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Olle Melander

Principal investigator

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The association between plasma proneurotensin and glucose regulation is modified by country of birth


  • A. Fawad
  • P. M. Nilsson
  • J. Struck
  • A. Bergmann
  • O. Melander
  • L. Bennet

Summary, in English

The prevalence of type 2 diabetes (T2D) has increased dramatically in Middle Eastern populations that represent the largest non-European immigrant group in Sweden today. As proneurotensin predicts T2D, the aim of this study was to investigate differences in proneurotensin levels across populations of Middle Eastern and Caucasian origin and to study its associations with indices of glucose regulation. Participants in the age 30 to 75 years, living in Malmö, Sweden, and born in Iraq or Sweden, were recruited from the census register. Anthropometrics and fasting samples were collected and oral glucose tolerance tests conducted assessing insulin secretion (DIo) as well as insulin sensitivity (ISI). A total of 2155 individuals participated in the study, 1398 were Iraqi-born and 757 were Swedish-born participants. Higher fasting proneurotensin levels were observed in Iraqi- compared to Swedish-born participants (137.5 vs. 119.8 pmol/L; p < 0.001) data adjusted for age, sex and body mass index. In Iraqi participants only, plasma proneurotensin was associated with impaired glucose regulation assessed as ISI, DIo and HbA1c, and significant interactions between country of birth and proneurotensin were observed (Pinteraction ISI = 0.048; Pinteraction DIo = 0.014; PinteractionHbA1c = 0.029). We report higher levels of proneurotensin in the general Middle Eastern population. The finding that Middle Eastern origin modifies the relationship of proneurotensin with indices of glucose regulation suggests that proneurotensin may be a stronger determinant of T2D in Middle Eastern as compared to Caucasian populations. These findings may explain part of the excess T2D risk in the Middle Eastern population but needs to be explored further.


  • Cardiovascular Research - Hypertension
  • LUBIN Lab- Lund Brain Injury laboratory for Neurosurgical research
  • Internal Medicine - Epidemiology
  • EpiHealth: Epidemiology for Health
  • EXODIAB: Excellence in Diabetes Research in Sweden
  • Family Medicine and Community Medicine

Publishing year





Scientific Reports





Document type

Journal article


Nature Publishing Group


  • Endocrinology and Diabetes



Research group

  • Cardiovascular Research - Hypertension
  • LUBIN Lab- Lund Brain Injury laboratory for Neurosurgical research
  • Internal Medicine - Epidemiology
  • Family Medicine and Community Medicine


  • ISSN: 2045-2322