4.7 Article

Lowering of postprandial lipids in individuals with type 2 diabetes treated with alogliptin and/or pioglitazone: a randomised double-blind placebo-controlled study

Journal

DIABETOLOGIA
Volume 55, Issue 4, Pages 915-925

Publisher

SPRINGER
DOI: 10.1007/s00125-011-2447-3

Keywords

Alogliptin; DPP-4 inhibitor; Incretins; Postprandial lipids; Postprandial lipoproteins; Type 2 diabetes

Funding

  1. Takeda Global Research Development
  2. Takeda
  3. Eli Lilly
  4. MSD

Ask authors/readers for more resources

Pharmacological augmentation of glucagon-like peptide 1 receptor signalling by dipeptidyl peptidase 4 (DPP-4) inhibition reduced intestinal lipoprotein secretion in experimental studies, suggesting that DPP-4 inhibitors may ameliorate dyslipidaemia and thus reduce cardiovascular risk in patients with type 2 diabetes. We assessed the effects of alogliptin (Alo) and Alo co-administered with pioglitazone (Pio) vs placebo (Pbo) on triacylglycerol (TG)-rich lipoproteins in type 2 diabetes before and following a high-fat meal. Seventy-one patients (age 18-70 years), who did not reach HbA(1c) 6.5% (48 mmol/mol) with lifestyle and/or metformin, sulfonylurea or glinide therapy, participated in this 16 week, double-centre (university hospitals) Pbo-controlled parallel-group study. All participants, people doing measurements or examinations, and people assessing the outcomes were blinded to group assignment. Fasting TG 1.7-5.0 mmol/l was among the entry criteria. Patients received a high-fat mixed meal before and 4 and 16 weeks after randomisation (allocation by central office) to Alo (n = 25), Alo/Pio (n = 22) or Pbo (n = 24). Blood was sampled at pre-specified intervals, starting at 15 min before and ending 8 h after meal ingestion. At week 16, Alo (n = 25) and Alo/Pio (n = 21) vs Pbo (n = 24) produced similar significant reductions in total postprandial TG response (incremental AUC [iAUC]; p < 0.001), as well as in chylomicron TG (p < 0.001) and VLDL1 TG iAUCs (p < 0.001 and p = 0.012, respectively). Postprandial chylomicron apolipoprotein B-48 iAUC showed a significant decrease after Alo treatment (p = 0.028), and a non-significant trend towards a decrease with Alo/Pio (p = 0.213). The incidence of adverse events was low and consistent with previous studies. Treatment with Alo and Alo/Pio produced significant reductions in postprandial TG and TG-rich lipoproteins, contributing to an improved overall cardiometabolic risk profile in type 2 diabetes. The data support the concept that incretins not only modulate glucose metabolism but also influence chylomicron metabolism in intestinal cells. ClinicalTrials.gov number NCT00655863. The study was funded by Takeda Global Research & Development.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Health Care Sciences & Services

Population median imputation was noninferior to complex approaches for imputing missing values in cardiovascular prediction models in clinical practice

Gijs F. N. Berkelmans, Stephanie H. Read, Soffia Gudbjornsdottir, Sarah H. Wild, Stefan Franzen, Yolanda van der Graaf, Bjorn Eliasson, Frank L. J. Visseren, Nina P. Paynter, Jannick A. N. Dorresteijn

Summary: This study compared the validity and robustness of five methods for handling missing data in cardiovascular disease risk prediction models. The results showed that median imputation had similar validity and robustness to more complex methods, as long as the most important predictor variables were not missing.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2022)

Article Cardiac & Cardiovascular Systems

Left-Sided Degenerative Valvular Heart Disease in Type 1 and Type 2 Diabetes

Araz Rawshani, Naveed Sattar, Darren K. McGuire, Oskar Wallstrom, Ulf Smith, Jan Boren, Goran Bergstrom, Elmir Omerovic, Annika Rosengren, Bjorn Eliasson, Deepak L. Bhatt, Aidin Rawshani

Summary: The study found that the incidence of valvular disease is increasing among patients with diabetes. In type 2 diabetes, systolic blood pressure, body mass index, and renal function were found to be associated with valvular lesions.

CIRCULATION (2022)

Article Medicine, Research & Experimental

Postprandial metabolism of apolipoproteins B48, B100, C-III, and E in humans with APOC3 loss-of-function mutations

Marja-Riitta Taskinen, Elias Bjornson, Niina Matikainen, Sanni Soderlund, Joel Ramo, Mari-Mia Ainola, Antti Hakkarainen, Carina Sihlbom, Annika Thorsell, Linda Andersson, Per-Olof Bergh, Marcus Henricsson, Stefano Romeo, Martin Adiels, Samuli Ripatti, Markku Laakso, Chris J. Packard, Jan Boren

Summary: This study investigates the impact of apoC-III on lipoprotein metabolism in individuals with a loss-of-function mutation in the APOC3 gene. The results demonstrate that lowering apoC-III levels significantly affects the metabolism of lipoproteins and remnants, potentially having important implications for cardiovascular disease prevention.

JCI INSIGHT (2022)

Article Multidisciplinary Sciences

Cardiac arrhythmias and conduction abnormalities in patients with type 2 diabetes

Araz Rawshani, Darren K. McGuire, Elmir Omerovic, Naveed Sattar, John J. V. McMurray, Ulf Smith, Bjorn Redfors, Lennart Bergfeldt, Bjorn Eliasson, Jan Boren, Deepak L. Bhatt, Goran Bergstrom, Aidin Rawshani

Summary: This study investigated the association between type 2 diabetes and cardiac arrhythmias and conduction disturbances. The results showed that patients with diabetes had a higher risk of arrhythmias and conduction abnormalities, but among patients with all risk factors controlled within target range, the excess risk associated with diabetes was virtually not evident.

SCIENTIFIC REPORTS (2023)

Article Cardiac & Cardiovascular Systems

Nationwide cardiovascular risk categorization: applying the European Society of Cardiology guidelines to the Swedish National Diabetes Register

Bjorn Eliasson, Jan Ekelund, Cecilia Nagorny Holmberg, Michael Lyng Wolden, Kasper Sommer Matthiessen, Stefan James

Summary: This study compares the prescribing practices in Sweden with the 2021 ESC guidelines for cardiovascular protection in patients with type 2 diabetes. The analysis highlights the high incidence of major adverse cardiovascular events (MACE) in patients with a very high cardiovascular disease risk and suggests that prescribing cardiovascular-protective glucose-lowering medication, such as semaglutide, could potentially prevent a significant number of MACE.

EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY (2023)

Article Multidisciplinary Sciences

Nicotinamide riboside improves muscle mitochondrial biogenesis, satellite cell differentiation, and gut microbiota in a twin study

Helena A. K. Lapatto, Minna Kuusela, Aino Heikkinen, Maheswary Muniandy, Birgitta W. van der Kolk, Swetha Gopalakrishnan, Noora Pollanen, Martin Sandvik, Mark S. Schmidt, Sini Heinonen, Sina Saari, Juho Kuula, Antti Hakkarainen, Janne Tampio, Tuure Saarinen, Marja-Riitta Taskinen, Nina Lundbom, Per-Henrik Groop, Marja Tiirola, Pekka Katajisto, Marko Lehtonen, Charles Brenner, Jaakko Kaprio, Satu Pekkala, Miina Ollikainen, Kirsi H. Pietilainen, Eija Pirinen

Summary: Nicotinamide riboside (NR), a precursor of nicotinamide adenine dinucleotide (NAD(+)), has shown promise in improving obesity-associated mitochondrial dysfunction and metabolic syndrome. However, short-term clinical trials have not yielded positive results. This study aimed to investigate the long-term effects of NR supplementation on mitochondrial biogenesis and metabolic health in humans. The results showed that NR improved NAD(+) metabolism, muscle mitochondrial number, myoblast differentiation, gut microbiota composition, and epigenetic control of gene expression. However, it did not improve adiposity or metabolic health.

SCIENCE ADVANCES (2023)

Article Cardiac & Cardiovascular Systems

Twenty Years of Cardiovascular Complications and Risk Factors in Patients With Type 2 Diabetes: A Nationwide Swedish Cohort Study

Naveed Sattar, John McMurray, Jan Boren, Araz Rawshani, Elmir Omerovic, Niklas Berg, Janita Halminen, Kristoffer Skoglund, Bjorn Eliasson, Hertzel C. Gerstein, Darren K. McGuire, Deepak Bhatt, Aidin Rawshani

Summary: The goal of this study was to analyze the trends in cardiovascular events and cardiometabolic risk factor levels in individuals with type 2 diabetes (T2D) and matched control subjects. The results showed a decreasing trend in the risk and rates of atherosclerotic complications and heart failure in individuals with T2D, although the incidence of heart failure has plateaued in recent years. Modifiable risk factors within target levels were associated with lower risks for outcomes.

CIRCULATION (2023)

Article Cardiac & Cardiovascular Systems

Anaemia in patients with self-reported use of iron supplements in the BAriatric surgery SUbstitution and nutrition study: A prospective cohort study

Frida Lener, Gudrun Hoskuldsdottir, Kerstin Landin-Wilhelmsen, Cecilia Bjorkelund, Bjorn Eliasson, Lars Fandriks, Ville Wallenius, My Engstrom, Karin Mossberg

Summary: This study investigated the relationship between nutritional deficiencies and anaemia in patients who reported use of supplementation two years after bariatric surgery versus patients who do not. The results indicated that iron deficiency or anaemia may not be prevented by substitutional treatment per current guidelines after bariatric surgery and highlights there is reason to ensure adequate preoperative micronutrient levels.

NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES (2023)

Review Cell Biology

The impact of cellular senescence in human adipose tissue

Annika Nerstedt, Ulf Smith

Summary: In recent years, there has been a significant increase in the prevalence of obesity, leading to a growing interest in adipose tissue as a metabolically dynamic and endocrine organ. Obesity can lead to the development of metabolic diseases such as type 2 diabetes. Cellular senescence, a mechanism of aging, has been found to play a role in metabolic tissues and age-related conditions, including obesity.

JOURNAL OF CELL COMMUNICATION AND SIGNALING (2023)

Article Cell Biology

Report on the 11th international workshop on the CCN family of genes, Nice, October 20-24, 2022

Havard Attramadal, Sushanta K. Banerjee, Brahim Chaqour, Gary Fisher, Lester Lau, Bernard Perbal, Ulf Smith, Herman Yeger

Summary: To celebrate the 20th anniversary of the CCN society and hold the first post-Covid-19 live meeting, the ICCNS executive board chose Nice as the venue for the 11th International workshop on the CCN family of genes. Colleagues from other cell signaling fields were invited to present their work overview and future directions of their laboratory. Additionally, the JCCS Editorial Board members were invited to a special session for open discussions on all aspects of the journal.

JOURNAL OF CELL COMMUNICATION AND SIGNALING (2023)

Article Endocrinology & Metabolism

Contribution of intestinal triglyceride-rich lipoproteins to residual atherosclerotic cardiovascular disease risk in individuals with type 2 diabetes on statin therapy

Marja-Riitta Taskinen, Niina Matikainen, Elias Bjornson, Sanni Soderlund, Jussi Inkeri, Antti Hakkarainen, Helka Parviainen, Carina Sihlbom, Annika Thorsell, Linda Andersson, Martin Adiels, Chris J. Packard, Jan Boren

Summary: This study investigated the hypothesis that individuals with type 2 diabetes on statin therapy may have significant abnormalities in the metabolism of intestinally derived lipoproteins. The findings suggest that in these individuals, there are increased production and longer circulation time of ApoB-48-containing lipoproteins, which may contribute to residual cardiovascular disease risk.

DIABETOLOGIA (2023)

Article Cardiac & Cardiovascular Systems

Triglyceride-rich lipoprotein remnants, low-density lipoproteins, and risk of coronary heart disease: a UK Biobank study

Elias Bjornson, Martin Adiels, Marja-Riitta Taskinen, Stephen Burgess, Aidin Rawshani, Jan Boren, Chris J. Packard

Summary: In this study, the association between triglyceride-rich lipoproteins (TRL) and coronary heart disease (CHD) was investigated using population data from the UK Biobank. The results suggest that TRL/remnant cholesterol has a stronger and independent association with CHD compared to LDL cholesterol. Moreover, different genetic clusters impact TRL/remnants and LDL differentially, with TRL/remnants exhibiting a higher atherogenicity per particle than LDL.

EUROPEAN HEART JOURNAL (2023)

Article Cardiac & Cardiovascular Systems

2023 ESC Guidelines for the management of cardiovascular disease in patients with diabetes Developed by the task force on the management of cardiovascular disease in patients with diabetes of the European Society of Cardiology (ESC)

Nikolaus Marx, Massimo Federici, Katharina Schuett, Dirk Mueller-Wieland, Ramzi A. Ajjan, Manuel J. Antunes, Ruxandra M. Christodorescu, Carolyn Crawford, Emanuele Di Angelantonio, Bjorn Eliasson, Christine Espinola-Klein, Laurent Fauchier, Martin Halle, William G. Herrington, Alexandra Kautzky-Willer, Ekaterini Lambrinou, Maciej Lesiak, Maddalena Lettino, Darren K. Mcguire, Wilfried Mullens, Bianca Rocca, Naveed Sattar

EUROPEAN HEART JOURNAL (2023)

Review Medicine, Research & Experimental

Increased cell senescence in human metabolic disorders

Rosa Spinelli, Ritesh Kumar Baboota, Silvia Gogg, Francesco Beguinot, Matthias Bluher, Annika Nerstedt, Ulf Smith

Summary: Cell senescence (CS) plays a crucial role in the connection between aging and chronic disorders, and CS is more prevalent in major metabolic tissues with aging. However, CS is also increased in adult obesity, type 2 diabetes (T2D), and nonalcoholic fatty liver disease, regardless of aging. Dysfunction and inflammation are common features of senescent tissues, affecting both progenitor cells and mature differentiated cells. Recent studies have found that hyperinsulinemia and insulin resistance (IR) can promote CS in human adipose and liver cells. Conversely, increased CS also promotes cellular IR, indicating their interdependence. Additionally, increased adipose CS in T2D is not solely determined by age, BMI, or hyperinsulinemia, suggesting premature aging. These findings suggest that senomorphic/senolytic therapy could be important for treating common metabolic disorders.

JOURNAL OF CLINICAL INVESTIGATION (2023)

No Data Available