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Cited by 38

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Soluble Insulin Receptor Ectodomain Is Elevated in the Plasma of Patients With Diabetes

The Soluble Insulin Receptor Study Group·2007·Diabetes
DOI 10.2337/db07-0394
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Abstract

OBJECTIVE—Insulin binds to the α-subunit of the insulin receptor (IRα) and subsequently exerts its effects in the cells. The soluble ectodomains of several receptors have been found to circulate in the plasma. Therefore, we hypothesized that soluble human insulin receptor (hIR) ectodomain (α-subunit and a part of β-subunit) may exist in the plasma of diabetic patients. RESEARCH DESIGN AND METHODS—We identified soluble hIR ectodomain in human plasma by a two-step purification followed by immunoblotting and gel-filtration chromatography. Furthermore, we established an hIRα-specific enzyme-linked immunosorbent assay and measured the plasma IRα levels in patients with diabetes. We also investigated this phenomenon in streptozotocin-induced diabetic hIR transgenic mice. RESULTS—Soluble hIRα, but not intact hIRβ or whole hIR, exists in human plasma. The plasma IRα levels were significantly higher in type 1 (2.00 ± 0.60 ng/ml; n = 53) and type 2 (2.26 ± 0.80; n = 473) diabetic patients than in control subjects (1.59 ± 0.40 ng/ml; n = 123 (P < 0.001 vs. control). Plasma IRα level was positively correlated with blood glucose level, and 10–20% of the insulin in plasma bound to hIRα. In the in vivo experiments using diabetic hIR transgenic mice, hyperglycemia was confirmed to increase the plasma hIRα level and the half-life estimated to be ∼6 h. CONCLUSIONS—We propose that the increased soluble IR ectodomain level appears to be a more rapid glycemic marker than A1C or glycoalbumin.

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Metadata

Authors
The Soluble Insulin Receptor Study Group
Venue
Diabetes
Publisher
American Diabetes Association
Published
2007-08-01
Volume
56
Issue
8
Pages
2028-2035
ISSN
  • 0012-1797
  • 1939-327X
DOI
10.2337/db07-0394
Cited by
38
References
30
Language
en

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