Circulating obestatin levels in normal subjects and in patients with impaired glucose regulation and type 2 diabetes mellitus.

Abstract:

BACKGROUND:Obestatin is a novel hormone that is encoded by the Ghrelin gene and produced in the gut. Ghrelin is profoundly orexogenic and adipogenic, increasing food intake and body weight. This new ghrelin-associated peptide behaves as a physiological opponent of ghrelin in rodent animals, but its pathophysiological role in humans remains unknown OBJECTIVE:In this study we investigate whether plasma obestatin level is different in patients with impaired glucose regulation (IGR) and type 2 diabetes mellitus (T2DM). PATIENTS AND MEASUREMENTS:Forty-seven patients with T2DMu, 30 subjects with IGR, and 38 sex- and age-matched normal controls participated in the study. Plasma obestatin levels were measured with a radioimmunoassay. The relationship between plasma obestatin levels and anthropometric and metabolic parameters was also analysed. RESULTS:Plasma obestatin levels were lower in patients with T2DM and IGR than in controls (37.5 +/- 9.2 ng/l and 39.2 +/- 9.7 ng/l vs. 43.8 +/- 8.0 ng/l, P = 0.002 and P = 0.039, respectively). Decreasing concentrations of obestatin were independently and significantly associated with IGR and T2DM. Multiple logistic regression analysis revealed obestatin to be independently associated with IGR and T2DM. In a multiple linear regression analysis, only waist-to-hip ratio and homeostasis model assessment of insulin resistance (HOMA-IR) were independently associated with plasma obestatin level. CONCLUSION:Our results suggest that obestatin may play a role in appetite regulation in patients with IGR and T2DM.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Qi X,Li L,Yang G,Liu J,Li K,Tang Y,Liou H,Boden G

doi

10.1111/j.1365-2265.2007.02776.x

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

593-7

issue

4

eissn

0300-0664

issn

1365-2265

pii

CEN2776

journal_volume

66

pub_type

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