http://www.cnr.it/ontology/cnr/individuo/prodotto/ID30126
Basal and dynamic proinsulin-insulin relationship to assess beta-cell function during OGTT in metabolic disorders (Articolo in rivista)
- Type
- Label
- Basal and dynamic proinsulin-insulin relationship to assess beta-cell function during OGTT in metabolic disorders (Articolo in rivista) (literal)
- Anno
- 2003-01-01T00:00:00+01:00 (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#doi
- 10.1152/ajpendo.00104.2002 (literal)
- Alternative label
Tura, A.; Pacini, G.; Kautzky-Willer, A.; Ludvik, B.; Prager, R.; Thomaseth, K. (2003)
Basal and dynamic proinsulin-insulin relationship to assess beta-cell function during OGTT in metabolic disorders
in American journal of physiology: endocrinology and metabolism
(literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
- Tura, A.; Pacini, G.; Kautzky-Willer, A.; Ludvik, B.; Prager, R.; Thomaseth, K. (literal)
- Pagina inizio
- Pagina fine
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#url
- http://www.ncbi.nlm.nih.gov/pubmed/12670835 (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
- Rivista
- Note
- ISI Web of Science (WOS) (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
- 1, 2, 6: Metabolic Unit, Institute of Biomedical Engineering, National Research Council,
35127 Padua, Italy;
3, 4, 5: Division of Endocrinology and Metabolism, Department of Medicine 3, University of Vienna Medical School, A-1090 Vienna, Austria (literal)
- Titolo
- Basal and dynamic proinsulin-insulin relationship to assess beta-cell function during OGTT in metabolic disorders (literal)
- Abstract
- The
fasting proinsulin-to-insulin ratio is a currently used marker
of ?-cell dysfunction. This ratio is calculated at the basal
condition, but its behavior in dynamic conditions, i.e., during
glucose stimulation, could be more informative. Given the
different kinetics of the peptides, a mathematical model was
necessary to analyze the oral glucose tolerance test (OGTT)
data of insulin, C-peptide, and proinsulin in 55 healthy
(NGT), 30 impaired glucose-tolerant (IGT), and 31 type 2
diabetic (T2DM) subjects. The model provided for secretion
and disappearance of the peptides and an index of ?-cell
function under dynamic conditions. Total proinsulin secretion during the OGTT was not different (P ? 0.053) among
NGT (0.17 ? 0.01 mmol/l in 3 h), IGT (0.22 ? 0.02), and
T2DM (0.21 ? 0.02) subjects. The proinsulin-to-insulin molar
ratio measured from basal samples was higher (P ? 0.0001)
in T2DM (0.39 ? 0.05) than in NGT (0.14 ? 0.01) and IGT
(0.13 ? 0.02) subjects, and similar results (P ? 0.003) were
found by the dynamic index (0.27 ? 0.04, 0.14 ? 0.01, 0.15 ?
0.01 in T2DM, NGT, IGT subjects, respectively). The basal
ratio significantly correlated with the dynamic index, and the
regression line slope was lower than 1 (0.43 ? 0.08, 0.61 ?
0.10, and 0.56 ? 0.03 in NGT, IGT, and T2DM subjects,
respectively, P ? 0.0001). Impaired ?-cell function in T2DM
could then be indicated by proinsulin-to-insulin indexes at
both basal and dynamic phases (literal)
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