PMID- 27006706 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160323 LR - 20220408 IS - 1758-5996 (Print) IS - 1758-5996 (Electronic) IS - 1758-5996 (Linking) VI - 8 DP - 2016 TI - Dipeptidyl peptidase-4 inhibitors improve arterial stiffness, blood pressure, lipid profile and inflammation parameters in patients with type 2 diabetes mellitus. PG - 26 LID - 10.1186/s13098-016-0144-6 [doi] LID - 26 AB - BACKGROUND: This uncontrolled open label study evaluated the effect of dipeptidyl peptidase-4 inhibitors (DPP-4i): sitagliptin and vildagliptin on augmentation index standardized for 75 beats per minute (cAiX@75), blood pressure (BP), lipid profile and high-sensitivity C-reactive protein (hsCRP) in patients with type 2 diabetes mellitus (T2DM). METHODS: Fifty-one well-regulated T2DM patients were randomly assigned to either sitagliptin or vildagliptin (100 mg/day) for 3 months continuing their previous treatment. Lipid profile, cAiX@75, hsCRP, glycated hemoglobin (HbA1c) were measured at baseline at 4, 8 and 12th week were accessed. cAiX@75 and pulse wave velocity (PWV) were determined by SphygmoCor device. RESULTS: Following DPP-4 treatment there was a significant reduction in total serum cholesterol (5.18 vs 4.62 mmol/L), low-density lipoprotein (2.89 vs 2.54 mmol/L), hsCRP (3.21 vs 1.95 mg/L), cAiX@75 (24.5 vs 22.3) and central systolic BP (131.8 vs 119.5 mmHg). The sitagliptin treated group reached cAiX@75 reduction earlier in the study period while neither sitagliptin or vildagliptin use resulted in the significant HbA1c reduction. CONCLUSION: The treatment with DPP-4i: sitagliptin and vildagliptin provides favorable metabolic and vascular effects beyond glucose-control. Further studies are required to elucidate their implication in metabolic pathways. FAU - Duvnjak, Lea AU - Duvnjak L AD - Vuk Vrhovac Clinic for Diabetes, Endocrinology and Metabolic diseases, Merkur University hospital, Dugi dol 4a, Zagreb, Croatia ; School of Medicine, University of Zagreb, Zagreb, Croatia. FAU - Blaslov, Kristina AU - Blaslov K AD - Vuk Vrhovac Clinic for Diabetes, Endocrinology and Metabolic diseases, Merkur University hospital, Dugi dol 4a, Zagreb, Croatia. LA - eng PT - Journal Article DEP - 20160322 PL - England TA - Diabetol Metab Syndr JT - Diabetology & metabolic syndrome JID - 101488958 PMC - PMC4802883 OTO - NOTNLM OT - Augumentation index OT - Blood pressure OT - Dipeptidyl peptidase-4 OT - Type 2 diabetes mellitus EDAT- 2016/03/24 06:00 MHDA- 2016/03/24 06:01 PMCR- 2016/03/22 CRDT- 2016/03/24 06:00 PHST- 2015/12/15 00:00 [received] PHST- 2016/03/09 00:00 [accepted] PHST- 2016/03/24 06:00 [entrez] PHST- 2016/03/24 06:00 [pubmed] PHST- 2016/03/24 06:01 [medline] PHST- 2016/03/22 00:00 [pmc-release] AID - 144 [pii] AID - 10.1186/s13098-016-0144-6 [doi] PST - epublish SO - Diabetol Metab Syndr. 2016 Mar 22;8:26. doi: 10.1186/s13098-016-0144-6. eCollection 2016.