Related Experiment Video
Updated: May 10, 2026

Electrochemiluminescence Assays for Human Islet Autoantibodies
Published on: March 23, 2018
Serum dipeptidyl peptidase 4 activity in children with type 1 diabetes mellitus
Insights
Serum dipeptidyl peptidase 4 (DPP4) activity is elevated in children with type 1 diabetes mellitus (T1DM) but does not correlate with glycemic control. However, it shows a negative association with adiponectin levels in T1DM patients.
Area of Science:
- Endocrinology
- Metabolic Research
- Pediatric Diabetes
Background:
- Dipeptidyl peptidase 4 (DPP4) role in glycemic control is unclear in type 1 diabetes mellitus (T1DM).
- Understanding DPP4's contribution to metabolic alterations in T1DM is crucial.
Purpose of the Study:
- To quantify serum DPP4 activity in children with T1DM.
- To investigate the relationship between serum DPP4 activity and metabolic variables in pediatric T1DM.
Main Methods:
- Fluorometric assay used to measure serum DPP4 activity.
- Study included 43 children with T1DM and 26 healthy controls.
Main Results:
- Serum DPP4 activity was significantly higher in T1DM children compared to controls.
- DPP4 activity did not correlate with HbA1c, blood glucose, or diabetes duration in T1DM.
- A negative correlation was observed between DPP4 activity and serum adiponectin levels in T1DM children.
Conclusions:
- Elevated serum DPP4 activity in T1DM children is not linked to glycemic control.
- Further research is needed to explore DPP4's impact on insulin sensitivity in T1DM, considering its association with adiponectin.
Background:
It is poorly understood whether dipeptidyl peptidase 4 (DPP4) activity is altered and how DPP4 contributes to glycemic control in patients with type 1 diabetes mellitus (T1DM).
Aim:
The aim of this study was to measure serum DPP4 activity and to assess its relationships to metabolic variables in T1DM children.
Methods:
Serum DPP4 activity was determined using a fluorometric assay in 43 T1DM and 26 control children.
Results:
Serum DPP4 activity was significantly higher in T1DM children than in controls (3.57 ± 0.99 vs. 2.67 ± 0.77 U/mL, p<0.001). In the T1DM children, DPP4 activity was not correlated with HbA1c, blood glucose, or diabetes duration. A significant negative correlation was found between DPP4 activity and serum adiponectin levels in the T1DM group (r=-0.35, p<0.05).
Conclusions:
Serum DPP4 activity was increased in the T1DM children, whereas it was not associated with glycemic control. Given the negative correlation between serum DPP4 and adiponectin levels, further investigations are warranted to elucidate the role of DPP4 on insulin sensitivity in T1DM children.
Related Concept Videos
Dipeptidyl Peptidase 4 Inhibitors
Type I Diabetes III: Clinical Manifestations
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Type I Diabetes I: Introduction
Diabetes Mellitus: Type 2 and Gestational

