Influence of Fasting Status and Sample Preparation on Metabolic Biomarker Measurements in Postmenopausal Women.

<h4>Background</h4>Epidemiologic data linking metabolic markers-such as insulin, insulin-like growth factors (IGFs)-and adipose tissue-derived factors with cancer are inconsistent. Between-study differences in blood collection protocols, in particular participant's fasting status, m...

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Main Authors: Neil Murphy, Roni T Falk, Diana B Messinger, Michael Pollak, Xiaonan Xue, Juan Lin, Robin Sgueglia, Howard D Strickler, Mia M Gaudet, Marc J Gunter
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0167832&type=printable
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author Neil Murphy
Roni T Falk
Diana B Messinger
Michael Pollak
Xiaonan Xue
Juan Lin
Robin Sgueglia
Howard D Strickler
Mia M Gaudet
Marc J Gunter
author_facet Neil Murphy
Roni T Falk
Diana B Messinger
Michael Pollak
Xiaonan Xue
Juan Lin
Robin Sgueglia
Howard D Strickler
Mia M Gaudet
Marc J Gunter
author_sort Neil Murphy
collection DOAJ
description <h4>Background</h4>Epidemiologic data linking metabolic markers-such as insulin, insulin-like growth factors (IGFs)-and adipose tissue-derived factors with cancer are inconsistent. Between-study differences in blood collection protocols, in particular participant's fasting status, may influence measurements.<h4>Methods</h4>We investigated the impact of fasting status and blood sample processing time on components of the insulin/IGF axis and in adipokines in a controlled feeding study of 45 healthy postmenopausal-women aged 50-75 years. Fasting blood samples were drawn (T0), after which subjects ate a standardized breakfast; subsequent blood draws were made at 1 hour (T1), 3 hours (T3), and 6 hours (T6) after breakfast. Serum samples were assayed for insulin, C-peptide, total- and free-IGF-I, IGF-binding protein [BP]-1 and -3, total and high molecular weight (HMW)-adiponectin, retinol binding protein-4, plasminogen activator inhibitor (PAI)-1, and resistin.<h4>Results</h4>Insulin and C-peptide levels followed similar postprandial trajectories; intra-class correlation coefficients [ICC] for insulin = 0.75, (95%CI:0.64-0.97) and C-peptide (ICC = 0.66, 95%CI:0.54-0.77) were similarly correlated in fasting (Spearman correlation, r = 0.78, 95%CI:0.64-0.88) and postprandial states (T1, r = 0.77 (95%CI: 0.62-0.87); T3,r = 0.78 (95%CI: 0.63-0.87); T6,r = 0.77 (95%CI: 0.61-0.87)). Free-IGF-I and IGFBP-1 levels were also affected by fasting status, whereas total-IGF-I and IGFBP-3 levels remained unchanged. Levels of adipokines were largely insensitive to fasting status and blood sample processing delays.<h4>Conclusion</h4>Several components of the insulin/IGF axis were significantly impacted by fasting state and in particular, C-peptide levels were substantially altered postprandially and in a similar manner to insulin.
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spelling doaj-art-a67d5f5454214e7b8dd9ea3223cf6bd82025-08-20T02:31:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011112e016783210.1371/journal.pone.0167832Influence of Fasting Status and Sample Preparation on Metabolic Biomarker Measurements in Postmenopausal Women.Neil MurphyRoni T FalkDiana B MessingerMichael PollakXiaonan XueJuan LinRobin SguegliaHoward D StricklerMia M GaudetMarc J Gunter<h4>Background</h4>Epidemiologic data linking metabolic markers-such as insulin, insulin-like growth factors (IGFs)-and adipose tissue-derived factors with cancer are inconsistent. Between-study differences in blood collection protocols, in particular participant's fasting status, may influence measurements.<h4>Methods</h4>We investigated the impact of fasting status and blood sample processing time on components of the insulin/IGF axis and in adipokines in a controlled feeding study of 45 healthy postmenopausal-women aged 50-75 years. Fasting blood samples were drawn (T0), after which subjects ate a standardized breakfast; subsequent blood draws were made at 1 hour (T1), 3 hours (T3), and 6 hours (T6) after breakfast. Serum samples were assayed for insulin, C-peptide, total- and free-IGF-I, IGF-binding protein [BP]-1 and -3, total and high molecular weight (HMW)-adiponectin, retinol binding protein-4, plasminogen activator inhibitor (PAI)-1, and resistin.<h4>Results</h4>Insulin and C-peptide levels followed similar postprandial trajectories; intra-class correlation coefficients [ICC] for insulin = 0.75, (95%CI:0.64-0.97) and C-peptide (ICC = 0.66, 95%CI:0.54-0.77) were similarly correlated in fasting (Spearman correlation, r = 0.78, 95%CI:0.64-0.88) and postprandial states (T1, r = 0.77 (95%CI: 0.62-0.87); T3,r = 0.78 (95%CI: 0.63-0.87); T6,r = 0.77 (95%CI: 0.61-0.87)). Free-IGF-I and IGFBP-1 levels were also affected by fasting status, whereas total-IGF-I and IGFBP-3 levels remained unchanged. Levels of adipokines were largely insensitive to fasting status and blood sample processing delays.<h4>Conclusion</h4>Several components of the insulin/IGF axis were significantly impacted by fasting state and in particular, C-peptide levels were substantially altered postprandially and in a similar manner to insulin.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0167832&type=printable
spellingShingle Neil Murphy
Roni T Falk
Diana B Messinger
Michael Pollak
Xiaonan Xue
Juan Lin
Robin Sgueglia
Howard D Strickler
Mia M Gaudet
Marc J Gunter
Influence of Fasting Status and Sample Preparation on Metabolic Biomarker Measurements in Postmenopausal Women.
PLoS ONE
title Influence of Fasting Status and Sample Preparation on Metabolic Biomarker Measurements in Postmenopausal Women.
title_full Influence of Fasting Status and Sample Preparation on Metabolic Biomarker Measurements in Postmenopausal Women.
title_fullStr Influence of Fasting Status and Sample Preparation on Metabolic Biomarker Measurements in Postmenopausal Women.
title_full_unstemmed Influence of Fasting Status and Sample Preparation on Metabolic Biomarker Measurements in Postmenopausal Women.
title_short Influence of Fasting Status and Sample Preparation on Metabolic Biomarker Measurements in Postmenopausal Women.
title_sort influence of fasting status and sample preparation on metabolic biomarker measurements in postmenopausal women
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0167832&type=printable
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