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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2004-8-27
pubmed:abstractText
To evaluate the effects of kidney-pancreas transplantation on hemostatic abnormalities in uremic type 1 diabetic patients, we conducted a cross-sectional study involving 12 type 1 diabetic patients, 30 uremic type 1 diabetic patients, 27 uremic type 1 diabetic patients who had a kidney-pancreas transplant, 12 uremic type 1 diabetic patients who had a kidney-alone transplant, and 13 healthy control subjects. We evaluated platelet and clotting system. Platelets in the group of uremic type 1 diabetic patients were significantly larger than platelets in the other groups. Resting calcium levels were significantly higher in the uremic type 1 diabetic patients and uremic type 1 diabetic patients who had a kidney-alone transplant than in the type 1 diabetic patients who had a kidney-pancreas transplant and control subjects. CD41 expression was significantly reduced in platelets from the uremic type 1 diabetic patients compared with the other groups. Levels of hypercoagulability markers in the type 1 diabetic patients who had a kidney-pancreas transplant and, to a lesser extent, the uremic type 1 diabetic patients who had a kidney-alone transplant but not the uremic type 1 diabetic patients were similar to those of the control subjects. A reduction in natural anticoagulants was evident in the uremic type 1 diabetic patients, whereas near-normal values were observed in the type 1 diabetic patients who had a kidney-pancreas transplant and uremic type 1 diabetic patients who had a kidney-alone transplant. Hemostatic abnormalities were not observed in type 1 diabetic patients who had a kidney-pancreas transplant. This finding might explain the lower cardiovascular death rate observed in type 1 diabetic patients who had a kidney-pancreas transplant compared with uremic type 1 diabetic patients who had a kidney-alone transplant or uremic type 1 diabetic patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0012-1797
pubmed:author
pubmed:issnType
Print
pubmed:volume
53
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2291-300
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15331538-Adult, pubmed-meshheading:15331538-Blood Coagulation, pubmed-meshheading:15331538-Blood Coagulation Disorders, pubmed-meshheading:15331538-Blood Platelets, pubmed-meshheading:15331538-Calcium, pubmed-meshheading:15331538-Cross-Sectional Studies, pubmed-meshheading:15331538-Diabetes Mellitus, Type 1, pubmed-meshheading:15331538-Diabetic Nephropathies, pubmed-meshheading:15331538-Female, pubmed-meshheading:15331538-Humans, pubmed-meshheading:15331538-Kidney Transplantation, pubmed-meshheading:15331538-Male, pubmed-meshheading:15331538-Middle Aged, pubmed-meshheading:15331538-Pancreas Transplantation, pubmed-meshheading:15331538-Partial Thromboplastin Time, pubmed-meshheading:15331538-Platelet Membrane Glycoprotein IIb, pubmed-meshheading:15331538-Prothrombin Time, pubmed-meshheading:15331538-Receptor, PAR-1, pubmed-meshheading:15331538-Receptors, Thrombin, pubmed-meshheading:15331538-Signal Transduction, pubmed-meshheading:15331538-Uremia
pubmed:year
2004
pubmed:articleTitle
Normalization of multiple hemostatic abnormalities in uremic type 1 diabetic patients after kidney-pancreas transplantation.
pubmed:affiliation
Internal Medicine, San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milano, Italy.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't