INVESTIGATION OF PLASMA GLUCAGON-LIKE PEPTIDE-1 LEVELS IN KIDNEY TRANSPLANT RECIPIENTS

Tien Son Nguyen1, Dung Thị Thùy Nguyễn1, , Viet Thang Le1, Minh Nui Nguyen1
1 Học viện Quân y

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Abstract

Objectives: To investigate plasma glucagon-like peptide-1 (GLP-1) levels in kidney transplant recipients. Methods: A cross-sectional descriptive study was conducted on 81 kidney transplant recipients and 53 age- and sex-matched healthy controls at Military Hospital 103 from October 2021 to December 2023. Plasma GLP-1 concentrations were quantified in kidney transplant recipients and compared to the control group. Results: The median plasma GLP-1 concentration in kidney transplant recipients was 8.82 pmol/L, which was significantly lower than that of the control group (10.7 pmol/L, p < 0.001). A 8.6% reduction in GLP-1 levels was observed in the post-transplant group. In kidney transplant recipients, plasma GLP-1 levels demonstrated a negative correlation with age, the time after transplantations, insulin sensitivity (HOMA-S), and a positive correlation with insulin resistance (HOMA2-IR), p < 0.05. Insulin is an independent predictive factor for reducing plasma GLP-1, with OR = 0.578, p < 0.05. Conclusion: Plasma GLP-1 levels were decreased in kidney transplant recipients, with a reduction rate of 8,6%.

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References

1. Hội ghép tạng Việt Nam. Hướng dẫn ghép thận Việt Nam. Nhà xuất bản Y học. 2017:180-189.
2. Phillips LK, Prins JB. Update on incretin hormones. Annals of the New York Academy of Sciences. Dec 2011; 1243:E55-74.
3. Kappe C, Fransson L, Wolbert P, et al. Glucocorticoids suppress GLP-1 secretion: Possible contribution to their diabetogenic effects. Clin Sci (Lond). 2015 Sep; 129(5):405-414.
4. Seo MH, LWY, Kim SS, et al. Korean society for the study of obesity guideline for the management of obesity in Korea. J Obes Metab Syndr. 2019; 28(1):40-45.
5. Halden TA, Egeland EJ, Åsberg A, et al. GLP-1 restores altered insulin and glucagon secretion in posttransplantation diabetes. Diabetes Care. Apr 2016; 39(4):617-624.
6. Lê Đình Tuân. Khảo sát nồng độ glucagon-like peptide-1 và một số yếu tố liên quan ở bệnh nhân đái tháo đường týp 2 chẩn đoán lần đầu. Luận án Tiến sĩ Y học. Học viện Quân y. 2018.
7. Sato T, Hayashi H, Hiratsuka M, et al. Glucocorticoids decrease the production of glucagon-like peptide-1 at the transcriptional level in intestinal L-cells. Mol Cell Endocrinol. 2015 May 5; 406:60-67.
8. Xu G, Li Z, Ding L, Tang H, et al. Intestinal mTOR regulates GLP-1 production in mouse L cells. Diabetologia. 2015 Aug; 58(8):1887-1897.