PMID- 27782101 OWN - NLM STAT- MEDLINE DCOM- 20170505 LR - 20190606 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 22 DP - 2016 Oct 26 TI - Angiotensin II Promotes the Development of Carotid Atherosclerosis in Type 2 Diabetes Patients via Regulating the T Cells Activities: A Cohort Study. PG - 4000-4008 AB - BACKGROUND Specific T cell phenotype has been reported to potentially contribute to the development of angiotensin II (Ang II)-induced several vascular disorders. Type 2 diabetes mellitus (T2DM) is intimately associated with cardiovascular disease. The present study aimed to investigate the relationship between T cell phenotypes and Ang II in T2DM patients combined with carotid atherosclerosis (CA). MATERIAL AND METHODS This study was performed on 50 patients with T2DM in our hospital. Based on the presence of CA, they were divided into CA group (presence of CA, n=30) or T2DM group (absence of CA, n=20). Additionally, 10 healthy participants were selected as controls. Basic characteristics of all participants were collected and recorded. Peripheral blood mononuclear cells (PBMCs) isolated from patients and controls with or without Ang II and Ang II receptor blocker (ARB) treatment were used to detect Th1, Th2, and Th17 cell proportions, mRNA levels of T-bet, GATA3, and RORgammat as well as the expression of IFN-gamma, IL-4, and IL-17 by flow cytometry, ELISA, and Real-Time PCR. RESULTS Ang II levels were notably higher in patients in the CA group than those in the T2DM and control group (p<0.05). Th1 and Th17 positive cells, mRNA levels of T-bet and RORgt as well as the expression of IFN-gamma and IL-17 were significantly increased in the CA group compared with the T2DM group and control group (p<0.05). Moreover, the activities of T cells and related cytokines were significantly increased of healthy controls after Ang II treatment (p<0.05), while these changes were notably weakened by ARB treatment (p<0.05). CONCLUSIONS Ang II promotes the development of CA in T2DM patients by regulating T cells activities. FAU - Wang, Kai AU - Wang K AD - Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland). FAU - Jin, Feng AU - Jin F AD - Department of Radiology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, China (mainland). FAU - Zhang, Zhanpu AU - Zhang Z AD - Department of Neurosurgery, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, China (mainland). FAU - Sun, Xiaochuan AU - Sun X AD - Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland). LA - eng PT - Journal Article DEP - 20161026 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 0 (Cytokines) RN - 11128-99-7 (Angiotensin II) SB - IM MH - Adult MH - Aged MH - Angiotensin II/*immunology MH - Carotid Artery Diseases/*immunology/pathology MH - Cohort Studies MH - Cytokines/metabolism MH - Diabetes Mellitus, Type 2/*immunology/pathology MH - Female MH - Humans MH - Leukocytes, Mononuclear/immunology/pathology MH - Lymphocyte Activation/immunology MH - Male MH - Middle Aged MH - Phenotype MH - T-Lymphocyte Subsets/immunology MH - T-Lymphocytes/*immunology/pathology PMC - PMC5094472 COIS- Conflict interests The authors declared that there is no conflict of interest. EDAT- 2016/10/27 06:00 MHDA- 2017/05/06 06:00 PMCR- 2016/10/26 CRDT- 2016/10/27 06:00 PHST- 2016/10/27 06:00 [pubmed] PHST- 2017/05/06 06:00 [medline] PHST- 2016/10/27 06:00 [entrez] PHST- 2016/10/26 00:00 [pmc-release] AID - 900842 [pii] AID - 10.12659/msm.900842 [doi] PST - epublish SO - Med Sci Monit. 2016 Oct 26;22:4000-4008. doi: 10.12659/msm.900842.