Circulating concentrations of GLP-1 are associated with coronary atherosclerosis in humans

GLP-1 is an incretine hormone which gets secreted from intestinal L-cells in response to nutritional stimuli leading to pancreatic insulin secretion and suppression of glucagon release. GLP-1 further inhibits gastric motility and reduces appetite which in conjunction improves postprandial glucose me...

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Veröffentlicht in:Cardiovascular Diabetology 2013-08, Vol.12 (1), p.117-117, Article 117
Hauptverfasser: Piotrowski, Katja, Becker, Melanie, Zugwurst, Julia, Biller-Friedmann, Ingeborg, Spoettl, Gerald, Greif, Martin, Leber, Alexander W, Becker, Alexander, Laubender, Rüdiger P, Lebherz, Corinna, Goeke, Burkhard, Marx, Nikolaus, Parhofer, Klaus G, Lehrke, Michael
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container_title Cardiovascular Diabetology
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creator Piotrowski, Katja
Becker, Melanie
Zugwurst, Julia
Biller-Friedmann, Ingeborg
Spoettl, Gerald
Greif, Martin
Leber, Alexander W
Becker, Alexander
Laubender, Rüdiger P
Lebherz, Corinna
Goeke, Burkhard
Marx, Nikolaus
Parhofer, Klaus G
Lehrke, Michael
description GLP-1 is an incretine hormone which gets secreted from intestinal L-cells in response to nutritional stimuli leading to pancreatic insulin secretion and suppression of glucagon release. GLP-1 further inhibits gastric motility and reduces appetite which in conjunction improves postprandial glucose metabolism. Additional vasoprotective effects have been described for GLP-1 in experimental models. Despite these vasoprotective actions, associations between endogenous levels of GLP-1 and cardiovascular disease have yet not been investigated in humans which was the aim of the present study. GLP-1 serum levels were assessed in a cohort of 303 patients receiving coronary CT-angiography due to typical or atypical chest pain. GLP-1 was found to be positively associated with total coronary plaque burden in a fully adjusted model containing age, sex, BMI, hypertension, diabetes mellitus, smoking, triglycerides, LDL-C (low density lipoprotein cholesterol), hsCRP (high-sensitive C-reactive protein), and eGFR (estimated glomerular filtration rate) (OR: 2.53 (95% CI: 1.12 - 6.08; p = 0.03). Circulating GLP-1 was found to be positivity associated with coronary atherosclerosis in humans. The clinical relevance of this observation needs further investigations.
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GLP-1 further inhibits gastric motility and reduces appetite which in conjunction improves postprandial glucose metabolism. Additional vasoprotective effects have been described for GLP-1 in experimental models. Despite these vasoprotective actions, associations between endogenous levels of GLP-1 and cardiovascular disease have yet not been investigated in humans which was the aim of the present study. GLP-1 serum levels were assessed in a cohort of 303 patients receiving coronary CT-angiography due to typical or atypical chest pain. GLP-1 was found to be positively associated with total coronary plaque burden in a fully adjusted model containing age, sex, BMI, hypertension, diabetes mellitus, smoking, triglycerides, LDL-C (low density lipoprotein cholesterol), hsCRP (high-sensitive C-reactive protein), and eGFR (estimated glomerular filtration rate) (OR: 2.53 (95% CI: 1.12 - 6.08; p = 0.03). Circulating GLP-1 was found to be positivity associated with coronary atherosclerosis in humans. The clinical relevance of this observation needs further investigations.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23953602</pmid><doi>10.1186/1475-2840-12-117</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Analysis
Atherosclerosis
Biomarkers - blood
C-reactive protein
Cardiovascular disease
Coronary Angiography - methods
Coronary Artery Disease - blood
Coronary Artery Disease - diagnostic imaging
Coronary Vessels - diagnostic imaging
Diabetes
Female
Glucagon-Like Peptide 1 - blood
Health aspects
Heart attacks
Humans
Hypertension
Insulin
Insulin resistance
Low density lipoproteins
Male
Medical research
Medicine, Experimental
Metabolic disorders
Metabolites
Middle Aged
Multidetector Computed Tomography
Original Investigation
Peptide hormones
Physiological aspects
Plaque, Atherosclerotic
Risk factors
Severity of Illness Index
Studies
Triglycerides
title Circulating concentrations of GLP-1 are associated with coronary atherosclerosis in humans
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