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Influence of gestational age on serum incretin levels in preterm infants

Published online by Cambridge University Press:  25 July 2016

H. Shoji ,
A. Watanabe ,
N. Ikeda ,
M. Mori ,
T. Kitamura ,
K. Hisata  and
T. Shimizu
H. Shoji*
Affiliation:
Department of Pediatrics and Adolescent Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan
A. Watanabe
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Tokyo, Japan
N. Ikeda
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Tokyo, Japan
M. Mori
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Tokyo, Japan
T. Kitamura
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Tokyo, Japan
K. Hisata
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Tokyo, Japan
T. Shimizu
Affiliation:
Department of Pediatrics and Adolescent Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan
*
*Address for correspondence: H. Shoji, Department of Pediatrics and Adolescent Medicine, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan. (Email [email protected])
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Abstract

Glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) are the incretin hormones secreted from the intestine in response to enteral feeding to stimulate insulin secretion. We investigated the relationship serum GIP and GLP-1 levels with gestational age, and insulin secretion in preterm infants. Serum GIP and GLP-1 levels were measured at birth and at 1, 2 and 4 weeks after birth in 30 infants, including 12 born before 30th week of gestation (early group) and 18 born after 30th week of gestation (late group). Blood glucose and serum insulin levels were measured, and the quantitative insulin sensitivity check index (QUICKI) was also calculated. The levels of GLP-1 at 2 and 4 weeks were significantly higher in the early group than those in the late group. The levels of GIP were not significantly different between two groups. At 4 weeks, serum insulin level was significantly higher and QUICKI was significantly lower in the early group. Furthermore, GLP-1 levels were significantly correlated with QUICKI and the serum insulin levels in all infants at 4 weeks. In preterm infants, enteral feeding to premature intestine may be associated with GLP-1 secretion. GLP-1 is also related to stimulated insulin secretion in early postnatal period.

Keywords

glucagon-like peptide-1glucose-dependent insulinotropic polypeptideinsulinincretinpreterm infants
Type
Original Article
Information
Journal of Developmental Origins of Health and Disease , Volume 7 , Issue 6: Themed Issue: Developmental Origins of Adult Mental Health and Illness , December 2016 , pp. 685 - 688
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Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2016 

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