Source:http://linkedlifedata.com/resource/pubmed/id/18573564
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2008-10-6
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pubmed:abstractText |
Although the kidneys are the major source of proinflammatory cytokines, association of tumor necrosis factor-alpha (TNF-alpha) with severity of atherosclerosis or kidney function in diabetic patients is unclear. Two hundred type 2 diabetic patients and 30 age-matched nondiabetic subjects consecutively admitted to our hospital were enrolled. The Agatston coronary artery calcium score (CACS), a quantitative marker of coronary atherosclerosis, was obtained using multidetector-row computed tomography. Arterial stiffness was assessed by brachial-ankle pulse wave velocity (baPWV). Diabetic patients had higher log(CACS+1) (p=0.0089), baPWV (p=0.0293), frequency of elevated urinary albumin excretion (UAE) (p<0.0001) and TNF-alpha (p=0.0029) and similar estimated glomerular filtration rate (eGFR) compared to nondiabetic subjects. When diabetic patients were grouped into four subgroups with or without elevated UAE and renal insufficiency (UAE of >/=30 or <30mg/24h and eGFR of <60 or >/=60ml/min per 1.73m(2)), patients with micro- and macroalbuminuric renal insufficiency showed the highest log(CACS+1) (p<0.0001), baPWV (p=0.0068) and TNF-alpha (p<0.0001) of these groups. Log(CACS+1) (p=0.0008) and baPWV (p=0.0006) positively and eGFR (p<0.0001) negatively correlated with TNF-alpha in diabetic patients. We find that coronary artery calcification, arterial stiffness, and renal insufficiency associate with circulating levels of TNF-alpha in type 2 diabetic patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1872-8227
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
82
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
58-65
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pubmed:meshHeading |
pubmed-meshheading:18573564-Asian Continental Ancestry Group,
pubmed-meshheading:18573564-Calcinosis,
pubmed-meshheading:18573564-Coronary Artery Disease,
pubmed-meshheading:18573564-Diabetes Mellitus, Type 2,
pubmed-meshheading:18573564-Female,
pubmed-meshheading:18573564-Glomerular Filtration Rate,
pubmed-meshheading:18573564-Humans,
pubmed-meshheading:18573564-Japan,
pubmed-meshheading:18573564-Male,
pubmed-meshheading:18573564-Middle Aged,
pubmed-meshheading:18573564-Renal Insufficiency,
pubmed-meshheading:18573564-Tomography, X-Ray Computed,
pubmed-meshheading:18573564-Tumor Necrosis Factor-alpha
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pubmed:year |
2008
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pubmed:articleTitle |
Coronary artery calcification, arterial stiffness and renal insufficiency associate with serum levels of tumor necrosis factor-alpha in Japanese type 2 diabetic patients.
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pubmed:affiliation |
Department of Diabetes and Endocrinology, Gifu University School of Medicine, 1-1 Yanagido, Gifu, Gifu 501-1194, Japan.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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