Aim: ANGPTL8 plays an important role in regulating lipoprotein lipase activity. Its plasma level is increased following nutrient ingestion. Its not well characterized whether insulin or glucose drive the increased ANGPTL8 after food uptake. To address this, we examined the dynamic relationship between plasma insulin level, ANGPTL8 concentration and glucose following glucose ingestion.

Methods: 30 healthy subjects with impaired fasting glucose (IFG) (n=14) and normal glucose tolerance (NGT) (n=16) received 75-glucose OGTT, multistep euglycemic hyperinsulinemic clamp and pancreatic clamp. ANGPTL8 level was measured during the fasting state, OGTT and the clamp studies.

Results: Subjects with IFG had significantly higher ANGPTL8 during the fasting state (80±5.6 pmol/L VS 68±4.9 pmol/L respectively, p<0.05) . During the OGTT, plasma ANGPTL8 level increased by 62% above the fasting level (from 81±8 pmol/L to 131±pmol/L, p<0.0001) . During the insulin clamp, insulin infusion caused a dose-dependent increase in ANGPTL8 level (figure 1) . Conversely, during the pancreatic clamp and in the absence of an increase in plasma insulin, the increase in plasma glucose concentration failed to cause a significant increase in plasma ANGPTL8 concentration.

Conclusion: The increased ANGPTL8 expression in circulation after glucose ingestion was driven by increased insulin and not glucose.


M.Abu-farha: None. R.A.Defronzo: Advisory Panel; AstraZeneca, Boehringer Ingelheim International GmbH, Intarcia Therapeutics, Inc., Novo Nordisk, Research Support; AstraZeneca, Boehringer Ingelheim International GmbH, Merck & Co., Inc., Speaker's Bureau; AstraZeneca. M.Abdul-ghani: None. J.Abubaker: None. I.Al khairi: None. P.T.Cherian: None. C.Agyin: None. S.Abdelgani: None. E.S.Alozairi: None. J.M.Adams: None. F.Almulla: None.


Kuwait Foundation for the Advancement of Sciences

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