PMID- 23704830 OWN - NLM STAT- MEDLINE DCOM- 20131231 LR - 20221207 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 19 IP - 19 DP - 2013 May 21 TI - Effect of Danzhijiangtang capsule on monocyte chemoattractant protein-1 mRNA expression in newly diagnosed diabetes subclinical vascular lesions. PG - 2963-8 LID - 10.3748/wjg.v19.i19.2963 [doi] AB - AIM: To investigate the effect of Danzhijiangtang capsule (DJC) on monocyte chemoattractant protein-1 (MCP-1) mRNA expression in newly diagnosed type 2 diabetes mellitus (T2DM) subclinical vascular lesions. METHODS: Sixty-two patients with newly diagnosed T2DM subclinical vascular lesions were randomly divided into a control group and treatment group of 31 cases each. Oral antidiabetic therapy with routine western medicine was conducted in both groups, and the treatment group was additionally treated with DJCs. The treatment course for both groups was 12 wk. Before and after treatment, the total efficiency and traditional Chinese medicine (TCM) syndrome score were calculated. The fasting plasma glucose (FPG), 2-h plasma glucose (2hPG), fasting insulin (FINS), insulin resistance index (IRI), hemoglobin (Hb)A1c, blood lipids, and hemorheology indices were determined. In addition, the levels of vascular endothelial growth factors including thrombomodulin (TM), von Willebrand factor (vWF), P-selectin and MCP-1 mRNA were determined. RESULTS: After 12 wk of treatment, the TCM syndrome score was significantly decreased compared to before treatment in both groups. After treatment, FPG, 2hPG, HbA1c, FINS, IRI, total cholesterol, triglycerides, low-density lipoprotein, high-density lipoprotein, whole blood low shear specific viscosity, plasma specific viscosity, TM, vWF, P-selectin and MCP-1 mRNA were significantly improved compared to before treatment in both groups. After treatment, the total efficiency and TCM syndrome score in the treatment group were better than in the control group. FINS, IRI, whole blood high shear specific viscosity, plasma specific viscosity, TM, vWF, P-selectin and MCP-1 mRNA level in the treatment group were significantly reduced after treatment compared with control group. CONCLUSION: DJCs are efficacious in supplementing qi, nourishing yin and invigorating blood circulation, and upregulate MCP-1 mRNA expression in patients with T2DM subclinical vascular lesions. FAU - Fang, Zhao-Hui AU - Fang ZH AD - Department of Endocrinology, the First Affiliated Hospital of Anhui College of Traditional Chinese Medicine, Hefei 230031, Anhui Province, China. fangzhaohui@medmail.com FAU - Liu, Yan AU - Liu Y FAU - Bao, Tao-Tao AU - Bao TT FAU - Ni, Ying-Qun AU - Ni YQ FAU - Liu, Jian AU - Liu J FAU - Shi, Guo-Bin AU - Shi GB FAU - Wu, Ji-Ping AU - Wu JP FAU - Yang, Jun-Ping AU - Yang JP FAU - Zhang, Hong AU - Zhang H LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (CCL2 protein, human) RN - 0 (Capsules) RN - 0 (Chemokine CCL2) RN - 0 (Drugs, Chinese Herbal) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 0 (P-Selectin) RN - 0 (RNA, Messenger) RN - 0 (SELP protein, human) RN - 0 (THBD protein, human) RN - 0 (Thrombomodulin) RN - 0 (hemoglobin A1c protein, human) RN - 0 (von Willebrand Factor) SB - IM MH - Administration, Oral MH - Biomarkers/blood MH - Blood Glucose/drug effects/metabolism MH - Capsules MH - Chemokine CCL2/*genetics MH - Chi-Square Distribution MH - China MH - Diabetes Mellitus, Type 2/blood/complications/diagnosis/*drug therapy/genetics MH - Diabetic Angiopathies/blood/diagnosis/*drug therapy/etiology/genetics MH - Drugs, Chinese Herbal/administration & dosage/adverse effects/*therapeutic use MH - Female MH - Glycated Hemoglobin/metabolism MH - Humans MH - Hypoglycemic Agents/administration & dosage/*therapeutic use MH - Insulin/blood MH - Insulin Resistance MH - Male MH - Middle Aged MH - P-Selectin/blood MH - RNA, Messenger/*blood MH - Thrombomodulin/blood MH - Time Factors MH - Treatment Outcome MH - von Willebrand Factor/metabolism PMC - PMC3660822 OTO - NOTNLM OT - Danzhijiangtang capsule OT - Monocyte chemoattractant protein-1 OT - Subclinical vascular lesions OT - Type 2 diabetes mellitus EDAT- 2013/05/25 06:00 MHDA- 2014/01/01 06:00 PMCR- 2013/05/21 CRDT- 2013/05/25 06:00 PHST- 2012/12/25 00:00 [received] PHST- 2013/02/06 00:00 [revised] PHST- 2013/02/28 00:00 [accepted] PHST- 2013/05/25 06:00 [entrez] PHST- 2013/05/25 06:00 [pubmed] PHST- 2014/01/01 06:00 [medline] PHST- 2013/05/21 00:00 [pmc-release] AID - 10.3748/wjg.v19.i19.2963 [doi] PST - ppublish SO - World J Gastroenterol. 2013 May 21;19(19):2963-8. doi: 10.3748/wjg.v19.i19.2963.