PMID- 37258172 OWN - NLM STAT- MEDLINE DCOM- 20230801 LR - 20230801 IS - 1348-4540 (Electronic) IS - 0918-8959 (Linking) VI - 70 IP - 7 DP - 2023 Jul 28 TI - Increased soluble endoglin levels in newly-diagnosed type 2 diabetic patients are associated with endothelial dysfunction. PG - 711-721 LID - 10.1507/endocrj.EJ22-0550 [doi] AB - Endothelial dysfunction (ED) contributes to the pathologic process underlying macrovascular complications, a common complication of type 2 diabetes mellitus (T2DM). Soluble endoglin (sEng) shed from the extracellular domain of the entire endoglin molecule blocks endothelial protection mediated by transforming growth factor-beta 1 (TGF-beta1). The reactive hyperemia index (RHI), which is determined by reactive hyperemia peripheral arterial tonometry (RH-PAT), is a new index with which to evaluate ED. This study determined the changes in serum sEng levels in newly-diagnosed (untreated) T2DM patients and the correlation with the RHI. The T2DM group included 34 newly-diagnosed T2DM patients, while the control group included 53 healthy adults. The clinical data from the two groups were evaluated retrospectively. The intima-media thickness (IMT) of the common carotid artery (CCA) and the ankle-brachial index (ABI) of both legs were used to assess structural vascular changes. The serum sEng level was determined using an ELISA kit. Endothelial function was assessed using RH-PAT and the RHI was computed. The serum sEng level in the T2DM group was significantly greater than the control group, although the RHI was significantly lower in the T2DM group (p < 0.05). The serum sEng level was negatively correlated with the RHI in T2DM patents (r = 0.354, p = 0.041). The serum sEng level, CCA-IMT, and ABI were not significantly correlated with T2DM (p > 0.05). In summary, among newly-diagnosed T2DM patients, the serum sEng levels were inversely correlated with the RHI, and an elevated sEng level may be associated with ED. FAU - Dou, Xiaobing AU - Dou X AD - School of Life Science, Zhejiang Chinese Medical University, Zhejiang 310053, P. R. China. FAU - Wang, Xiujing AU - Wang X AD - Department of Endocrinology, Chinese PLA 903rd Hospital, Zhejiang 310013, P. R. China. FAU - Yu, Xiuhua AU - Yu X AD - Department of Ultrasonography, Chinese PLA 903rd Hospital, Zhejiang 310013, P. R. China. FAU - Yao, Jiaqi AU - Yao J AD - Department of Endocrinology, Chinese PLA 903rd Hospital, Zhejiang 310013, P. R. China. FAU - Shen, Huiling AU - Shen H AD - Department of Endocrinology, Chinese PLA 903rd Hospital, Zhejiang 310013, P. R. China. FAU - Xu, Yao AU - Xu Y AD - Department of Endocrinology, Chinese PLA 903rd Hospital, Zhejiang 310013, P. R. China. FAU - Zheng, Bojing AU - Zheng B AD - Department of Endocrinology, Chinese PLA 903rd Hospital, Zhejiang 310013, P. R. China. FAU - Zhang, Zhenying AU - Zhang Z AD - Department of Endocrinology, Chinese PLA 903rd Hospital, Zhejiang 310013, P. R. China. FAU - Tan, Qingying AU - Tan Q AD - Department of Endocrinology, Chinese PLA 903rd Hospital, Zhejiang 310013, P. R. China. FAU - Hu, Tianxiao AU - Hu T AD - School of Life Science, Zhejiang Chinese Medical University, Zhejiang 310053, P. R. China. AD - Department of Endocrinology, Chinese PLA 903rd Hospital, Zhejiang 310013, P. R. China. LA - eng PT - Journal Article DEP - 20230531 PL - Japan TA - Endocr J JT - Endocrine journal JID - 9313485 RN - 0 (Endoglin) SB - IM MH - Adult MH - Humans MH - *Diabetes Mellitus, Type 2/complications/diagnosis MH - Endoglin MH - *Hyperemia MH - Retrospective Studies MH - Carotid Intima-Media Thickness MH - Endothelium, Vascular OTO - NOTNLM OT - Endothelial dysfunction OT - Reactive hyperemia index OT - Soluble endoglin OT - Type 2 diabetes mellitus EDAT- 2023/06/01 01:08 MHDA- 2023/08/01 06:45 CRDT- 2023/05/31 21:38 PHST- 2023/08/01 06:45 [medline] PHST- 2023/06/01 01:08 [pubmed] PHST- 2023/05/31 21:38 [entrez] AID - 10.1507/endocrj.EJ22-0550 [doi] PST - ppublish SO - Endocr J. 2023 Jul 28;70(7):711-721. doi: 10.1507/endocrj.EJ22-0550. Epub 2023 May 31.