C-Peptide and Its C-Terminal Fragments Improve Erythrocyte Deformability in Type 1 Diabetes Patients
2008

C-Peptide and Its Fragments Help Red Blood Cells in Type 1 Diabetes

Sample size: 38 publication Evidence: high

Author Information

Author(s): Thomas Hach, Thomas Forst, Thomas Kunt, Karin Ekberg, Andreas Pfützner, John Wahren

Primary Institution: University of Mainz

Hypothesis

This study aimed to investigate the influence of C-peptide and fragments thereof on erythrocyte deformability and to elucidate the relevant signal transduction pathway.

Conclusion

C-peptide and its C-terminal fragments are equally effective in improving erythrocyte deformability in type 1 diabetes.

Supporting Evidence

  • Erythrocyte deformability was impaired by 18–25% in type 1 diabetic patients compared to matched controls.
  • C-peptide, penta- and hexapeptide all significantly improved the impaired erythrocyte deformability of type 1 diabetic patients.
  • The middle fragment and scrambled C-peptide had no detectable effect on erythrocyte deformability.
  • Treatment with ouabain or EDTA completely abolished the C-peptide effects.

Takeaway

C-peptide and its pieces can help red blood cells move better in people with type 1 diabetes, making it easier for blood to flow.

Methodology

Blood samples from 23 patients with type 1 diabetes and 15 matched healthy controls were incubated with various C-peptide fragments, and erythrocyte deformability was measured using laser diffractoscopy.

Limitations

The study did not evaluate the influence of G-protein inactivation on the effects mediated by C-peptide and its fragments.

Participant Demographics

23 type 1 diabetes patients (13 male, 10 female) and 15 healthy controls (8 male, 7 female), aged approximately 34-36 years.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1155/2008/730594

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