PMID- 23549246 OWN - NLM STAT- MEDLINE DCOM- 20140110 LR - 20130603 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 100 IP - 2 DP - 2013 May TI - Elevated serum beta2-glycoprotein-I-lipoprotein(a) complexes levels are associated with the presence and complications in type 2 diabetes mellitus. PG - 250-6 LID - S0168-8227(13)00080-6 [pii] LID - 10.1016/j.diabres.2013.03.002 [doi] AB - AIMS: To examine the serum levels of beta2-glycoprotein I-lipoprotein(a) complexes [beta2-GPI-Lp(a)] in type 2 diabetes mellitus (T2DM) patients and evaluate the association of the complexes with complications in T2DM. METHODS: Fifty two T2DM patients (22 with complications and 30 free of complications) and 52 age/gender-matched healthy controls were studied. Serum concentrations of beta2-GPI-Lp(a) and ox-Lp(a) were measured by "sandwich" ELISAs and their associations with complications were examined using multiple linear regression. RESULTS: Mean serum beta2-GPI-Lp(a) (1.19 +/- 0.30 U/mL vs. 0.89 +/- 0.20 U/mL, p<0.001) and ox-Lp(a) concentrations (13.34 +/- 11.73 mg/L vs. 5.26 +/- 3.34 mg/L, p<0.001) were both significantly higher in T2DM than in controls. The area under the ROC curve (AUC) for beta2-GPI-Lp(a) and ox-Lp(a) was 0.725 and 0.738, respectively. beta2-GPI-Lp(a) levels were markedly higher in patients with complications than those without complication (1.39 +/- 0.28 U/mL vs. 1.04 +/- 0.31 U/mL, p<0.01), whereas no marked difference was found in ox-Lp(a). In multivariate regression analysis, the association between beta2-GPI-Lp(a) and complications remained significant (beta=0.249, p<0.05, respectively) after adjustments were made for other traits. CONCLUSIONS: Elevated beta2-GPI-Lp(a) may reflect chronic underlying pathophysiological processes involved in development of complications of T2DM. CI - Copyright (c) 2013 Elsevier Ireland Ltd. All rights reserved. FAU - Wang, Cheng AU - Wang C AD - Department of Clinical Laboratory, Jinling Hospital, Clinical School of Medicine, Nanjing University, Nanjing, People's Republic of China. FAU - Niu, Dong-Mei AU - Niu DM FAU - Hu, Jing AU - Hu J FAU - Guan, Xiao-Cui AU - Guan XC FAU - Yang, Wen AU - Yang W FAU - Wang, Jun-Jun AU - Wang JJ FAU - Zhang, Chen-Yu AU - Zhang CY FAU - Zhang, Chun-Ni AU - Zhang CN LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130330 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Lipoprotein(a)) RN - 0 (beta 2-Glycoprotein I) SB - IM MH - Adult MH - Aged MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Humans MH - Lipoprotein(a)/*blood MH - Male MH - Middle Aged MH - beta 2-Glycoprotein I/*blood EDAT- 2013/04/04 06:00 MHDA- 2014/01/11 06:00 CRDT- 2013/04/04 06:00 PHST- 2012/11/30 00:00 [received] PHST- 2013/02/16 00:00 [revised] PHST- 2013/03/01 00:00 [accepted] PHST- 2013/04/04 06:00 [entrez] PHST- 2013/04/04 06:00 [pubmed] PHST- 2014/01/11 06:00 [medline] AID - S0168-8227(13)00080-6 [pii] AID - 10.1016/j.diabres.2013.03.002 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2013 May;100(2):250-6. doi: 10.1016/j.diabres.2013.03.002. Epub 2013 Mar 30.