PMID- 18180399 OWN - NLM STAT- MEDLINE DCOM- 20080226 LR - 20160726 IS - 1524-4563 (Electronic) IS - 0194-911X (Linking) VI - 51 IP - 2 DP - 2008 Feb TI - Hyperresistinemia is associated with coexistence of hypertension and type 2 diabetes. PG - 534-9 LID - 10.1161/HYPERTENSIONAHA.107.103077 [doi] AB - Numerous studies have demonstrated that high blood pressure substantially increases the risk of microvascular and macrovascular complications in patients with type 2 diabetes mellitus (T2DM). Currently, we found that serum resistin, an adipocyte- and monocyte-derived cytokine, was positively correlated with several components of the metabolic syndrome, including hypertension in T2DM. To investigate the association of resistin with an etiologic difference among subjects with hypertension with T2DM, hypertension without T2DM, and normotensive T2DM, we analyzed 210 subjects, including 91 with hypertension with T2DM, 55 with hypertension without T2DM, and 64 with normotensive T2DM. Serum resistin level was higher in subjects with hypertension with T2DM, followed by subjects with normotensive T2DM and hypertension without T2DM, irrespective of antihypertensive treatment status (20.9+/-17.6 and 14.0+/-8.9 versus 11.2+/-7.6 ng/mL, respectively; P<0.01). Simple regression analysis revealed that resistin positively correlated with blood pressure (systolic blood pressure: r=0.29, P<0.01; diastolic blood pressure: r=0.21, P<0.05) and intima-media thickness (r=0.27; P<0.05) in patients with T2DM but not in subjects with hypertension without T2DM. Multiple regression analysis, adjusted for age, gender, body mass index, fasting glucose, high-density lipoprotein cholesterol, white blood cell counts, and glomerular filtration rate, further revealed that resistin was an independent factor for high blood pressure in patients with T2DM (P<0.05). In vitro gene expression analysis in human coronary endothelial cells revealed that resistin induced fatty acid binding protein, a key molecule of insulin resistance, diabetes, and atherosclerosis. These results suggest that hyperresistinemia would contribute to the pathogenesis of hypertension in patients with T2DM, significantly linked to vascular complications and cardiovascular events. FAU - Takata, Yasunori AU - Takata Y AD - Department of Molecular and Genetic Medicine, Ehime University Graduate School of Medicine, Toon, Ehime 791-0295, Japan. ytakata@m.ehime-u.ac.jp FAU - Osawa, Haruhiko AU - Osawa H FAU - Kurata, Mie AU - Kurata M FAU - Kurokawa, Maki AU - Kurokawa M FAU - Yamauchi, Junko AU - Yamauchi J FAU - Ochi, Masaaki AU - Ochi M FAU - Nishida, Wataru AU - Nishida W FAU - Okura, Takafumi AU - Okura T FAU - Higaki, Jitsuo AU - Higaki J FAU - Makino, Hideichi AU - Makino H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080107 PL - United States TA - Hypertension JT - Hypertension (Dallas, Tex. : 1979) JID - 7906255 RN - 0 (Fatty Acid-Binding Proteins) RN - 0 (Recombinant Proteins) RN - 0 (Resistin) SB - IM MH - Aged MH - Blood Pressure MH - Cells, Cultured MH - Coronary Vessels/metabolism MH - Diabetes Mellitus, Type 2/*blood/*complications MH - Diabetic Angiopathies/etiology MH - Endothelial Cells/metabolism MH - Fatty Acid-Binding Proteins/genetics/metabolism MH - Female MH - Gene Expression/drug effects MH - Humans MH - Hypertension/*etiology/physiopathology MH - Male MH - Middle Aged MH - Recombinant Proteins/pharmacology MH - Resistin/*blood/pharmacology MH - Risk Factors EDAT- 2008/01/09 09:00 MHDA- 2008/02/27 09:00 CRDT- 2008/01/09 09:00 PHST- 2008/01/09 09:00 [pubmed] PHST- 2008/02/27 09:00 [medline] PHST- 2008/01/09 09:00 [entrez] AID - HYPERTENSIONAHA.107.103077 [pii] AID - 10.1161/HYPERTENSIONAHA.107.103077 [doi] PST - ppublish SO - Hypertension. 2008 Feb;51(2):534-9. doi: 10.1161/HYPERTENSIONAHA.107.103077. Epub 2008 Jan 7.