PMID- 20200816 OWN - NLM STAT- MEDLINE DCOM- 20101021 LR - 20131121 IS - 1439-3646 (Electronic) IS - 0947-7349 (Linking) VI - 118 IP - 7 DP - 2010 Jul TI - Acute hyperhomocysteinemia impairs endothelium function in subjects with type 2 diabetes mellitus. PG - 453-8 LID - 10.1055/s-0030-1248290 [doi] AB - The objective of the present study was to examine the effect of acute, methionine-induced hyperhomocysteinemia (HHCY) on endothelial function and indices of arterial stiffness in subjects with type 2 diabetes mellitus (T2DM). A total of 30 subjects with T2DM, free of macrovascular disease were examined in a crossover study. L-methionine (M) (0.1 g/kg) and water (W) load were given in random order with an interval of about 1 week in between. Endothelial function was assessed by flow-mediated vasodilation (FMD). Arterial stiffness was assessed by determination of augmentation index (AI). Measurements were performed in the fasting state, 1, 2 and 3 h after the M or the W load. Total plasma homocysteine (HCY) levels did not change after W administration, while M administration resulted in a significant increase in HCY concentrations at 3 h. FMD throughout the experiment expressed as area under the curve (AUC) was significantly lower after the M than after the W load. Consistent with impairment in endothelial function, the AUC of AI was significantly higher after the M than after the W administration. Acute HHCY impairs endothelial function and increases arterial stiffness in patients with T2DM. This effect is probably mediated by a reduction of nitric oxide bioavailability in endothelium. CI - J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart, New York. FAU - Doupis, J AU - Doupis J AD - First Department of Propaedeutic Medicine, Athens University Medical School, Athens, Greece. FAU - Eleftheriadou, I AU - Eleftheriadou I FAU - Kokkinos, A AU - Kokkinos A FAU - Perrea, D AU - Perrea D FAU - Pavlatos, S AU - Pavlatos S FAU - Gonis, A AU - Gonis A FAU - Katsilambros, N AU - Katsilambros N FAU - Tentolouris, N AU - Tentolouris N LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20100303 PL - Germany TA - Exp Clin Endocrinol Diabetes JT - Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association JID - 9505926 RN - 0 (Blood Glucose) RN - 0 (Triglycerides) RN - 059QF0KO0R (Water) RN - 0LVT1QZ0BA (Homocysteine) RN - 97C5T2UQ7J (Cholesterol) RN - AE28F7PNPL (Methionine) SB - IM MH - Aged MH - Blood Glucose/drug effects MH - Blood Pressure/drug effects MH - Brachial Artery/drug effects/physiopathology MH - Cholesterol/blood MH - Diabetes Mellitus, Type 2/complications/*physiopathology MH - Endothelium, Vascular/*drug effects/physiopathology MH - Female MH - Heart Rate/drug effects MH - Homocysteine/*blood MH - Humans MH - Hyperhomocysteinemia/*chemically induced/complications/physiopathology MH - Luteal Phase MH - Male MH - Methionine/*adverse effects/blood MH - Middle Aged MH - Triglycerides/blood MH - Vasodilation/*drug effects MH - Water/administration & dosage EDAT- 2010/03/05 06:00 MHDA- 2010/10/22 06:00 CRDT- 2010/03/05 06:00 PHST- 2010/03/05 06:00 [entrez] PHST- 2010/03/05 06:00 [pubmed] PHST- 2010/10/22 06:00 [medline] AID - 10.1055/s-0030-1248290 [doi] PST - ppublish SO - Exp Clin Endocrinol Diabetes. 2010 Jul;118(7):453-8. doi: 10.1055/s-0030-1248290. Epub 2010 Mar 3.