Chinese Journal of Pharmacovigilance ›› 2022, Vol. 19 ›› Issue (9): 1015-1018.
DOI: 10.19803/j.1672-8629.2022.09.17

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Effects of pioglitazone on plasma adiponectin in patients with type 2 diabetes mellitus: a Meta-analysis

MU Sicong1, WANG Zhuo2, LU Junyang1, JI Liwei3,*, LIU Xin1,#   

  1. 1Department of Pharmacy, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China;
    2Department of Internal Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China;
    3Department of Pharmacy, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2021-09-02 Online:2022-09-15 Published:2022-09-16

Abstract: Objective To investigate the impact of pioglitazone on plasma adiponectin levels in patients with type 2 diabetes mellitus through meta-analysis. Methods Wanfang, CNKI, PubMed, the Cochrane Library and Embase were systematically searched for randomized controlled trials of pioglitazone in treatment of type 2 diabetes modulating adiponectin from the establishment to April 30, 2021. Literature selection and data extraction were conducted according to the PRISMA criteria. Quality assessment was conducted according to the Cochrane criteria. Data analysis was done with Revman 5.3 and Stata 14.0 software. Results Ten randomized controlled clinical trials were included. The analysis results demonstrated that pioglitazone treatment significantly increased plasma adiponectin levels by 8.65 μg·mL-1 (95% CI, 7.18~10.12 μg·mL-1) compared with placebo. Pioglitazone treatment showed a stronger effect on increasing adiponectin concentrations by 4.92 μg·mL-1 (95% CI, 3.27~6.58 μg·mL-1 ) compared with other oral antidiabetic agents. Conclusion Pioglitazone could increase plasma adiponectin concentrations in patients with type 2 diabetes mellitus compared to placebo or other oral antidiabetic agents.

Key words: adiponectin, pioglitazone, type 2 diabetes mellitus, randomized controlled clinical trials, Meta-analysis

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