PMID- 34825586 OWN - NLM STAT- MEDLINE DCOM- 20220127 LR - 20220127 IS - 1752-8984 (Electronic) IS - 1479-1641 (Print) IS - 1479-1641 (Linking) VI - 18 IP - 6 DP - 2021 Nov-Dec TI - Peripheral oscillometric arterial performance does not depict coronary status in patients with type 2 diabetes mellitus. PG - 14791641211046522 LID - 10.1177/14791641211046522 [doi] LID - 14791641211046522 AB - BACKGROUND: Arterial stiffness is associated with cardiovascular events. Matrix metalloproteases (MMPs), their tissue inhibitors (TIMPs) and galectin-3 are involved in the pathogenesis of end organ damage. This study aimed to evaluate the contribution of arterial stiffness, MMPs, TIMPs and galectin-3 with the current vascular status in type 2 diabetes mellitus (T2DM). METHODS: 74 patients with T2DM, 36 with coronary heart disease (CHD) (T2DM + CHD) and 38 without CHD (T2DM - CHD) were included. Aortic pulse wave velocity (PWVao), aortic and brachial augmentation indices (AIx aortic and AIx brachial) and central-aortic blood pressure values were determined by non-invasive arteriography. MMPs, TIMPs and galectin-3 plasma concentrations were analysed by ELISA. RESULTS: Patients with T2DM and CHD presented with significantly increased arterial stiffness determined as AIx and significantly elevated values for TIMP-4 and galectin-3. Heterogeneous peripheral vascular status regardless of the CHD status was observed, and increasing severity of CHD was associated with an increased arterial stiffness. TIMP-4 correlated significantly with an elevated PWVao in the whole cohort independently from CHD status. CONCLUSION: Determination of arterial stiffness is an effective and, compared to laboratory markers, more reliable method for determining the peripheral vascular situation in patients with T2DM, but it does not clearly depict coronary situation. FAU - Jaeger, Magdalene AU - Jaeger M AD - Herz- und Diabeteszentrum NRW, 39059Ruhr Universitat Bochum, Bad Oeynhausen, Germany. FAU - Stratmann, Bernd AU - Stratmann B AUID- ORCID: 0000-0001-5777-3715 AD - Herz- und Diabeteszentrum NRW, 39059Ruhr Universitat Bochum, Bad Oeynhausen, Germany. FAU - Tschoepe, Diethelm AU - Tschoepe D AD - Herz- und Diabeteszentrum NRW, 39059Ruhr Universitat Bochum, Bad Oeynhausen, Germany. AD - Stiftung DHD (Der herzkranke Diabetiker) Stiftung in der Deutschen Diabetes-Stiftung, Bad Oeynhausen, Germany. LA - eng PT - Journal Article PL - England TA - Diab Vasc Dis Res JT - Diabetes & vascular disease research JID - 101234011 SB - IM MH - Aorta/diagnostic imaging MH - Brachial Artery MH - *Diabetes Mellitus, Type 2/complications/diagnosis MH - Humans MH - Pulse Wave Analysis MH - *Vascular Stiffness PMC - PMC8743959 OTO - NOTNLM OT - MMP OT - TIMP OT - Type 2 diabetes mellitus OT - arterial stiffness OT - coronary heart disease OT - galectin-3 COIS- Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2021/11/27 06:00 MHDA- 2022/01/28 06:00 PMCR- 2021/11/26 CRDT- 2021/11/26 08:37 PHST- 2021/11/26 08:37 [entrez] PHST- 2021/11/27 06:00 [pubmed] PHST- 2022/01/28 06:00 [medline] PHST- 2021/11/26 00:00 [pmc-release] AID - 10.1177_14791641211046522 [pii] AID - 10.1177/14791641211046522 [doi] PST - ppublish SO - Diab Vasc Dis Res. 2021 Nov-Dec;18(6):14791641211046522. doi: 10.1177/14791641211046522.