PMID- 20368210 OWN - NLM STAT- MEDLINE DCOM- 20100706 LR - 20221207 IS - 1752-8984 (Electronic) IS - 1479-1641 (Linking) VI - 6 IP - 3 DP - 2009 Jul TI - Raised natriuretic peptides, big-endothelin-1 and improved beta-cell function in type 2 diabetic males with hyperuricaemia. PG - 190-3 LID - 10.1177/1479164109336689 [doi] AB - Urate, a naturally-occurring antioxidant, is a marker/factor for cardiovascular disease. Hyperuricaemia is associated with IR, MetS and endothelial dysfunction. We characterised the associations between neurohormones, uricaemia, and glucose homeostasis in type 2 diabetes mellitus (T2DM) males. Cross-sectional; 705 T2DM males divided into two groups: uric acid < 7.0 mg/dl (normouricaemic; n=476) versus uric acid >or= 7.0 mg/dl (hyperuricaemic; n=229). HOMA beta-cell function (B), insulin sensitivity (S), hyperbolic product (BxS), and (BxS) loss rate were determined alongside neurohormones (Nt-proANP, BNP, Big ET-1 and UII). Mean age and diabetes duration were not different between groups. Hyperuricaemics had more macroangiopathy, total/central adiposity, IR, hypertension, dyslipidemia and MetS prevalence. Nt-proANP and BNP levels were more than twice as high in hyperuricaemics, whereas Big ET-1 and UII were higher by 46% and 14%, respectively. HOMA (BxS) was higher in hyperuricaemics: 31 (16)% vs. 26 (18)% (p=0.0004). BxS loss rate was faster in normouricaemics: 1.36 (0.54)% vs. 1.20 (0.43)%/year(-1) (p<0.0001 ). The proportion with HbA(1C) < 7.0% was 39% (normouricaemics) vs. 49% (hyperuricaemics; p=0.0091). In T2DM males, hyperuricaemia is associated with raised neurohormones together with better beta-cell indices. Urate's dual properties may translate into beneficial (glucose homeostasis) and detrimental (raised neurohormones) effects. FAU - Hermans, Michel P AU - Hermans MP AD - Endocrinology and Nutrition Unit, Cliniques Universitaires St-Luc, Brussels, Belgium. michel.hermans@diab.ucl.ac.be FAU - Ahn, Sylvie A AU - Ahn SA FAU - Rousseau, Michel F AU - Rousseau MF LA - eng PT - Journal Article PL - England TA - Diab Vasc Dis Res JT - Diabetes & vascular disease research JID - 101234011 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Endothelin-1) RN - 0 (Glycated Hemoglobin A) RN - 0 (Insulin) RN - 0 (hemoglobin A1c protein, human) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - 268B43MJ25 (Uric Acid) RN - 85637-73-6 (Atrial Natriuretic Factor) SB - IM MH - Aged MH - Atrial Natriuretic Factor/*blood MH - Biomarkers/blood MH - Blood Glucose/metabolism MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*blood/complications/physiopathology MH - Endothelin-1/*blood MH - Glycated Hemoglobin/metabolism MH - Humans MH - Hyperuricemia/*blood/complications/physiopathology MH - Insulin/blood MH - Insulin-Secreting Cells/*metabolism MH - Male MH - Metabolic Syndrome/*blood/complications/physiopathology MH - Middle Aged MH - Natriuretic Peptide, Brain/*blood MH - Up-Regulation MH - Uric Acid/blood EDAT- 2010/04/07 06:00 MHDA- 2010/07/07 06:00 CRDT- 2010/04/07 06:00 PHST- 2010/04/07 06:00 [entrez] PHST- 2010/04/07 06:00 [pubmed] PHST- 2010/07/07 06:00 [medline] AID - 6/3/190 [pii] AID - 10.1177/1479164109336689 [doi] PST - ppublish SO - Diab Vasc Dis Res. 2009 Jul;6(3):190-3. doi: 10.1177/1479164109336689.