PMID- 11640996 OWN - NLM STAT- MEDLINE DCOM- 20020116 LR - 20190910 IS - 0168-8227 (Print) IS - 0168-8227 (Linking) VI - 54 IP - 2 DP - 2001 Nov TI - Plasma levels of endothelin, lipid peroxides and prostacyclin in diabetic patients with macroangiopathy. PG - 129-36 AB - The prevalence of macroangiopathy is increased in diabetes mellitus. Endothelial cell injury is thought to be an early event leading to atherosclerosis which may be initiated by several factors. We have investigated the relationship between plasma endothelin, lipid peroxide (measured as thiobarbituric acid reacting species (TBARS)) and 6-keto-prostaglandin-F1A (6-keto-PG-F1A) in Type 2 diabetic patients with macroangiopathy. Fifty-three diabetic subjects with macroangiopathy were investigated, together with 50 diabetic and 50 control subjects without evidence of vascular disease. Both the endothelin and TBARS levels were significantly higher in diabetic patients with macroangiopathy (10.8 (8.0-14.4) pmol/l and 5.6 (3.2-9.7) micromol/l, respectively) compared with control subjects (7.6 (5.0-11.0) pmol/l and 4.5 (3.0-6.4) micromol/l, P<0.001) and with diabetic subjects without macroangiopathy (7.4 (4.9-11.2) pmol/l (P<0.001) and 4.9 (3.0-8.0) micromol/l (P<0.05)). 6-Keto-PG-F1A levels were significantly decreased in diabetic subjects with macroangiopathy 209 (123-355) pg/ml than in normal subjects 241 (137-425) pg/ml, (P<0.05) and diabetic subjects without macroangiopathy 224 (162-309) pg/ml, (P<0.05). Comparison of levels of endothelin with those of TBARS in macroangiopathy group, showed that endothelin is a more consistent marker of the atherogenic process (P<0.01). In conclusion, we have shown that there are abnormalities of endothelium-derived factors in diabetic patients with macroangiopathy, mainly in endothelin. Furthermore, in this group there was a positive correlation between endothelin and fasting insulin levels. FAU - Migdalis, I N AU - Migdalis IN AD - Second Department of Internal Medicine, NIMTS Hospital, 12 Monis Petraki, 11521, Athens, Greece. FAU - Kalogeropoulou, K AU - Kalogeropoulou K FAU - Iliopoulou, V AU - Iliopoulou V FAU - Triantafilou, P AU - Triantafilou P FAU - Charalabides, J AU - Charalabides J FAU - Mortzos, G AU - Mortzos G FAU - Cordopatis, C AU - Cordopatis C LA - eng PT - Comparative Study PT - Journal Article PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Biomarkers) RN - 0 (Endothelins) RN - 0 (Lipid Peroxides) RN - 0 (Thiobarbituric Acid Reactive Substances) RN - DCR9Z582X0 (Epoprostenol) SB - IM MH - Age of Onset MH - Biomarkers/blood MH - Diabetic Angiopathies/*blood/pathology MH - Endothelins/*blood MH - Endothelium, Vascular/pathology MH - Epoprostenol/*blood MH - Female MH - Humans MH - Lipid Peroxides/*blood MH - Male MH - Middle Aged MH - Reference Values MH - Thiobarbituric Acid Reactive Substances/analysis EDAT- 2001/10/20 10:00 MHDA- 2002/01/17 10:01 CRDT- 2001/10/20 10:00 PHST- 2001/10/20 10:00 [pubmed] PHST- 2002/01/17 10:01 [medline] PHST- 2001/10/20 10:00 [entrez] AID - S0168-8227(01)00275-3 [pii] AID - 10.1016/s0168-8227(01)00275-3 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2001 Nov;54(2):129-36. doi: 10.1016/s0168-8227(01)00275-3.