PMID- 37780620 OWN - NLM STAT- MEDLINE DCOM- 20231101 LR - 20231101 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 14 DP - 2023 TI - Effects of hypertension on subcortical nucleus morphological alternations in patients with type 2 diabetes. PG - 1201281 LID - 10.3389/fendo.2023.1201281 [doi] LID - 1201281 AB - OBJECTIVES: Type 2 diabetes mellitus(T2DM) and hypertension(HTN) are common comorbidities, and known to affect the brain. However, little is known about the effects of the coexisting HTN on brain in T2DM patients. So we aim to investigate the impact of HTN on the subcortical nucleus morphological alternations in T2DM patients. MATERIALS & METHODS: This work was registered by the clinicaltrials.gov (grant number NCT03564431). We recruited a total of 92 participants, comprising 36 only T2DM patients, 28 T2DM patients with HTN(T2DMH) and 28 healthy controls(HCs) in our study. All clinical indicators were assessed and brain image data was collected for each participant. Voxel-based morphometry(VBM), automatic volume and vertex-based shape analyses were used to determine the subcortical nucleus alternations from each participant's 3D-T1 brain images and evaluate the relationship between the alternations and clinical indicators. RESULTS: T2DMH patients exhibited volumetric reduction and morphological alterations in thalamus compared to T2DM patients, whereas T2DM patients did not demonstrate any significant subcortical alterations compared to HCs. Furthermore, negative correlations have been found between thalamic alternations and the duration of HTN in T2DMH patients. CONCLUSION: Our results revealed that HTN may exacerbate subcortical nucleus alternations in T2DM patients, which highlighted the importance of HTN management in T2DM patients to prevent further damage to the brain health. CI - Copyright (c) 2023 Cui, Ouyang, Zeng, Ling, Shi, Zhu, Gu, Jiang, Zhou, Sun, Han and Lu. FAU - Cui, Feng AU - Cui F AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Ouyang, Zhi-Qiang AU - Ouyang ZQ AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Zeng, Yi-Zhen AU - Zeng YZ AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Ling, Bing-Bing AU - Ling BB AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Shi, Li AU - Shi L AD - Department of Endocrinology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Zhu, Yun AU - Zhu Y AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Gu, He-Yi AU - Gu HY AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Jiang, Wan-Lin AU - Jiang WL AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Zhou, Ting AU - Zhou T AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Sun, Xue-Jin AU - Sun XJ AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Han, Dan AU - Han D AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. FAU - Lu, Yi AU - Lu Y AD - Department of Medical Imaging, Laboratory of Brain Function, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. LA - eng SI - ClinicalTrials.gov/NCT03564431 PT - Clinical Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230913 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 SB - IM MH - Humans MH - Brain MH - *Diabetes Mellitus, Type 2/complications MH - Head MH - *Hypertension/complications MH - Imaging, Three-Dimensional PMC - PMC10534025 OTO - NOTNLM OT - hypertension OT - shape analysis OT - subcortical nucleus OT - type 2 diabetes mellitus OT - volume analysis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/10/02 06:42 MHDA- 2023/10/31 06:42 PMCR- 2023/01/01 CRDT- 2023/10/02 04:31 PHST- 2023/04/06 00:00 [received] PHST- 2023/08/28 00:00 [accepted] PHST- 2023/10/31 06:42 [medline] PHST- 2023/10/02 06:42 [pubmed] PHST- 2023/10/02 04:31 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2023.1201281 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2023 Sep 13;14:1201281. doi: 10.3389/fendo.2023.1201281. eCollection 2023.