MH - Middle Aged MH - *Renal Dialysis OTO - NOTNLM OT - Hemodialysis OT - Liquid chromatography-high-resolution mass spectrometry OT - Plasma glucagon EDAT- 2021/09/14 06:00 MHDA- 2022/02/08 06:00 CRDT- 2021/09/13 09:20 PHST- 2021/04/13 00:00 [received] PHST- 2021/06/21 00:00 [accepted] PHST- 2021/09/14 06:00 [pubmed] PHST- 2022/02/08 06:00 [medline] PHST- 2021/09/13 09:20 [entrez] AID - 000518027 [pii] AID - 10.1159/000518027 [doi] PST - ppublish SO - Kidney Blood Press Res. 2021;46(5):652-656. doi: 10.1159/000518027. Epub 2021 Aug 17.