PMID- 32041444 OWN - NLM STAT- MEDLINE DCOM- 20210416 LR - 20210416 IS - 1552-6941 (Electronic) IS - 1534-7346 (Linking) VI - 19 IP - 2 DP - 2020 Jun TI - Association of Circulating Osteopontin Levels With Lower Extremity Arterial Disease in Subjects With Type 2 Diabetes Mellitus: A Cross-Sectional Observational Study. PG - 180-189 LID - 10.1177/1534734619898097 [doi] AB - Osteopontin (OPN) is involved in the atherosclerotic and inflammatory process. In this article, we examined the relationship between circulating OPN levels with lower extremity arterial disease (LEAD) in individuals with type 2 diabetes mellitus (T2DM). Seventy individuals with T2DM and 66 individuals without T2DM were recruited. Diagnosis of LEAD was based on the absence of triphasic waveform on the pedal arteries. Plasma OPN levels were determined by Luminex Multiplex immunoassay. LEAD was present in 34 (48.6%) patients with T2DM. In the diabetes cohort, individuals with LEAD had higher plasma OPN concentrations than those without LEAD (geometric mean [95% confidence intervals]; 43.4 [37.5-50.4] vs 26.1 [22.9-29.8] ng/mL, respectively, P < .001). Multivariable analysis showed that presence of LEAD independently associated with higher OPN levels in subjects with T2DM, with marginal statistical significance (P = .049). In both cohorts, plasma OPN concentrations were negatively associated with ankle-brachial index values (P < .05). In the total sample, there was a gradual increase of OPN levels across subgroups with triphasic, biphasic, and monophasic/blunted waveforms (P < .001). In conclusion, plasma OPN levels are associated with the presence and severity of LEAD in subjects with T2DM. Further studies are needed to investigate the role of OPN in the pathogenesis and progression of LEAD. FAU - Eleftheriadou, Ioanna AU - Eleftheriadou I AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece. FAU - Tsilingiris, Dimitrios AU - Tsilingiris D AUID- ORCID: 0000-0002-6864-4289 AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece. FAU - Tentolouris, Anastasios AU - Tentolouris A AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece. FAU - Mourouzis, Iordanis AU - Mourouzis I AD - Department of Pharmacology, Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Grigoropoulou, Pinelopi AU - Grigoropoulou P AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece. FAU - Kapelios, Christos AU - Kapelios C AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece. FAU - Pantos, Constantinos AU - Pantos C AD - Department of Pharmacology, Medical School, National and Kapodistrian University of Athens, Athens, Greece. FAU - Makrilakis, Konstantinos AU - Makrilakis K AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece. FAU - Tentolouris, Nikolaos AU - Tentolouris N AD - Diabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece. LA - eng PT - Journal Article PT - Observational Study DEP - 20200211 PL - United States TA - Int J Low Extrem Wounds JT - The international journal of lower extremity wounds JID - 101128359 RN - 106441-73-0 (Osteopontin) SB - IM MH - Ankle Brachial Index/methods MH - Correlation of Data MH - Diabetes Mellitus, Type 2/blood MH - Diabetic Neuropathies/diagnosis MH - Female MH - Humans MH - Lower Extremity/*blood supply MH - Male MH - Middle Aged MH - Osteopontin/*blood MH - *Peripheral Arterial Disease/blood/diagnosis/physiopathology MH - *Peripheral Nervous System Diseases/diagnosis/etiology MH - Pulse Wave Analysis/methods MH - Severity of Illness Index OTO - NOTNLM OT - cardiac autonomic neuropathy OT - nephropathy OT - osteopontin OT - peripheral artery disease OT - peripheral neuropathy OT - type 2 diabetes mellitus EDAT- 2020/02/12 06:00 MHDA- 2021/04/17 06:00 CRDT- 2020/02/12 06:00 PHST- 2020/02/12 06:00 [pubmed] PHST- 2021/04/17 06:00 [medline] PHST- 2020/02/12 06:00 [entrez] AID - 10.1177/1534734619898097 [doi] PST - ppublish SO - Int J Low Extrem Wounds. 2020 Jun;19(2):180-189. doi: 10.1177/1534734619898097. Epub 2020 Feb 11.