Key result
Type 2 diabetes is linked to a nearly ~4-fold increase in plasma neuropeptide Y levels.
Why the study?
Significant changes in neuropeptide Y and its receptors in myocardial tissue of patients with type II diabetes mellitus were not well characterized.
Observational (n=51)
Absolute Event Rate: 0.192% vs 0.053%
p-value: p=0.026
NPY changes in T2DM should not yet alter practice; hypothesis-generating for Y2/Y5-targeted therapies in diabetic atrial disease.
A newly discovered bioactive peptide, neuropeptide Y (NPY), has been found in the innervation of the mouse and rat heart by immunocytochemistry, NPY-immuno-reactive nerves were very dense around the nodal tissues. They also surrounded the coronary arteries and arterioles and were found in close association with the cardiac muscle. The distribution of NPY-containing nerves paralleled that of noradrenergic fibers, demonstrated by the use of antibodies to the catecholamine-converting enzymes tyrosine hydroxylase and dopamine beta-hydroxylase. Furthermore, NPY was seen to be present in a proportion of intrinsic neurons mostly found in the atria and in close proximity to the nodal tissue. The concentrations of extractable NPY-immunoreactive material (about 150 pmol/g in whole mouse heart) by far surpasses those of the other peptides so far reported in the cardiac tissue. High performance liquid chromatography demonstrated the NPY immunoreactivity to elute in a single sharp peak, in an identical position to brain NPY.
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Gu et al. (1984) conducted an observational in Type II diabetes mellitus / Coronary artery disease (n=51). Type II diabetes mellitus vs. Non-diabetic patients was evaluated on Plasma neuropeptide Y levels (p=0.026). Type II diabetes mellitus was associated with significantly increased plasma neuropeptide Y levels (0.192 vs. 0.053 ng/ml) and decreased atrial tissue NPY levels with upregulated Y2 and Y5 receptors.
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