PMID- 31593745 OWN - NLM STAT- MEDLINE DCOM- 20200220 LR - 20200220 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 157 DP - 2019 Nov TI - Effects of hypertension on cerebral cortical thickness alterations in patients with type 2 diabetes. PG - 107872 LID - S0168-8227(19)30937-4 [pii] LID - 10.1016/j.diabres.2019.107872 [doi] AB - AIMS: Although hypertension (HTN) is the high comorbidity of Type 2 diabetes mellitus (T2DM) and known to be a vascular risk factor for brain damage, the effects of HTN on brain function in T2DM patients are not well understood. Present study was performed to investigate whether HTN might accelerate the Cerebral cortical thickness (CT) alterations in patients with T2DM. METHODS: We enrolled 35 participants with only T2DM, 25 T2DM patients with HTN (HT2DM) and 28 healthy controls (HCs). The cognitive function was assessed and brain image data was collected then the CT was calculated for each participant. Partial correlations between the CT of each brain region and standard laboratory testing data and neuropsychological scale scores were also analyzed. Multivariable regression analysis was performed to evaluated the vascular risk factors and brain regions with different CT in HT2DM patients. RESULTS: Cognitive impairment is associated with thinning of the cerebral cortical thickness reduction in T2DM patients. CT thinning in the left inferior parietal lobe, left posterior cingulate and right precuneus were observed in HT2DM group relative to only T2DM group. Furthermore, the CT decreasing in the right precuneus was negatively correlated with duration of HTN. CONCLUSION: The current study revealed that coexistent HTN may accelerate the CT reduction in T2DM patients. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Shi, Li AU - Shi L AD - Department of Endocrinology, The First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Cheng, Yuqi AU - Cheng Y AD - Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Xu, Yushan AU - Xu Y AD - Department of Endocrinology, The First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Shen, Zonglin AU - Shen Z AD - Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Lu, Yi AU - Lu Y AD - Department of MRI, The First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Zhou, Cong AU - Zhou C AD - Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Jiang, Linling AU - Jiang L AD - Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Zhang, Yan AU - Zhang Y AD - Department of Endocrinology, The First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Zhu, Fangyu AU - Zhu F AD - Department of MRI, The First Affiliated Hospital of Kunming Medical University, Kunming, China. FAU - Xu, Xiufeng AU - Xu X AD - Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, China. Electronic address: xfxu2004@sina.com. LA - eng PT - Journal Article DEP - 20191005 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 SB - IM MH - Cerebral Cortex/*abnormalities MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*complications MH - Female MH - Humans MH - Hypertension/*complications MH - Magnetic Resonance Imaging/*methods MH - Male MH - Middle Aged MH - Surveys and Questionnaires OTO - NOTNLM OT - Cerebral cortical thickness OT - Hypertension OT - Type 2 diabetes EDAT- 2019/10/09 06:00 MHDA- 2020/02/23 06:00 CRDT- 2019/10/09 06:00 PHST- 2019/07/30 00:00 [received] PHST- 2019/08/31 00:00 [revised] PHST- 2019/09/30 00:00 [accepted] PHST- 2019/10/09 06:00 [pubmed] PHST- 2020/02/23 06:00 [medline] PHST- 2019/10/09 06:00 [entrez] AID - S0168-8227(19)30937-4 [pii] AID - 10.1016/j.diabres.2019.107872 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2019 Nov;157:107872. doi: 10.1016/j.diabres.2019.107872. Epub 2019 Oct 5.