Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetes

Aims: Glucagon plays pivotal roles in systemic glucose homeostasis mainly by promoting hepatic glucose output. Using a sandwich enzyme-linked immunosorbent assay (ELISA), we evaluated fasting plasma glucagon levels in hospitalized patients with type 1 or type 2 diabetes, and assessed the relationshi...

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Main Authors: Yoshiya Hosokawa, Junji Kozawa, Hitoshi Nishizawa, Dan Kawamori, Norikazu Maeda, Michio Otsuki, Taka-aki Matsuoka, Hiromi Iwahashi, Iichiro Shimomura
Format: Article
Language:English
Published: Elsevier 2019-05-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844019302701
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author Yoshiya Hosokawa
Junji Kozawa
Hitoshi Nishizawa
Dan Kawamori
Norikazu Maeda
Michio Otsuki
Taka-aki Matsuoka
Hiromi Iwahashi
Iichiro Shimomura
author_facet Yoshiya Hosokawa
Junji Kozawa
Hitoshi Nishizawa
Dan Kawamori
Norikazu Maeda
Michio Otsuki
Taka-aki Matsuoka
Hiromi Iwahashi
Iichiro Shimomura
author_sort Yoshiya Hosokawa
collection DOAJ
description Aims: Glucagon plays pivotal roles in systemic glucose homeostasis mainly by promoting hepatic glucose output. Using a sandwich enzyme-linked immunosorbent assay (ELISA), we evaluated fasting plasma glucagon levels in hospitalized patients with type 1 or type 2 diabetes, and assessed the relationships between glucagon levels and various clinical parameters. Methods: We enrolled adult Japanese diabetes patients admitted to Osaka University Medical Hospital for glycemic control between July 2017 and May 2018 in this study. After patients had fasted for 12 h, blood samples were obtained and plasma glucagon levels were measured using a sandwich ELISA. Results: Total 107 patients participated in the study. The mean fasting plasma glucagon level of patients with acute onset type 1 diabetes was significantly lower than that of patients with type 2 diabetes (p < 0.05). Plasma glucagon levels were not significantly correlated with plasma glucose levels in patients with type 1 diabetes or in patients with type 2 diabetes. Multiple regression analysis indicated that fasting glucagon levels were independently and significantly correlated with fasting serum C-peptide levels in patients with type 2 diabetes. Conclusions: Our results suggest that insulin and glucagon secretion are balanced in the fasting state in patients with type 2 diabetes.
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spelling doaj.art-e11984357d2c4931860ffffd48d8340e2022-12-22T00:14:03ZengElsevierHeliyon2405-84402019-05-0155e01715Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetesYoshiya Hosokawa0Junji Kozawa1Hitoshi Nishizawa2Dan Kawamori3Norikazu Maeda4Michio Otsuki5Taka-aki Matsuoka6Hiromi Iwahashi7Iichiro Shimomura8Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan; Corresponding author.Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, JapanDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, JapanDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan; Medical Education Center, Faculty of Medicine, Osaka University, Suita, Osaka JapanDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan; Department of Metabolism and Atherosclerosis, Graduate School of Medicine, Osaka University, Suita, Osaka, JapanDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, JapanDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, JapanDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan; Department of Diabetes Care Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, JapanDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, JapanAims: Glucagon plays pivotal roles in systemic glucose homeostasis mainly by promoting hepatic glucose output. Using a sandwich enzyme-linked immunosorbent assay (ELISA), we evaluated fasting plasma glucagon levels in hospitalized patients with type 1 or type 2 diabetes, and assessed the relationships between glucagon levels and various clinical parameters. Methods: We enrolled adult Japanese diabetes patients admitted to Osaka University Medical Hospital for glycemic control between July 2017 and May 2018 in this study. After patients had fasted for 12 h, blood samples were obtained and plasma glucagon levels were measured using a sandwich ELISA. Results: Total 107 patients participated in the study. The mean fasting plasma glucagon level of patients with acute onset type 1 diabetes was significantly lower than that of patients with type 2 diabetes (p < 0.05). Plasma glucagon levels were not significantly correlated with plasma glucose levels in patients with type 1 diabetes or in patients with type 2 diabetes. Multiple regression analysis indicated that fasting glucagon levels were independently and significantly correlated with fasting serum C-peptide levels in patients with type 2 diabetes. Conclusions: Our results suggest that insulin and glucagon secretion are balanced in the fasting state in patients with type 2 diabetes.http://www.sciencedirect.com/science/article/pii/S2405844019302701Metabolism
spellingShingle Yoshiya Hosokawa
Junji Kozawa
Hitoshi Nishizawa
Dan Kawamori
Norikazu Maeda
Michio Otsuki
Taka-aki Matsuoka
Hiromi Iwahashi
Iichiro Shimomura
Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetes
Heliyon
Metabolism
title Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetes
title_full Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetes
title_fullStr Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetes
title_full_unstemmed Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetes
title_short Positive correlation between fasting plasma glucagon and serum C-peptide in Japanese patients with diabetes
title_sort positive correlation between fasting plasma glucagon and serum c peptide in japanese patients with diabetes
topic Metabolism
url http://www.sciencedirect.com/science/article/pii/S2405844019302701
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