PMID- 15677796 OWN - NLM STAT- MEDLINE DCOM- 20050531 LR - 20190516 IS - 0149-5992 (Print) IS - 0149-5992 (Linking) VI - 28 IP - 2 DP - 2005 Feb TI - Chronic vascular inflammation in patients with type 2 diabetes: endothelial biopsy and RT-PCR analysis. PG - 379-84 AB - OBJECTIVE: Chronic vascular inflammation may play a role in the development of macrovascular complications in diabetic patients. In this study, we examine the association of endothelial expression of two inflammatory mediators, receptor for advanced glycation end product (RAGE) and monocyte chemoattractant protein-1 (MCP-1), with type 2 diabetes using novel endothelial biopsy and RT-PCR techniques. RESEARCH DESIGN AND METHODS: Endothelial samples are obtained from the aorta of 12 patients with type 2 diabetes and 23 control subjects who underwent cardiac catheterization for chest pain syndrome or heart transplant follow-up. Endothelial cells are purified using magnetic beads with adsorbed CD146 antibody and subjected to RT-PCR analysis of RAGE and MCP-1 transcripts. The association of RAGE and MCP-1 expression with type 2 diabetes is assessed with chi(2) test and confirmed with in vitro experiments on human aorta endothelial cells. RESULTS: RT-PCR reveals gene expression patterns in patient-derived endothelial cells. Strong associations are observed between induction of RAGE mRNA and diabetes (P < 0.01) and between induction of RAGE and MCP-1 transcripts (P < 0.05). Treatment of cultured human aortic endothelial cells with S100b induces the expression of MCP-1 and RAGE transcripts. CONCLUSIONS: Endothelial cells can be harvested during cardiac catheterization and can be characterized with respect to molecular phenotypes under the influence of both genetic and environmental factors. Induction of RAGE and MCP-1 transcripts in patients with diabetes supports a role of chronic vascular inflammation in macrovascular complications. FAU - Feng, Lei AU - Feng L AD - Department of Radiology, New York Presbyterian Hospital, 177 Fort Washington Ave., MHB 8SK, New York, NY 10032, USA. lf66@columbia.edu FAU - Matsumoto, Carolyn AU - Matsumoto C FAU - Schwartz, Allan AU - Schwartz A FAU - Schmidt, Ann Marie AU - Schmidt AM FAU - Stern, David M AU - Stern DM FAU - Pile-Spellman, John AU - Pile-Spellman J LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Diabetes Care JT - Diabetes care JID - 7805975 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) SB - IM MH - Aged MH - Aorta/cytology MH - Biopsy/*methods MH - Cardiac Catheterization MH - Cells, Cultured MH - Chemokine CCL2/genetics MH - Chronic Disease MH - Diabetes Mellitus, Type 2/genetics/*pathology MH - Diabetic Angiopathies/genetics/*pathology MH - Endothelium, Vascular/*pathology/physiology MH - Humans MH - Middle Aged MH - Pilot Projects MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Vasculitis/genetics/*pathology EDAT- 2005/01/29 09:00 MHDA- 2005/06/01 09:00 CRDT- 2005/01/29 09:00 PHST- 2005/01/29 09:00 [pubmed] PHST- 2005/06/01 09:00 [medline] PHST- 2005/01/29 09:00 [entrez] AID - 28/2/379 [pii] AID - 10.2337/diacare.28.2.379 [doi] PST - ppublish SO - Diabetes Care. 2005 Feb;28(2):379-84. doi: 10.2337/diacare.28.2.379.