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Writer's pictureTony Vines

Comparison of Fasting Human Pancreatic Polypeptide Levels Among Patients With Pancreatic Ductal Adenocarcinoma, Chronic Pancreatitis, and Type 2 Diabetes Mellitus


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Date:

2018 Jul

PMID:

Category:

2

Authors:

Sajan Jiv Singh Nagpal 1, William R Bamlet 2, Yogish C Kudva 3, Suresh T Chari

Abstract:

Objectives: Human pancreatic polypeptide (HPP) is a hormone secreted by the ventral pancreas. While postprandial HPP levels have been studied in chronic pancreatitis (CP) and pancreatic ductal adenocarcinoma (PDAC), there are limited data on fasting HPP in these diseases.


Methods: Fasting serum HPP was measured in the following groups of patients: CP with diabetes mellitus (DM) (n = 16), CP without DM (n = 34), PDAC with new-onset DM (n = 50), PDAC without DM (n = 49), new-onset type 2 DM (n = 50), and controls without DM (n = 49). Sixty-six had type 3c DM (CP with DM, n = 16; PDAC with new-onset DM, n = 50).


Results: Median fasting HPP levels (in picograms per milliliter) were similar among all groups. Median (interquartile range) HPP levels in new-onset type 2 DM (n = 50; 288.3 [80.1-1072.1]) were similar to those in type 3c DM (n = 66; 242.3 [64.9-890.9]) (P = 0.71). In PDAC (n = 99), HPP values were similar in pancreatic head (n = 75) versus body/tail (n = 24) tumors (245.3 [64.3-1091.3] vs 334.7 [136.1-841.5]; P = 0.95), regardless of DM.


Conclusions: Fasting HPP levels are similar in CP, PDAC, and controls regardless of glycemic status.


 

Acknowledgements:

The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute, the National Institute of Health, or the National Institute of Diabetes and Digestive and Kidney Diseases.


The Study of Chronic Pancreatitis, Diabetes, and Pancreatic Cancer (CPDPC) Research Consortia is supported and funded by grants from the National Cancer Institute and the National Institute of Diabetes and Digestive and Kidney Diseases under the following award numbers:

Project Number:

Awardee Organization

U01DK108326

Baylor College of Medicine

U01DK108314

Cedars-Sinai Medical Center

U01DK108332

 Indiana University

U01DK108323

Kaiser Foundation Research Institute

U01DK108288

Mayo Clinic

U01DK108327

Ohio State University

U01DK108300

Stanford University

U01DK108320

University of Florida

U01DK108306

University of Pittsburgh

U01DK108328

University of Texas MD Anderson Cancer Center


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