PMID- 31623352 OWN - NLM STAT- MEDLINE DCOM- 20200224 LR - 20200224 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 20 IP - 19 DP - 2019 Oct 3 TI - The Ratio of Oxidized Lipoprotein(a) to Native Lipoprotein(a) and the Endothelial Function in Patients with Type 2 Diabetes Mellitus. LID - 10.3390/ijms20194909 [doi] LID - 4909 AB - The ratio of oxidized lipoprotein(a) to native lipoprotein(a) (oxLp(a)/Lp(a)) may be a reasonable index for assessing endothelial dysfunction in type 2 diabetes mellitus (T2DM). The present study investigated whether the oxLp(a)/Lp(a) level is correlated with the endothelial function using the Endo-PAT(TM), a newly developed device, in patients with T2DM. A total of 63 patients with T2DM (mean age: 59 years old) were enrolled in the study. The patients' serum Lp(a) and oxLp(a) levels were measured using an enzyme-linked immunosorbent assay. The reactive hyperemia index (RHI) level was measured using an Endo-PAT(TM) 2000. A correlation analysis between the measured variables was conducted. Among the patients, the mean hemoglobin A1c was 7.8%. The median level of oxLp(a)/Lp(a) was 0.28 (interquartile range: 0.07-0.54), and the mean RHI was 1.8 (standard deviation: 0.4). In a multiple linear regression analysis, the oxLp(a)/Lp(a) level was an independent, significant, and inverse variable for the RHI level (beta = -0.26, p < 0.05), along with male gender. A high oxLp(a)/Lp(a) level may reflect endothelial dysfunction, as assessed by the Endo-PAT(TM), in patients with T2DM. Further studies are warranted to confirm the observed findings. FAU - Kotani, Kazuhiko AU - Kotani K AD - Division of Community and Family Medicine, Department of Clinical Laboratory Medicine, Jichi Medical University, Shimotsuke-City, Tochigi 329-0498, Japan. kazukotani@jichi.ac.jp. AD - Department of Clinical Laboratory Medicine, Jichi Medical University, Shimotsuke-City, Tochigi 329-0498, Japan. kazukotani@jichi.ac.jp. FAU - Yamada, Shingo AU - Yamada S AD - Central Laboratory, Shino-Test, Sagamihara-City, Kanagawa 252-0331, Japan. shingo.yamada@shino-test.co.jp. FAU - Takahashi, Hirokazu AU - Takahashi H AD - Division of Metabolism and Endocrinology, Faculty of Medicine, Saga University, Saga-City, Saga 849-8501, Japan. takahas2@cc.saga-u.ac.jp. FAU - Iwazu, Yoshitaka AU - Iwazu Y AD - Department of Clinical Laboratory Medicine, Jichi Medical University, Shimotsuke-City, Tochigi 329-0498, Japan. iwazu@jichi.ac.jp. FAU - Yamada, Toshiyuki AU - Yamada T AD - Department of Clinical Laboratory Medicine, Jichi Medical University, Shimotsuke-City, Tochigi 329-0498, Japan. yamadanji@jichi.ac.jp. LA - eng PT - Journal Article DEP - 20191003 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Biomarkers) RN - 0 (Lipoproteins) SB - IM MH - Adolescent MH - Adult MH - Biomarkers MH - Child MH - Diabetes Mellitus, Type 2/etiology/*metabolism MH - Disease Susceptibility MH - Endothelium, Vascular/*metabolism MH - Female MH - Humans MH - Lipoproteins/*metabolism MH - Male MH - Middle Aged MH - *Oxidation-Reduction MH - Young Adult PMC - PMC6801959 OTO - NOTNLM OT - Endo-PAT OT - Lp(a) OT - atherosclerosis OT - endothelium OT - oxidative stress OT - reactive hyperemia COIS- The authors declare that they have no competing interests. EDAT- 2019/10/19 06:00 MHDA- 2020/02/25 06:00 PMCR- 2019/10/01 CRDT- 2019/10/19 06:00 PHST- 2019/08/30 00:00 [received] PHST- 2019/10/01 00:00 [revised] PHST- 2019/10/03 00:00 [accepted] PHST- 2019/10/19 06:00 [entrez] PHST- 2019/10/19 06:00 [pubmed] PHST- 2020/02/25 06:00 [medline] PHST- 2019/10/01 00:00 [pmc-release] AID - ijms20194909 [pii] AID - ijms-20-04909 [pii] AID - 10.3390/ijms20194909 [doi] PST - epublish SO - Int J Mol Sci. 2019 Oct 3;20(19):4909. doi: 10.3390/ijms20194909.