PMID- 33578584 OWN - NLM STAT- MEDLINE DCOM- 20210222 LR - 20230103 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 100 IP - 6 DP - 2021 Feb 12 TI - Higher levels of circulating ANGPTL2 are associated with macular edema in patients with type 2 diabetes. PG - e24638 LID - 10.1097/MD.0000000000024638 [doi] LID - e24638 AB - Macular edema (ME) is an inflammatory disease characterized by increased microvascular permeability. Here, we proposed that plasma angiopoietin-like protein 2 (ANGPTL2) level may be related to the severity of ME patients with type 2 diabetes mellitus (T2DM). In this cross-sectional study, 172 T2DM patients were recruited and divided into clinically significant macular edema (CSME), non-CSME (nCSME), and control groups. Serum ANGPTL2 level was quantified by ELISA and best corrected vision acuity (BCVA) was detected. After adjust age, sex, body mass index (BMI), and duration of diabetes variables, ANGPTL2 performed statistics difference among CSME-, nCSME-groups, and control group (4.46 [3.97, 4.96, 95%CI] ng/mL in CSME group, 3.80 [3.42, 4.18, 95%CI] ng/mL in nCSME-group, 3.33 [3.03, 3.63, 95%CI] ng/mL in control, P < .01). After adjustment of confounding factors, high levels of circulating ANGPTL2 were related with the diagnosis of ME, BCVA, and C reactive protein (CRP) through univariate regression analysis (P < .05). Meanwhile, in the multiple regression model, ANGPTL2 took the mainly effect proportion for the diagnosis of diabetic macular edema (DME), with a LogWorth value 3.559 (P < .001). Our study suggested that elevated circulating ANGPTL2 may be associated with the development of DME and the severity of visual impairment in patients with type 2 diabetes. CI - Copyright (c) 2021 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Yin, Ruili AU - Yin R AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University. AD - Beijing Key Laboratory of Diabetes Research and Care. FAU - Zhang, Ning AU - Zhang N AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University. AD - Beijing Key Laboratory of Diabetes Research and Care. FAU - Zhang, Dawei AU - Zhang D AD - Department of Ophthalmology, Beijing Luhe Hospital Capital Medical University, Beijing, 101149, China. FAU - Zhao, Wenying AU - Zhao W AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University. FAU - Ke, Jing AU - Ke J AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University. FAU - Zhao, Dong AU - Zhao D AUID- ORCID: 0000-0003-2914-5863 AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University. LA - eng GR - KJ2019CX014-25/Science and Technology Committee of Tongzhou District/ PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (ANGPTL2 protein, human) RN - 0 (Angiopoietin-Like Protein 2) RN - 0 (Angiopoietin-like Proteins) RN - 0 (Biomarkers) SB - IM MH - Angiopoietin-Like Protein 2 MH - Angiopoietin-like Proteins/*blood MH - Biomarkers/blood MH - Cross-Sectional Studies MH - *Diabetes Mellitus, Type 2 MH - Female MH - Humans MH - Macular Edema/blood/*diagnosis MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Tomography, Optical Coherence PMC - PMC7886454 COIS- The authors have no conflicts of interest to disclose. EDAT- 2021/02/14 06:00 MHDA- 2021/02/23 06:00 PMCR- 2021/02/12 CRDT- 2021/02/13 01:00 PHST- 2020/07/03 00:00 [received] PHST- 2021/01/15 00:00 [accepted] PHST- 2021/02/13 01:00 [entrez] PHST- 2021/02/14 06:00 [pubmed] PHST- 2021/02/23 06:00 [medline] PHST- 2021/02/12 00:00 [pmc-release] AID - 00005792-202102120-00077 [pii] AID - MD-D-20-06299 [pii] AID - 10.1097/MD.0000000000024638 [doi] PST - ppublish SO - Medicine (Baltimore). 2021 Feb 12;100(6):e24638. doi: 10.1097/MD.0000000000024638.