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Vascular endothelial growth factor in persons with type 2 diabetes


Authors: J. Staško 1;  P. Chudý 1;  D. Mištuna 3;  P. Galajda 2;  M. Mokáň 2;  P. Kubisz 1
Authors‘ workplace: Národné centrum hemostázy a trombózy, Klinika hematológie a transfuziológie Jesseniovej lekárskej fakulty Univerzity Komenského (JLF UK) a Martinskej fakultnej nemocnice (MFN), Martin, SR 1;  I. interná klinika JLF UK a MFN, Martin, SR 2;  I. chirurgická klinika JLF UK a MFN, Martin, SR 3
Published in: Transfuze Hematol. dnes,15, 2009, No. 3, p. 152-157.
Category: Comprehensive Reports, Original Papers, Case Reports

Overview

Aim of the study was to investigate the relationship between the serum vascular endothelial growth factor concentration and parameters of endothelial injury and/or dysfunction in persons with type 2 diabetes mellitus with normo- or microalbuminuria.

Patients and methods:
Eighty-four persons with type 2 diabetes were divided in two subgroups (n = 42 each): normoalbuminuric and microalbuminuric. Forty-two blood donors were in control group. Serum vascular endothelial growth factor and the plasma concentrations of von Willebrand factor, soluble thrombomodulin, plasminogen activator inhibitor type 1, thrombin-activatable fibrinolysis inhibitor and tissue plasminogen activator were measured using enzyme-linked immunosorbent assay (ELISA) in all subjects.

Results:
The vascular endothelial growth factor concentration was significantly higher in normoalbuminuric diabetic group compared to controls (338.5, 202-432 pg/mL vs. 182, 124-211 pg/ml, p = 0.0443). The difference between microalbuminuric diabetic group and controls was not statistically significant.

Conclusions:
Serum vascular endothelial growth factor could be a more sensitive predictor of renal vascular changes in persons with diabetes mellitus type 2 than microalbuminuria.

Key words:
vascular endothelial growth factor, diabetes mellitus type 2, microalbuminuria, endothelial dysfunction, endothelial markers


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