Heart and Vessels

, Volume 31, Issue 8, pp 1303–1310 | Cite as

Teneligliptin improves left ventricular diastolic function and endothelial function in patients with diabetes

  • Takehiro Hashikata
  • Minako Yamaoka-Tojo
  • Ryota Kakizaki
  • Teruyoshi Nemoto
  • Kazuhiro Fujiyoshi
  • Sayaka Namba
  • Lisa Kitasato
  • Takuya Hashimoto
  • Ryo Kameda
  • Emi Maekawa
  • Takao Shimohama
  • Taiki Tojo
  • Junya Ako
Original Article


Incretin hormones have been reported to have cytoprotective actions in addition to their glucose-lowering effects. We evaluated whether teneligliptin, a novel dipeptidyl peptidase-4 (DPP-4) inhibitor, affects left ventricular (LV) function in patients with type 2 diabetes mellitus (T2DM). Twenty-nine T2DM patients not receiving any incretin-based drugs were enrolled and prescribed with teneligliptin for 3 months. Compared to baseline levels, hemoglobin A1c levels decreased (7.6 ± 1.0 % to 6.9 ± 0.7 %, p < 0.01) and 1,5-anhydro-d-glucitol levels increased (9.6 ± 7.2 μg/mL to 13.5 ± 8.7 μg/mL, p < 0.01) after treatment. Clinical parameters, including body mass index and blood pressure, did not show any difference before and after treatment. Three months after treatment, there were improvements in LV systolic and diastolic function [LV ejection fraction, 62.0 ± 6.5 % to 64.5 ± 5.0 %, p = 0.01; peak early diastolic velocity/basal septal diastolic velocity (E/e′) ratio, 13.3 ± 4.1 to 11.9 ± 3.3, p = 0.01]. Moreover, there was an improvement in endothelial function (reactive hyperemia peripheral arterial tonometry [RH-PAT] index; 1.58 ± 0.47 to 2.01 ± 0.72, p < 0.01). There was a significant negative correlation between changes in the E/e’ ratio and RH-PAT values. Furthermore, circulating adiponectin levels increased (27.0 ± 38.5 pg/mL to 42.7 ± 33.2 pg/mL, p < 0.01) without changes in patient body weight. Teneligliptin treatment was associated with improvements in LV function and endothelial functions, and an increase in serum adiponectin levels. These results support the cardio-protective effects of teneligliptin in T2DM patients and increase in serum adiponectin levels.


Dipeptidyl peptidase-4 inhibitor Teneligliptin Left ventricular function Endothelial function Adiponectin 



We appreciate the assistance from Ms. Kazumi Nakazato, the technical assistant in the Department of Cardiovascular Medicine, Kitasato University School of Medicine.

Compliance with ethical standards

Conflict of interest

This study was partly supported by International Grants-in-Aid for Research from the Kitasato University School of Allied Health Sciences, Daiichi-Sankyo, MSD K.K., Bayer Pharma, Tanabe Mitsubishi, and Boehringer Ingelheim (M. Y–T.). Dr. Junya Ako received speaking honorarium from Tanabe Mitsubishi, Daiichi-Sankyo, MSD K.K., Boehringer Ingelheim, Kowa, and Kyowa Hakko Kirin. The other authors have nothing to disclose regarding this study.


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Copyright information

© Springer Japan 2015

Authors and Affiliations

  • Takehiro Hashikata
    • 1
  • Minako Yamaoka-Tojo
    • 2
  • Ryota Kakizaki
    • 1
  • Teruyoshi Nemoto
    • 1
  • Kazuhiro Fujiyoshi
    • 1
  • Sayaka Namba
    • 1
  • Lisa Kitasato
    • 1
  • Takuya Hashimoto
    • 1
  • Ryo Kameda
    • 1
  • Emi Maekawa
    • 1
  • Takao Shimohama
    • 1
  • Taiki Tojo
    • 1
  • Junya Ako
    • 1
  1. 1.Department of Cardiovascular MedicineKitasato University School of MedicineSagamiharaJapan
  2. 2.Department of RehabilitationKitasato University School of Allied Health SciencesSagamiharaJapan

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