Source:http://linkedlifedata.com/resource/pubmed/id/16505224
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2006-2-28
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pubmed:abstractText |
The role of ubiquitin-proteasome system in the accelerated atherosclerotic progression of diabetic patients is unclear. We evaluated ubiquitin-proteasome activity in carotid plaques of asymptomatic diabetic and nondiabetic patients, as well as the effect of rosiglitazone, a peroxisome proliferator-activated receptor (PPAR)-gamma activator, in diabetic plaques. Plaques were obtained from 46 type 2 diabetic and 30 nondiabetic patients undergoing carotid endarterectomy. Diabetic patients received 8 mg rosiglitazone (n = 23) or placebo (n = 23) for 4 months before scheduled endarterectomy. Plaques were analyzed for macrophages (CD68), T-cells (CD3), inflammatory cells (HLA-DR), ubiquitin, proteasome 20S activity, nuclear factor (NF)-kappaB, inhibitor of kappaB (IkappaB)-beta, tumor necrosis factor (TNF)-alpha, nitrotyrosine, matrix metalloproteinase (MMP)-9, and collagen content (immunohistochemistry and enzyme-linked immunosorbent assay). Compared with nondiabetic plaques, diabetic plaques had more macrophages, T-cells, and HLA-DR+ cells (P < 0.001); more ubiquitin, proteasome 20S activity (TNF-alpha), and NF-kappaB (P < 0.001); and more markers of oxidative stress (nitrotyrosine and O2(-) production) and MMP-9 (P < 0.01), along with a lesser collagen content and IkappaB-beta levels (P < 0.001). Compared with placebo-treated plaques, rosiglitazone-treated diabetic plaques presented less inflammatory cells (P < 0.01); less ubiquitin, proteasome 20S, TNF-alpha, and NF-kappaB (P < 0.01); less nitrotyrosine and superoxide anion production (P < 0.01); and greater collagen content (P < 0.01), indicating a more stable plaque phenotype. Similar findings were obtained in circulating monocytes obtained from the two groups of diabetic patients and cultured in the presence or absence of rosiglitazone (7.0 micromol/l). Ubiquitin-proteasome over-activity is associated with enhanced inflammatory reaction and NF-kappaB expression in diabetic plaques. The inhibition of ubiquitin-proteasome activity in atherosclerotic lesions of diabetic patients by rosiglitazone is associated with morphological and compositional characteristics of a potential stable plaque phenotype, possibly by downregulating NF-kappaB-mediated inflammatory pathways.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Hypoglycemic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/NF-kappa B,
http://linkedlifedata.com/resource/pubmed/chemical/PPAR gamma,
http://linkedlifedata.com/resource/pubmed/chemical/Proteasome Endopeptidase Complex,
http://linkedlifedata.com/resource/pubmed/chemical/Superoxides,
http://linkedlifedata.com/resource/pubmed/chemical/Thiazolidinediones,
http://linkedlifedata.com/resource/pubmed/chemical/Ubiquitin,
http://linkedlifedata.com/resource/pubmed/chemical/rosiglitazone
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0012-1797
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pubmed:author |
pubmed-author:BaldiAlfonsoA,
pubmed-author:BaldiFelicianoF,
pubmed-author:CacciapuotiFedericoF,
pubmed-author:CarbonaraOrnellaO,
pubmed-author:CerielloAntonioA,
pubmed-author:CirilloFrancescaF,
pubmed-author:CoppolaLudovicoL,
pubmed-author:CrescenziBasilioB,
pubmed-author:D'AmicoMicheleM,
pubmed-author:D'AndreaFrancescoF,
pubmed-author:Di FilippoClaraC,
pubmed-author:EspositoKatherineK,
pubmed-author:GiuglianoDarioD,
pubmed-author:MarfellaRaffaeleR,
pubmed-author:NicolettiGiovanni FrancescoGF,
pubmed-author:PortogheseMicheleM,
pubmed-author:RossiFrancescoF,
pubmed-author:SassoFerndinando CarloFC,
pubmed-author:SiniscalchiMarioM,
pubmed-author:VerzaMarioM
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pubmed:issnType |
Print
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pubmed:volume |
55
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
622-32
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pubmed:meshHeading |
pubmed-meshheading:16505224-Aged,
pubmed-meshheading:16505224-Atherosclerosis,
pubmed-meshheading:16505224-Diabetes Mellitus, Type 2,
pubmed-meshheading:16505224-Double-Blind Method,
pubmed-meshheading:16505224-Female,
pubmed-meshheading:16505224-Humans,
pubmed-meshheading:16505224-Hypoglycemic Agents,
pubmed-meshheading:16505224-Inflammation,
pubmed-meshheading:16505224-Male,
pubmed-meshheading:16505224-Middle Aged,
pubmed-meshheading:16505224-NF-kappa B,
pubmed-meshheading:16505224-Oxidative Stress,
pubmed-meshheading:16505224-PPAR gamma,
pubmed-meshheading:16505224-Proteasome Endopeptidase Complex,
pubmed-meshheading:16505224-Superoxides,
pubmed-meshheading:16505224-Thiazolidinediones,
pubmed-meshheading:16505224-Ubiquitin
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pubmed:year |
2006
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pubmed:articleTitle |
The ubiquitin-proteasome system and inflammatory activity in diabetic atherosclerotic plaques: effects of rosiglitazone treatment.
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pubmed:affiliation |
Department of Geriatrics and Metabolic Diseases, Second University Naples, Italy. raffaele.marfella@unina2.it
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pubmed:publicationType |
Journal Article,
Randomized Controlled Trial
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