Study of age, sex and body mass index wise variation in C-peptide level among urban population of Northern part of Bihar

Authors

DOI:

https://doi.org/10.18203/2349-3933.ijam20233885

Keywords:

Age, Sex, BMI, C-peptide

Abstract

Background: Different factors regulate the insulin level in blood. Earlier C-peptide was considered as by product of insulin biosynthesis and its role in body seems to be negligible. C-peptide at low physiological concentrations mimics the effects of insulin. However, in the presence of elevated level of insulin concentrations concomitant raised level of C-peptide may blunt peripheral effects of insulin age. This study was carried out to verify the age, sex, and BMI wise variation in level of C-peptide among apparently healthy individual and its contribution in fine-tuning of the tissue’s metabolism under different physiological conditions.

Methods: This is a prospective cross-sectional observational study. Estimation of serum c-peptide level was done by solid phase direct sandwich enzyme linked immunosorbent assay (ELISA) kit method. Glucose is estimated by Glucose oxidase peroxidase (GOD-POD) end point colorimetric method and HbA1C was estimated by ion exchange resin method (kit method).

Result: Serum C-peptide level is significantly high in advance age and males in compared to younger age and females respectively. The mean level of serum C-peptide is higher in higher body mass index (BMI) group compared to lower, but this difference is statistically insignificant.

Conclusions: In normal subjects, the level of C-peptide shows positive correlation with age and BMI. Males have higher level of C-peptide in comparison to females. Apart from these variation C-peptide contributes to different biological effects.

Metrics

Metrics Loading ...

References

Shou J, Chen PJ, Xiao WH. Mechanism of increased risk of insulin resistance in aging skeletal muscle. Diabetol Metab Syndr. 2020;12(1):1-10.

Chance RE, Ellis RM, Bromer WW. Porcine proinsulin: characterization and amino acid sequence. Science. 1968;161(3837):165-7.

Wahren J, Ekberg K, Johansson J, Henriksson M, Pramanik A, Johansson BL et al. Role of C-peptide in human physiology. Am J Physiol-Endocrinol Metab. 2000;278(5):E759-68.

Ashby JP, Frier BM. Circulating C-peptide: measurement and clinical application. Ann Clin Biochem. 1981;18(3):125-30.

Piatti PM, Monti LD, Zavaroni I, Valsecchi G, Van Phan C, Costa S et al. Alterations in nitric oxide/cyclic-GMP pathway in nondiabetic siblings of patients with type 2 diabetes. J Clin Endocrinol Metab. 2000;85(7):2416-20.

Henriksen JH, Tronier B, Bülow JB. Kinetics of circulating endogenous insulin, C-peptide, and proinsulin in fasting nondiabetic man. Metabolism. 1987;36(5):463-8.

Gale EA. Declassifying diabetes. Diabetologia. Springer; 2006;49:1989-95.

Djemli A, Gallice P, Coste T, Jannot MF, Dufayet D, Raccah D et al. Ex vivo and in vitro effects of insulin and C-peptide on Na/K ATPase activity in red blood cell membranes of type 1 diabetic patients. In: Diabetologia. Springer Verlag 175 fifth Ave, New York, NY 10010 USA. 1999;A154.

Ohtomo Y, Aperia A, Sahlgren B, Johansson BL, Wahren J. C-peptide stimulates rat renal tubular Na+, K+-ATPase activity in synergism with neuropeptide Y. Diabetologia. 1996;39(2):199-205.

Johansson BL, Linde B, Wahren J. Effects of C-peptide on blood flow, capillary diffusion capacity and glucose utilization in the exercising forearm of type 1 (insulin-dependent) diabetic patients. Diabetologia. 1992;35(12):1151-8.

Ido Y, Vindigni A, Chang K, Stramm L, Chance R, Heath WF et al. Prevention of vascular and neural dysfunction in diabetic rats by C-peptide. Science. 1997;277(5325):563-6.

Johansson BL, Borg K, Fernqvist-Forbes E, Kernell A, Odergren T, Wahren J. Beneficial effects of C-peptide on incipient nephropathy and neuropathy in patients with Type 1 diabetes mellitus. Diabet Med. 2000;17(3):181-9.

Ghorbani A, Omrani GR, Hadjzadeh MAR, Varedi M. Effects of rat C-peptide-II on lipolysis and glucose consumption in cultured rat adipose tissue. Exp Clin Endocrinol Diabetes. 2011;119(06):343-7.

Grunberger G, Qiang X, Li Z, Mathews ST, Sbrissa D, Shisheva A et al. Molecular basis for the insulinomimetic effects of C-peptide. Diabetologia. 2001;44(10):1247-57.

Bhatt MP, Lim YC, Ha KS. C-peptide replacement therapy as an emerging strategy for preventing diabetic vasculopathy. Cardiovasc Res. 2014;104(2):234-44.

Short KR, Vittone JL, Bigelow ML, Proctor DN, Rizza RA, Coenen-Schimke JM et al. Impact of aerobic exercise training on age-related changes in insulin sensitivity and muscle oxidative capacity. Diabetes. 2003;52(8):1888–96.

Petersen KF, Dufour S, Befroy D, Garcia R, Shulman GI. Impaired mitochondrial activity in the insulin-resistant offspring of patients with type 2 diabetes. N Engl J Med. 2004;350(7):664-71.

Macotela Y, Boucher J, Tran TT, Kahn CR. Sex and depot differences in adipocyte insulin sensitivity and glucose metabolism. Diabetes. 2009;58(4):803-12.

Mittendorfer B. Sexual dimorphism in human lipid metabolism. J Nutr. 2005;135(4):681-6.

Geer EB, Shen W. Gender differences in insulin resistance, body composition, and energy balance. Gend Med. 2009;6:60-75.

Garaulet M, Perez-Llamas F, Fuente T, Zamora S, Tebar FJ. Anthropometric, computed tomography and fat cell data in an obese population: relationship with insulin, leptin, tumor necrosis factor-alpha, sex hormone-binding globulin and sex hormones. Eur J Endocrinol. 2000;143(5):657-66.

Hotamisligil GS. Inflammation and metabolic disorders. Nature. 2006;444(7121):8607.

Engeli S, Feldpausch M, Gorzelniak K, Hartwig F, Heintze U, Janke J et al. Association between adiponectin and mediators of inflammation in obese women. Diabetes. 2003;52(4):942-7.

Kern PA, Di Gregorio GB, Lu T, Rassouli N, Ranganathan G. Adiponectin expression from human adipose tissue: relation to obesity, insulin resistance, and tumor necrosis factor-α expression. Diabetes. 2003;52(7):1779-85.

Cnop M, Havel PJ, Utzschneider KM, Carr DB, Sinha MK, Boyko EJ et al. Relationship of adiponectin to body fat distribution, insulin sensitivity and plasma lipoproteins: evidence for independent roles of age and sex. Diabetologia. 2003;46(4):459-69.

Snijder MB, Heine RJ, Seidell JC, Bouter LM, Stehouwer CD, Nijpels G et al. Associations of adiponectin levels with incident impaired glucose metabolism and type 2 diabetes in older men and women: the hoorn study. Diabetes Care. 2006;29(11):2498-503.

Kadowaki T, Yamauchi T, Kubota N, Hara K, Ueki K, Tobe K. Adiponectin and adiponectin receptors in insulin resistance, diabetes, and the metabolic syndrome. J Clin Invest. 2006;116(7):1784-92.

Polonsky KS, Given BD, Hirsch L, Shapiro ET, Tillil H, Beebe C et al. Quantitative study of insulin secretion and clearance in normal and obese subjects. J Clin Invest. 1988;81(2):435-41.

Chiu HK, Tsai EC, Juneja R, Stoever J, Brooks-Worrell B, Goel A et al. Equivalent insulin resistance in latent autoimmune diabetes in adults (LADA) and type 2 diabetic patients. Diabetes Res Clin Pract. 2007;77(2):237-44.

Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK et al. High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia. 2001;44(9):1094-101.

Downloads

Published

2023-12-22

How to Cite

Kumar, R., Priyadarshini, I., Goyal, A., Swarn, S., & Singh, S. K. (2023). Study of age, sex and body mass index wise variation in C-peptide level among urban population of Northern part of Bihar. International Journal of Advances in Medicine, 11(1), 26–30. https://doi.org/10.18203/2349-3933.ijam20233885

Issue

Section

Original Research Articles