TABLE 1.
Author, (y), n | GLP-1 assay | Participant characteristics | GLP-1 values (pmol/L) at time points (min) |
TTP (min) | Δ Peak (pmol/L) | GLP-1 AUC/iAUC | Results | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0 | 10 | 15 | 20 | 30 | 40 | 45 | 60 | 90 | 120 | 180 | ||||||||
Theodorakis et al. 2006 [42] n = 53 | RIALinco1 | NGT (n = 36, BMI: 27 kg/m2) | 6 | 15 | 21 | 22 | 21 | 16 | 11 | 20 | 16 | 120 min: AUC: 1874 (pmol/L∗min) # |
↑ fasting values and AUC in T2DM compared with NGT | |||||
T2DM (n = 17, BMI: 30 kg/m2) | 12 | 19 | 28 | 31 | 33 | 32 | 12 | 40 | 21 | 120 min: AUC: 2866 (pmol/L∗min) # |
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Muscelli et al. 2008 [45] n = 51 | RIA2 | NGT (n = 24, BMI: 33.1 kg/m2)# | 11 | 18 | 27 | 28 | 25 | 25 | 22 | 23 | 23 | 30 | 17 | 180 min: AUC: 4100 (pmol/L∗h) # |
- ↓ GLP-1 response in T2DM compared with IGT and NGT - no significant differences between NGT and IGT - inverse relationship between GLP-1 response and BMI |
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IGT (n = 17, BMI: 35.9 kg/m2)# | 10 | 13 | 23 | 26 | 27 | 20 | 19 | 19 | 18 | 40 | 17 | 180 min: AUC: 3400 (pmol/L∗h)# |
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T2DM (n = 10, BMI: 35.5 kg/m2)# | 7 | 10 | 13 | 12 | 13 | 11 | 12 | 12 | 9 | 20 40 | 6 | 180 min: AUC: 2000 (pmol/L∗h)# |
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Vollmer et al. 2008 [49] n = 48 |
RIA2 | NGT (n = 14, BMI: 27.5 kg/m2) | 14 | 32 | 31 | 30 | 30 | 18 | 30 | 18 | n.a. | - ↔ - positive relation between GLP-1 and age; negative association between GLP-1 concentrations and BMI - GLP-1 concentrations higher in females than in males |
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IGT (n = 17, BMI: 29.5 kg/m2) | 15 | 41 | 38 | 37 | 38 | 25 | 30 | 26 | ||||||||||
T2DM (n = 17, BMI: 32.1 kg/m2) | 16 | 35 | 33 | 39 | 28 | 23 | 90 | 23 | ||||||||||
Greenfield et al. 2009 [48] n = 24 | RIA2 | NW (n = 8, BMI: 22 kg/m2) | 14 | 30 | 32 | 27 | 27 | 27 | 24 | 30 | 18 | 120 min: AUC: 3192 iAUC: 1242 (pmol/L∗120 min)# |
↓ fasting values and AUC in T2DM/ IGT compared with NW/ OW ↔ iAUC |
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OW (n = 8, BMI: 34.5 kg/m2) | 13 | 22 | 24 | 22 | 23 | 21 | 18 | 30 | 11 | 120 min: AUC: 2550 iAUC:1082 (pmol/L∗ 120 min)# |
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T2DM/IGT (n = 8, BMI: 38.5 kg/m2) | 9 | 15 | 18 | 20 | 17 | 15 | 14 | 45 | 11 | 120 min: AUC: 1846 iAUC: 746 (pmol/L∗ 120 min)# |
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Bagger et al. 2011 [53] n = 16 |
RIA2 | OW (n = 8, BMI: 29 kg/m2) | 17 | 25 | 44 | 69 | 50 | 39 | 30 | 17 | 30 | 52 | AUC: 7200# | ↔ fasting/ peak values, AUC | ||||
T2DM (n = 8, BMI: 29 kg/m2) | 20 | 30 | 51 | 47 | 48 | 38 | 31 | 17 | 20 | 31 | AUC: 6900# (4h∗ pmol/L) | |||||||
Alssema et al. 2013 [44] n = 203 | RIA2 | NGT (n = 163, BMI: 26.7 kg/m2) | 11 | 18 | 23 | 17 | 16 | 14 | 30 | 12 | AUC: 18 iAUC: 7.3 (pmol/L per hour) | ↑ fasting values and AUC per hour in T2DM compared with NGT | ||||||
IGT (n = 20, BMI: 28.5 kg/m2) | 14 | 21 | 28 | 23 | 21 | 16 | 30 | 14 | AUC: 21 iAUC: 6.7 (pmol/L per hour) | |||||||||
T2DM (n = 20, 33.1 kg/m2) | 17 | 29 | 37 | 26 | 23 | 16 | 30 | 20 | AUC: 23 iAUC: 6.5 (pmol/L per hour) | |||||||||
Yabe et al. 2015 [47] n = 102 |
RIA2 | NGT (n = 54, BMI: 21.3 kg/m2) | 9 | 17 | 19 | 19 | 17 | 16 | 20 30 | 10 | 120 min: AUC: 2004 (pmol/L∗min) |
↔ | ||||||
IGT (n = 20, BMI: 22.5 kg/m2) | 8 | 12 | 16 | 17 | 15 | 14 | 30 | 9 | 120 min: AUC: 1701 (pmol/L∗min) |
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T2DM (n = 28, BMI: 23.5 kg/m2) | 10 | 17 | 18 | 18 | 18 | 14 | 20 30 40 | 8 | 120 min: AUC: 1923 (pmol/L∗min) |
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Færch et al. 2015 [39] n = 1462 |
RIA2 | NGT (n = 774, BMI: 26.0 kg/m2)# | F | 9 | 31 | 23 | 30 | 22 | 120 min: AUC: 3124 (pmol/L∗min)# |
- ↓GLP-1 response in IFG and T2DM (- up to25%) compared with NGT (females) - ↓120-min concentrations in IFG and T2DM (-16-21%) compared with NGT - ↓ GLP-1 response in persons with obesity (-20%) and OW (up to -8%) compared with NW participants |
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M | 10 | 26 | 18 | 30 | 16 | 120 min: AUC: 2612 (pmol/L∗min)# |
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IGT (n = 525), 3 subgroups# | ||||||||||||||||||
i-IFG (BMI: 27.7 kg/m2) | F | 11 | 29 | 22 | 30 | 18 | 120 min: AUC: 3029 (pmol/L∗min)# |
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M | 10 | 25 | 17 | 30 | 15 | 120 min: AUC: 2479 (pmol/L∗min)# |
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i-IGT (BMI: 27.4 kg/m2) | F | 11 | 31 | 22 | 30 | 20 | 120 min: AUC: 3131 (pmol/L∗min)# |
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M | 11 | 28 | 18 | 30 | 17 | 120 min: AUC: 2680 (pmol/L∗min)# |
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IFG&IGT (BMI: 28.8 kg/m2) | F | 10 | 26 | 18 | 30 | 16 | 120 min: AUC: 2591 (pmol/L∗min)# |
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M | 10 | 25 | 16 | 30 | 15 | 120 min: AUC: 2466 (pmol/L∗min)# |
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T2DM (n = 163, BMI: 29.7 kg/m2)# | F | 9 | 30 | 18 | 30 | 21 | 120 min: AUC: 2849 (pmol/L∗min)# |
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M | 11 | 27 | 16 | 30 | 16 | 120 min: AUC: 2582 (pmol/L∗min)# |
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Simon et al. 2015 [43] n = 21 |
RIA2 | NW-NGT (n = 11, BMI: 23.6 kg/m2)# | 6 | 14 | 17 | 21 | 22 | 21 | 22 | 14 | 60 | 16 | n.a. | ↓ GLP-1 response in OW-NGT compared with NW-NGT | ||||
OW-NGT (n = 10, BMI: 35.5 kg/m2)# | 7 | 13 | 18 | 15 | 15 | 14 | 12 | 8 | 20 | 11 | ||||||||
Wang et al. 2016 [46] n = 80 (Han Chinese adults) |
ELISA (Westang)3 | NGT (n = 23, BMI: 25.6 kg/m2) | 19 | 65 | 54 | 48 | 37 | 30 | 46 | 180 min: AUC: 192 (pmol/L∗min) |
- ↓ fasting values in T2DM compared with NGT - ↓ peak values and AUC in T2DM compared with NGT/ IGT - no significant differences between NGT/ IGT |
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IGT (n = 22, BMI: 26.0 kg/m2) | 16 | 60 | 50 | 45 | 21 | 30 | 44 | 180 min: AUC: 182 (pmol/L∗min) |
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T2DM (n = 35, BMI: 26.5 kg/m2) | 15 | 42 | 38 | 35 | 26 | 30 | 27 | 180 min: AUC: 129 (pmol/L∗min) |
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Chia et al. 2017 [52] n = 40 |
ELISA (Alpco)4 | NW (n = 20, BMI: 23.6 kg/m2) | 3 | 14 | 11 | 10 | 9 | 20 | 11 | 120 min: AUC: 1150 (pmol/L∗min)# |
↓ AUC in OW | |||||||
OW (n = 20, BMI: 35.6 kg/m2) | 4 | 11 | 10 | 7 | 5 | 20 | 7 | 120 min: AUC: 831 (pmol/L∗min)# |
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Dybjer et al. 2020 [51] n = 3001 | RIALinco1 | NGT (n = 2453, BMI: 26.3 kg/m2)# | 8 | 18 | 120 | 10 | n.a. | - ↑ fasting levels in DM compared with NGT - ↓ postprandial levels in DM compared with NGT |
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DM (n = 548, BMI: 28.7 kg/m2)# | 9 | 16 | 120 | 7 | ||||||||||||||
Chong et al. 2022 [50] n = 174 |
ELISA (Millipore)5 | NGT (n = 58, BMI: 24 kg/m2)# | 16 | 31 | 24 | 30 | 15 | 120 min: AUC: 3266 (pmol/L∗min)# |
- ↑ levels at fasting, after 30 min and AUC in T2DM compared with IGT and NGT - ↑ levels at fasting, after 30 min and AUC in IGT compared with NGT |
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IGT (n = 54, BMI: 26.2 kg/m2)# | 22 | 41 | 25 | 30 | 19 | 120 min: AUC: 3994 (pmol/L∗min)# |
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T2DM (n = 62, BMI: 26.7 kg/m2)# | 27 | 50 | 28 | 30 | 23 | 120 min: AUC: 4698 (pmol/L∗min)# |
GLP-1 concentrations for selected time points of blood sampling, time-to-peak as well as peak (peak concentration – fasting concentration), and—if available—AUC or iAUC values are listed. Under “results,” only significant results are listed. Time point 0 describes fasting concentrations, and time points >0 are reporting postprandial concentrations.
#original data, ↑ higher GLP-1 secretion in comparison to referred groups, ↓ lower GLP-1 secretion in comparison to referred groups, ↔ no differences of GLP-1 secretion between groups. Supplemental Table 2 shows GLP-1 values for all measured time points. Details on GLP-1 assays as stated in the publications or according to manufacturer instructions:
Abbreviations: AUC, the area under the curve; CV, coefficient of variation; DM, diabetes mellitus; F, female; GLP-1, glucagon-like peptide 1; IFG, impaired fasting glucose; i-IFG, isolated impaired fasting glucose; IGT, impaired glucose tolerance; i-IGT, isolated impaired glucose tolerance; LOD, limit of detection; M, male; n.a., not available; NGT, normal glucose tolerance; NW, normal weight; OGTT, oral glucose tolerance test; OW, overweight; RIA, radioimmunoassay; TTP, time-to-peak; T2DM, type 2 diabetes mellitus.
RIALinco (Linco Research), polyclonal antiserum no. 89390, LOD: 3 pM, intra-assay CV: 5%, inter-assay CV: 17%, specificity: 100% for GLP-1 (7–36) and GLP-1 (9–36);
RIA: standardized assay (41), polyclonal antiserum no. 89390, LOD: 1 pM, intra-assay CV: 6%, specificity: 100% for GLP-1 (7–36) 89% for GLP-1 (9–36);
ELISA (Westang Biological Technology), sensitivity: <0.1 pM, intra- and inter-assay CV: <10.3%;
ELISA (Alpco Diagnostics), intra-assay CV: 3.7%–4.7%, inter-assay CV: 6.2–9.5%;
ELISA (EMD Millipore), LOD: 1.5 pM, intra-assay CV: <2% inter-assay CV: <12%.