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Hepatocyte growth factor, a biomarker of macroangiopathy in diabetes mellitus

World Journal of Diabetes 2014年第5期5卷 678-688页

作者： Hiroyuki Konya masayuki miuchi Kahori Satani Satoshi Matsutani Taku Tsunoda Yuzo Yano Tomoyuki Katsuno Tomoya Hamaguchi Jun-Ichiro Miyagawa Mitsuyoshi Namba Department of Internal Medicine Ashiya Municipal Hospital Ashiya Hyogo 659-8502 Japan Division of Diabetes Endocrinology and Metabolism Department of Internal Medicine Hyogo College of Medicine Nishinomiya Hyogo 663-8501 Japan Departmentof Internal Medicine Ashiya Municipal Hospital Ashiya Hyogo 659-8502 Japan Division of Innovative Diabetes Treatment Department of Internal Medicine Hyogo College of MedicineNishinomiya Hyogo 663-8501 Japan Division of Diabetes Department of Internal Medicine Itami City Hospital Itami Hyogo 664-8540 Japan

Atherosclerotic involvements are an essential causal element of prospect in diabetes mellitus(DM), with carotid atherosclerosis(CA) being a common risk-factor for prospective crisis of coronary artery diseases(CAD) and/or cerebral infarction(CI) in DM subjects. From another point of view, several reports have supplied augmenting proof that hepatocyte growth factor(HGF) has a physiopathological part in DM involvements. HGF has been a mesenchymal-derived polyphenic factor which modulates development, motion, and morphosis of diverse cells, and has been regarded as a humor intermediator of epithelial-mesenchymal interplays. The serum concentrations of HGF have been elevated in subjects with CAD and CI, especially during the acute phase of both disturbances. In our study with 89 type 2 DM patients, the association between serum concentrationsof HGF and risk-factors for macrovascular complicationsinclusive of CA were examined. The average of serumHGF levels in the subjects was more elevated than thereference interval. The serum HGF concentrations associated positively with both intimal-media thickness(IMT)(r = 0.24, P = 0.0248) and plaque score(r = 0.27, P =0.0126), indicating a relationship between the elevatedHGF concentrations and advancement of CA involvements. Multivariate statistical analysis accentuated thatserum concentrations of HGF would be associated inde-pendently with IMT(standardized = 0.28, P = 0.0499).The review indicates what is presently known regardingserum HGF might be a new and meaningful biomarkerof macroangiopathy in DM subjects.

关键词： Hepatocyte growth factor Diabetes mellitus Carotid atherosclerosis Macroangiopathy Biomarker

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Asymmetric dimethylarginine, a biomarker of cardiovascular complications in diabetes mellitus

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World Journal of Experimental Medicine 2015年第2期5卷 110-119页

作者： Hiroyuki Konya masayuki miuchi Kahori Satani Satoshi Matsutani Yuzo Yano Taku Tsunoda Takashi Ikawa Toshihiro Matsuo Fumihiro Ochi Yoshiki Kusunoki Masaru Tokuda Tomoyuki Katsuno Tomoya Hamaguchi Jun-ichiro Miyagawa Mitsuyoshi Namba Department of Internal Medicine Ashiya Municipal Hospital Division of Diabetes Endocrinology and Metabolism Department of Internal Medicine Hyogo College of Medicine Division of Innovative Diabetes Treatment Department of Internal Medicine Hyogo College of Medicine Center of Diabetes Therapy Department of Internal Medicine Itami City Hospital

Cardiovascular(CV) complications are an essential causal element of prospect in diabetes mellitus(DM), with carotid atherosclerosis being a common risk factor for prospective crisis of coronary artery diseases and/or cerebral infarction in DM subjects. From another point of view, asymmetric dimethylarginine(ADMA) has been established as an inhibitor of endogenous nitric oxide synthesis and the relationship between ADMA and arteriosclerosis has been reported. In our study with 87 type 2 DM(T2DM) patients, we have examined whether ADMA and other CV risk factors are the useful predictors of DMCV complications. After the measurement of the respective CV risk factors, we have followed the enrolled T2 DM patients for 5 years. We have finally analyzed 77 patients. DMCV complications developed in 15 cases newly within 5 years, and 4 cases recurred. The concentrations of ADMA in plasma were markedly more elevated in 19 DM patients with CV complications than in 58 DM patients without CV complications. Urinary albumin(U-Alb), mean intimal-medial thickness(IMT) and ankle brachial index(ABI) were also higher in patients with CV complications. Multiple regression analyses showed that U-Alb had an influence on the high level of ADMA(standardized β = 6.59, P = 0.00014) independently of age, systolic BP, fibrinogen, mean IMT, plaque score, and ABI. The review indicates what is presently known regarding plasma ADMA that might be a new and meaningful biomarker of CV complications in DM subjects.

关键词： Asymmetric dimethylarginine Biomarker Diabetes mellitus Cardiovascular complications Incretin

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