Evidence map›Paper›PMID 36729958›Full record

ArticleJournal of diabetes investigation2023

A newly developed glucagon sandwich ELISA is useful for more accurate glucagon evaluation than the currently used sandwich ELISA in subjects with elevated plasma proglucagon-derived peptide levels.

Masaki Kobayashi, Nobuhiro Maruyama, Yukako Yamamoto, Takeshi Togawa, Takanori Ida, Morikatsu Yoshida, Mikiya Miyazato, Masahisa Kitada, Yoshitaka Hayashi, Atsunori Kashiwagi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Role of glucagon in metabolic diseases.Journal of diabetes investigation · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 2 countries.

Masaki KobayashiMetabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Gunma, Japan.
Nobuhiro MaruyamaImmuno-Biological Laboratories Co., Ltd, Gunma, Japan.
Yukako YamamotoDepartment of Diabetes and Endocrinology, Omi Medical Center, Shiga, Japan.
Takeshi TogawaDepartment of Bariatric and Metabolic Surgery, Omi Medical Center, Shiga, Japan.
Takanori IdaDivision for Identification and Analysis of Bioactive Peptides, Department of Bioactive Peptides, Frontier Science Research Center, University of Miyazaki, Miyazaki, Japan.
Morikatsu YoshidaDepartment of Biochemistry, National Cerebral and Cardiovascular Center Research Institute, Osaka, Japan.
Mikiya MiyazatoDepartment of Biochemistry, National Cerebral and Cardiovascular Center Research Institute, Osaka, Japan.
Masahisa KitadaKitada Internal Medicine Clinic, Gifu, Japan.
Yoshitaka HayashiDivision of Stress Adaptation and Protection, Department of Endocrinology, Research Institute of Environmental Medicine, Nagoya University, Nagoya, Japan.ORCID https://orcid.org/0000-0002-7557-4303
Atsunori KashiwagiDepartment of Diabetes and Endocrinology, Omi Medical Center, Shiga, Japan.ORCID https://orcid.org/0000-0002-6049-3236
Tadahiro KitamuraMetabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Gunma, Japan.ORCID https://orcid.org/0000-0001-8809-8740
Diabetes Australia · AUGunma University · JPNational Cerebral and Cardiovascular Center · JPGifu Prefectural Gifu Kita Senior High School · JPMedical & Biological Laboratories (Japan) · JPNagoya University · JPShiga Medical Center · JPUniversity of Miyazaki · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionGlucagon, a peptide hormone produced from proglucagon, is involved in the pathophysiology of diabetes. Plasma glucagon levels are currently measured by sandwich enzyme-linked immunosorbent assay (ELISA), but the currently used sandwich ELISA cross-reacts with proglucagon-derived peptides, thereby providing incorrect results in subjects with elevated plasma proglucagon-derived peptide levels. We aimed to develop a more broadly reliable ELISA for measuring plasma glucagon levels. MATERIALS AND

methodsA new sandwich ELISA was developed using newly generated monoclonal antibodies against glucagon. After its validation, plasma glucagon levels were measured with the new ELISA and the currently used ELISA in subjects who underwent laparoscopic sleeve gastrectomy (LSG) and in outpatients with suspected glucose intolerance. The ELISA results were compared with those from liquid chromatography-high resolution mass (LC-HRMS) analysis, which we previously established as the most accurate measuring system.

resultsThe new ELISA has high specificity (<1% cross-reactivities) and high sensitivity (a lower range of 0.31 pmol/L). Plasma glucagon values in the subjects who underwent laparoscopic sleeve gastrectomy and some outpatients with suspected glucose intolerance differed between the new ELISA and the currently used ELISA. These subjects also showed markedly high plasma glicentin levels. Despite the elevated plasma glicentin levels, the new ELISA showed better positive correlation with LC-HRMS than did the currently used ELISA.

conclusionsThe new ELISA enables more accurate measurement of plasma glucagon than the currently used ELISA, even in subjects with elevated proglucagon-derived peptide levels. It should be clinically useful in elucidating the pathophysiology of individual diabetic patients.

Indexed as

Diabetes MellitusGlucose IntolerancePeptide HormonesEnzyme-Linked Immunosorbent AssayGlicentinGlucagonGlucoseHumansProglucagonGlicentinGlucagonGlucosePeptide HormonesProglucagonGlicentinGlucagonSandwich ELISA

Identifiers

PMID36729958
PMCPMC10119918
OpenAlexW4318931550

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.