PMID- 29891331 OWN - NLM STAT- MEDLINE DCOM- 20190523 LR - 20190523 IS - 2352-3840 (Electronic) IS - 1499-2671 (Linking) VI - 43 IP - 1 DP - 2019 Feb TI - Serum Brain-Derived Neurotrophic Factor is Related to Platelet Reactivity and Metformin Treatment in Adult Patients With Type 2 Diabetes Mellitus. PG - 19-26 LID - S1499-2671(17)30734-7 [pii] LID - 10.1016/j.jcjd.2018.01.014 [doi] AB - OBJECTIVES: The aim of this study was to investigate the association of serum brain-derived neurotrophic factor (BDNF) levels with platelet reactivity and antidiabetes treatment, as well as serum adipocytokine concentrations. METHODS: This observational, open-label study enrolled 149 patients. Serum BDNF, hematologic, biochemical parameters and platelet reactivity were measured. Blood samples were taken after the last acetylsalicylic acid dose. RESULTS: Patients with high BDNF levels were younger (65.60+/-8.956 vs. 68.59+/-8.516) and smoked cigarettes more frequently (14.6% vs. 4.1%); they were more commonly being treated by metformin (77.3% vs. 54%); had higher platelet counts (245.81+/-68.85 10(3)/mm(3) vs. 206.61+/-44.48 10(3)/mm(3)); had shorter collagen-adenosine diphosphate closure time (CADP-CT) values (104.88+/-69.73 s vs. 140.93+/-86.63 s); had higher triglyceride concentrations (140.73+/-67.5 vs. 121.76+/-60.49) and had higher concentrations of serum thromboxane B2 (0.938+/-1.59 vs. 0.364+/-0.76). In univariate linear regression analyses, predictive factors for serum BDNF levels above the median were metformin treatment, current smoking, platelet count, triglyceride concentration, total cholesterol concentration and CADP-CT >74 s. In multivariate backward stepwise analysis CADP-CT >141 s; adiponectin concentration >4.22 microg/mL; total cholesterol and low-density lipoprotein levels were independently associated with serum BDNF levels above the median. CONCLUSIONS: Our results suggest that BDNF may be associated with lipid metabolism and that increased production of BDNF may be related to metformin treatment. Moreover, we showed an association between BDNF levels and platelet reactivity; we found that serum BDNF levels in patients with type 2 diabetes who had high platelet reactivity were higher than in subjects with normal platelet reactivity despite antiplatelet therapy. CI - Copyright (c) 2018 Diabetes Canada. Published by Elsevier Inc. All rights reserved. FAU - Eyileten, Ceren AU - Eyileten C AD - Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Center for Preclinical Research and Technology CEPT, Warsaw, Poland. FAU - Mirowska-Guzel, Dagmara AU - Mirowska-Guzel D AD - Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Center for Preclinical Research and Technology CEPT, Warsaw, Poland. Electronic address: dmirowska@wum.edu.pl. FAU - Milanowski, Lukasz AU - Milanowski L AD - Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Center for Preclinical Research and Technology CEPT, Warsaw, Poland. FAU - Zaremba, Malgorzata AU - Zaremba M AD - Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Center for Preclinical Research and Technology CEPT, Warsaw, Poland. FAU - Rosiak, Marek AU - Rosiak M AD - Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Center for Preclinical Research and Technology CEPT, Warsaw, Poland. FAU - Cudna, Agnieszka AU - Cudna A AD - Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Center for Preclinical Research and Technology CEPT, Warsaw, Poland. FAU - Kaplon-Cieslicka, Agnieszka AU - Kaplon-Cieslicka A AD - Department of Cardiology, Medical University of Warsaw, Warsaw, Poland. FAU - Opolski, Grzegorz AU - Opolski G AD - Department of Cardiology, Medical University of Warsaw, Warsaw, Poland. FAU - Filipiak, Krzysztof J AU - Filipiak KJ AD - Department of Cardiology, Medical University of Warsaw, Warsaw, Poland. FAU - Malek, Lukasz AU - Malek L AD - Faculty of Rehabilitation, University of Physical Education, Warsaw, Poland. FAU - Postula, Marek AU - Postula M AD - Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Center for Preclinical Research and Technology CEPT, Warsaw, Poland. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Randomized Controlled Trial DEP - 20180203 PL - Canada TA - Can J Diabetes JT - Canadian journal of diabetes JID - 101148810 RN - 0 (Biomarkers) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Hypoglycemic Agents) RN - 0 (Platelet Aggregation Inhibitors) RN - 7171WSG8A2 (BDNF protein, human) RN - 9100L32L2N (Metformin) RN - R16CO5Y76E (Aspirin) SB - IM MH - Adult MH - Aged MH - Aspirin/pharmacology/therapeutic use MH - Biomarkers/blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Diabetes Mellitus, Type 2/*blood/*drug therapy MH - Female MH - Humans MH - Hypoglycemic Agents/pharmacology/*therapeutic use MH - Male MH - Metformin/pharmacology/*therapeutic use MH - Middle Aged MH - Platelet Activation/*drug effects/physiology MH - Platelet Aggregation Inhibitors/pharmacology/therapeutic use MH - Prospective Studies MH - Treatment Outcome OTO - NOTNLM OT - adiponectin OT - adiponectine OT - aspirin OT - aspirine OT - diabetes mellitus OT - diabete sucre OT - metformin OT - metformine OT - plaquette OT - platelet EDAT- 2018/06/13 06:00 MHDA- 2019/05/24 06:00 CRDT- 2018/06/13 06:00 PHST- 2017/09/02 00:00 [received] PHST- 2018/01/31 00:00 [accepted] PHST- 2018/06/13 06:00 [pubmed] PHST- 2019/05/24 06:00 [medline] PHST- 2018/06/13 06:00 [entrez] AID - S1499-2671(17)30734-7 [pii] AID - 10.1016/j.jcjd.2018.01.014 [doi] PST - ppublish SO - Can J Diabetes. 2019 Feb;43(1):19-26. doi: 10.1016/j.jcjd.2018.01.014. Epub 2018 Feb 3.