Single administration of vildagliptin attenuates postprandial hypertriglyceridemia and endothelial dysfunction in normoglycemic individuals.

Postprandial hypertriglyceridemia impairs endothelial function and plays an important role in the development of atherosclerosis. The aim of the present study was to examine the postprandial effects of the dipeptidyl peptidase-4 inhibitor vildagliptin and the α-glucosidase inhibitor voglibose on endothelial dysfunction and lipid profiles following a single administration. A randomized cross-over trial using 11 normoglycemic individuals was performed. The postprandial effects of a single administration of vildagliptin (50 mg) or voglibose (0.3 mg) on endothelial function were analyzed using brachial artery flow-mediated dilation (FMD) and lipid profiles during fasting and 1.5 and 3 h after an oral cookie-loading test. Compared with voglibose, vildagliptin significantly suppressed postprandial endothelial dysfunction, (%FMD, -1.6±0.9 vildagliptin vs. -4.0±0.7 voglibose; P=0.01) and the postprandial incremental increase in the triglyceride level (28±18 vildagliptin vs. 51±26 mg/dl voglibose; P=0.01) 3 h after a cookie-loading test. In addition, vildagliptin significantly increased the levels of glucagon-like peptide-1 compared with voglibose 3 h after a loading cookie test (4.4±0.6 vs. 2.9±0.7 pmol/l, respectively; P=0.04). No significant differences in the levels of glucose, apolipoprotein B-48, glucagon or insulin were observed between vildagliptin and voglibose treatments. In conclusion, a single administration of vildagliptin attenuated postprandial endothelial dysfunction and postprandial hypertriglyceridemia, suggesting that vildagliptin may be a promising antiatherogenic agent.

Audio-visual integration in temporal perception.

In situations of audio-visual interaction, research has generally found that audition prevails over vision in temporal perception, while vision is dominant over audition for spatial perception. Modality appropriateness to a given task generally determines the direction of this inter-modality effect. However, we found a reverse effect in some situations where a change in the frequency of visual stimuli was associated with a perceived change in the frequency of auditory stimuli. In our experiment, 12 participants were asked to judge the change in the frequency of visual and auditory stimuli using a visual flicker and auditory flutter stimuli. In some conditions either the auditory or the visual information was ambiguous. In addition to confirming the expected finding that a change in the frequency of the auditory stimuli induced a perceived change in the frequency of the visual stimuli, we found a new phenomenon. When ambiguous auditory temporal cues were presented, the change in the frequency of the visual stimuli was associated with a perceived change in the frequency of the auditory stimuli. This suggests that cross-modal asymmetry effects are influenced by the reliability of visual and auditory information as well as modality appropriateness.