PMID- 18347976 OWN - NLM STAT- MEDLINE DCOM- 20081126 LR - 20221207 IS - 0282-0080 (Print) IS - 0282-0080 (Linking) VI - 25 IP - 6 DP - 2008 Aug TI - The markers of inflammation and endothelial dysfunction in correlation with glycated haemoglobin are present in type 2 diabetes mellitus patients but not in their relatives. PG - 573-9 LID - 10.1007/s10719-008-9118-8 [doi] AB - The aim of this study is to test several biomarkers of inflammation, of endothelial dysfunction, glycated haemoglobin, and their reflection in arterial dilatation, in patients with type 2 diabetes mellitus and in their relatives, in order to demonstrate if relatives present markers as a form of precocious indicators of diabetes mellitus. Individuals between 30 and 55 years of age and without clinical arterial disease were divided in three groups: type 2 diabetes mellitus patients without complications (12 men and 18 women); first degree relatives of type 2 diabetes mellitus (14 men and 20 women); and control individuals (9 men and 16 women). Body composition was measured with a bioelectrical impedance analyzer and endothelial function with an eco-Doppler device. We determined glucose, insulin, C-peptide, glycated haemoglobin, fibrinogen, E-selectin, P-selectin, soluble intercellular cell adhesion molecule-1 (ICAM-1), soluble vascular cell adhesion molecule-1 (VCAM-1), interleukin-6 (IL-6), monocyte chemoattractant protein-1 (MCP-1), C-reactive protein (CRP) in plasma. We also studied endothelium independent dilatation and endothelium dependent dilatation. THE RESULTS: ICAM-1 and VCAM-1 were significantly higher in the diabetic group (237.5+/-43.4 and 692.5+/-168.6 ng/l) than in controls (197.4+/-51.2 and 573.5+/-121.1 ng/l, p=0.011 and 0.013, respectively), but were not higher in the family group (224.5+/-45.2 and 599.8+/-150.4 ng/l). CRP was higher in the diabetic group (3.35+/-3.27 mg/l) than in the other groups (1.28+/-1.29 and 1.61+/-1.54 mg/l, p=0.002) and correlated with glycated haemoglobin. The non-endothelium mediated dilatation was lesser in the diabetic group than in the family group (17.3+/-6.1 vs. 24+/-8, p=0.029) and controls. In conclusion patients with uncomplicated type 2 diabetes, but not their relatives, have biochemical markers of sub-clinical inflammation in relationship with glycated haemoglobin and dysfunction of the endothelial cells markers. In these patients endothelium independent dilatation is more affected than endothelium dependent dilatation. FAU - Gomez, Jose Manuel AU - Gomez JM AD - Department of Endocrinology and Nutrition, University Hospital of Bellvitge, Barcelona, Spain. jmgs@csub.scs.es FAU - Vila, Ramon AU - Vila R FAU - Catalina, Pablo AU - Catalina P FAU - Soler, Juan AU - Soler J FAU - Badimon, Lina AU - Badimon L FAU - Sahun, Manel AU - Sahun M LA - eng PT - Journal Article DEP - 20080318 PL - United States TA - Glycoconj J JT - Glycoconjugate journal JID - 8603310 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (E-Selectin) RN - 0 (Glycated Hemoglobin A) RN - 0 (Insulin) RN - 0 (Vascular Cell Adhesion Molecule-1) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 9001-32-5 (Fibrinogen) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Biomarkers/*blood MH - Blood Glucose/metabolism MH - C-Reactive Protein/metabolism MH - Diabetes Mellitus, Type 2/*blood/pathology/physiopathology MH - E-Selectin/blood MH - Endothelium, Vascular/*physiopathology MH - Female MH - Fibrinogen/metabolism MH - Glycated Hemoglobin/*metabolism MH - Hemodynamics MH - Humans MH - Inflammation/*blood/pathology/physiopathology MH - Insulin/blood MH - Intercellular Adhesion Molecule-1/blood MH - Male MH - Middle Aged MH - Vascular Cell Adhesion Molecule-1/blood EDAT- 2008/03/19 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/03/19 09:00 PHST- 2007/11/05 00:00 [received] PHST- 2008/02/14 00:00 [accepted] PHST- 2008/02/13 00:00 [revised] PHST- 2008/03/19 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/03/19 09:00 [entrez] AID - 10.1007/s10719-008-9118-8 [doi] PST - ppublish SO - Glycoconj J. 2008 Aug;25(6):573-9. doi: 10.1007/s10719-008-9118-8. Epub 2008 Mar 18.