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循环神经降压素 U 水平在 NGT 受试者和新诊断的 2 型糖尿病患者中相似,与胰岛素分泌无关。

Circulating neuromedin U levels are similar in subjects with NGT and newly diagnosed T2DM and do not correlate with insulin secretion.

机构信息

Department of Endocrinology, Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200137, China.

Department of Statistics, Shandong Institute of Business and Technology, Yantai 264005, China.

出版信息

Diabetes Res Clin Pract. 2019 May;151:163-168. doi: 10.1016/j.diabres.2019.04.020. Epub 2019 Apr 18.

Abstract

AIMS

Neuromedin U (NMU), a highly conserved peptide, is implicated in energy homeostasis and is involved in regulating insulin secretion as a decretin hormone in animals. However, there have been no reports on the relationship between NMU and type 2 diabetes mellitus (T2DM). The aim of this study was to investigate circulating NMU concentrations in healthy subjects and T2DM patients and to evaluate the association between serum NMU levels and glucose-stimulated insulin secretion.

METHODS

We used ELISA to analyze NMU concentrations in blood samples from newly diagnosed T2DM patients (n = 57) and age-, sex- and BMI-matched healthy control subjects (n = 50). Anthropometric parameters, oral glucose tolerance, glycosylated hemoglobin, blood lipids, insulin sensitivity, and insulin secretion were measured.

RESULTS

No difference was observed in serum NMU levels between control subjects and newly diagnosed T2DM patients (p = 0.788). The oral glucose tolerance test (OGTT) results indicated that serum NMU concentrations did not change and did not correlate with insulin levels at fasting and 1 h, 2 h and 3 h after glucose load in both healthy controls and newly diagnosed T2DM patients.

CONCLUSION

Circulating NMU concentrations were similar in control subjects and newly diagnosed T2DM patients and were not associated with glucose-stimulated insulin secretion. Serum NMU is not a human decretin hormone and may not play a role in the pathogenesis of T2DM.

摘要

目的

神经调节素 U(NMU)是一种高度保守的肽,它与能量稳态有关,并作为一种肠降血糖素参与调节动物胰岛素的分泌。然而,目前还没有关于 NMU 与 2 型糖尿病(T2DM)之间关系的报道。本研究旨在调查健康受试者和 T2DM 患者的循环 NMU 浓度,并评估血清 NMU 水平与葡萄糖刺激的胰岛素分泌之间的关系。

方法

我们使用 ELISA 法分析了 57 例新诊断的 T2DM 患者(n=57)和 50 例年龄、性别和 BMI 匹配的健康对照者(n=50)的血液样本中的 NMU 浓度。测量了人体测量参数、口服葡萄糖耐量、糖化血红蛋白、血脂、胰岛素敏感性和胰岛素分泌。

结果

对照组和新诊断的 T2DM 患者之间血清 NMU 水平无差异(p=0.788)。口服葡萄糖耐量试验(OGTT)结果表明,在健康对照组和新诊断的 T2DM 患者中,空腹和葡萄糖负荷后 1、2 和 3 小时,血清 NMU 浓度没有变化,也与胰岛素水平无关。

结论

对照组和新诊断的 T2DM 患者的循环 NMU 浓度相似,与葡萄糖刺激的胰岛素分泌无关。血清 NMU 不是人类肠降血糖素,可能在 T2DM 的发病机制中不起作用。

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