PMID- 28397050 OWN - NLM STAT- MEDLINE DCOM- 20170613 LR - 20181113 IS - 1993-1352 (Electronic) IS - 1672-0733 (Linking) VI - 37 IP - 2 DP - 2017 Apr TI - Waist circumference-dependent peripheral monocytes change after gliclazide treatment for Chinese type 2 diabetic patients. PG - 204-209 LID - 10.1007/s11596-017-1716-x [doi] AB - Gliclazide used for the treatment of type 2 diabetes mellitus (T2DM) stimulates insulin secretion and influences peripheral blood monocytes. The roles of gliclazide in peripheral monocytes of newly diagnosed T2DM patients were investigated in this study. A total of 105 newly diagnosed T2DM patients with no history of antihyperglycemic medication were treated with gliclazide-modified release for 16 weeks. The total and differential leukocyte profiles of peripheral blood were measured at baseline and week 16. The peripheral blood monocyte count at week 16 was significantly lower than that at baseline (P=0.019). Peripheral monocytes level at baseline was positively correlated with waist circumference. After gliclazide treatment, the peripheral monocytes were decreased [(320.09+/-15.13)x10(6)/L vs. (294.19+/-14.22)x10(6)/L] in non-abdominal obesity group, but increased in abdominal obesity group [(344.36+/-17.24)x10(6)/L vs. (351.87+/-16.93)x10(6)/L]. Compared with non-abdominal obese patients, abdominal obese patients showed higher Deltamonocytes (P=0.046) and Deltaacute insulin secretion (P=0.049), but lower DeltaHbA1c (P=0.047). There was significantly positive correlation between Deltamonocytes and Deltaacute insulin secretion (P=0.015), which disappeared after adjusting for age, waist circumference and dosage at baseline. In conclusion, waist circumference is correlated with peripheral monocyte change after gliclazide treatment in Chinese newly diagnosed T2DM patients. Peripheral monocytes are decreased in non-abdominal obesity group and increased in abdominal obesity group after gliclazide treatment. FAU - Li, Qing AU - Li Q AD - Department of Endocrinology & Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. FAU - Yu, Hao-Yong AU - Yu HY AD - Department of Endocrinology & Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. FAU - Chen, Miao AU - Chen M AD - Department of Endocrinology & Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. FAU - Jiang, Feng AU - Jiang F AD - Department of Endocrinology & Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. FAU - Zhou, Jian AU - Zhou J AD - Department of Endocrinology & Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. FAU - Bao, Yu-Qian AU - Bao YQ AD - Department of Endocrinology & Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. FAU - Hu, Cheng AU - Hu C AD - Department of Endocrinology & Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. alfredhc@sjtu.edu.cn. FAU - Jia, Wei-Ping AU - Jia WP AD - Department of Endocrinology & Metabolism, Shanghai Clinical Center of Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China. wpjia@sjtu.edu.cn. LA - eng PT - Journal Article DEP - 20170411 PL - China TA - J Huazhong Univ Sci Technolog Med Sci JT - Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban JID - 101169627 RN - 0 (Hypoglycemic Agents) RN - G4PX8C4HKV (Gliclazide) SB - IM MH - China MH - Diabetes Mellitus, Type 2/blood/*drug therapy MH - Drug Administration Schedule MH - Female MH - Gliclazide/*administration & dosage/pharmacology MH - Humans MH - Hypoglycemic Agents/*administration & dosage/pharmacology MH - Leukocyte Count MH - Leukocytes, Mononuclear/*cytology/drug effects MH - Male MH - Middle Aged MH - Obesity, Abdominal/blood MH - Waist Circumference/drug effects OTO - NOTNLM OT - gliclazide OT - monocytes OT - obesity OT - type 2 diabetes OT - waist EDAT- 2017/04/12 06:00 MHDA- 2017/06/14 06:00 CRDT- 2017/04/12 06:00 PHST- 2016/05/09 00:00 [received] PHST- 2017/02/17 00:00 [revised] PHST- 2017/04/12 06:00 [entrez] PHST- 2017/04/12 06:00 [pubmed] PHST- 2017/06/14 06:00 [medline] AID - 10.1007/s11596-017-1716-x [pii] AID - 10.1007/s11596-017-1716-x [doi] PST - ppublish SO - J Huazhong Univ Sci Technolog Med Sci. 2017 Apr;37(2):204-209. doi: 10.1007/s11596-017-1716-x. Epub 2017 Apr 11.