151. Plasma bile acid changes in type 2 diabetes correlated with insulin secretion in two-step hyperglycemic clamp
- Author
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Guowang Xu, Xinjie Zhao, Weiqiong Gu, Yanyun Gu, Guang Ning, Shujie Wang, Jie Hong, Yuying Deng, Yifei Zhang, Min Xu, Jing Ma, Xie Xiaoyan, and Weiqing Wang
- Subjects
0301 basic medicine ,medicine.medical_specialty ,Lithocholic acid ,endocrine system diseases ,medicine.drug_class ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,030209 endocrinology & metabolism ,Type 2 diabetes ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Diabetes mellitus ,Internal medicine ,medicine ,Bile acid ,business.industry ,Insulin ,nutritional and metabolic diseases ,medicine.disease ,Taurocholic acid ,Sulfonylurea ,Ursodeoxycholic acid ,030104 developmental biology ,Endocrinology ,chemistry ,business ,medicine.drug - Abstract
Background Bile acids (BAs) conduct crucial signals in human metabolism. Correlations between changes in plasma BA concentrations, insulin secretion defects, and progression of type 2 diabetes mellitus (T2DM) in humans have not been sufficiently investigated. This study explored the trajectories of changes in human plasma BA concentrations and their association with insulin secretion dynamics during a two-step hyperglycemic clamp. Methods Eleven healthy subjects with normal glucose tolerance (NGT) and 33 drug-naive T2DM subjects were enrolled in the study. The two-step hyperglycemic clamp consisted of a classic clamp as Step 1 with fasting, followed by a Step 2 clamp after ingestion of a carbohydrate meal, illustrating basal and incretin-amplified insulin responses to glucose. Plasma BA were assayed using liquid chromatography-tandem mass spectrometry. Nine T2DM subjects were followed-up, and the two-step clamp was repeated after 3 months sulfonylurea treatment. Results Ursodeoxycholic acid (UDCA) was lower and lithocholic acid (LCA) and taurocholic acid (TCA) were higher in T2DM compared with NGT subjects. The dynamics of plasma UDCA concentrations and the UDCA/LCA ratio was positively correlated with insulin secretion in T2DM subjects and were corrected after treatment. Moreover, fasting ratios of UDCA/LCA and unconjugated/conjugated BAs were correlated with the first phase of insulin secretion in T2DM subjects. Conclusion The abnormal BA composition in T2DM subjects and its correlation with insulin secretion during the clamp suggest an interaction between BA signals and insulin secretion capacity, and the potential to use fasting plasma BA composition indices to predict and evaluate the progression and prognosis of T2DM.
- Published
- 2018