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Related Experiment Videos

Troglitazone-induced changes in adiponectin do not affect endothelial function in diabetes.

Jon Buras1, Wende R Reenstra, Daniel Orlow

  • 1Microcirculation Laboratory, Palmer 317, West Campus, Beth Israel Deaconess Medical Center, One Deaconess Road, Boston, MA 02215, USA.

Obesity Research
|August 4, 2005
PubMed
Summary

Troglitazone treatment increased adiponectin levels in type 2 diabetic patients but did not improve endothelium-dependent vasodilation. This suggests adiponectin may not be a key factor in endothelial function.

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Area of Science:

  • Endocrinology
  • Cardiovascular Research
  • Metabolic Syndrome

Background:

  • Adiponectin is an adipokine linked to endothelial function.
  • Troglitazone treatment can increase adiponectin levels.
  • The impact of troglitazone-induced adiponectin increase on endothelial function in type 2 diabetes requires investigation.

Purpose of the Study:

  • To investigate the relationship between elevated adiponectin levels due to troglitazone and endothelium-dependent vasodilation in type 2 diabetic patients.
  • To assess the effect of troglitazone on vascular reactivity and endothelial activation markers.

Main Methods:

  • A randomized, placebo-controlled, double-blinded study involving 72 type 2 diabetic patients.
  • High-resolution ultrasound to measure brachial artery flow-mediated dilation (endothelium-dependent) and nitroglycerin-induced dilation (endothelium-independent).

Related Experiment Videos

  • Laser Doppler perfusion imaging for forearm skin vascular reactivity assessment.
  • Main Results:

    • Troglitazone treatment increased adiponectin levels by 75% but did not alter endothelium-dependent vasodilation or other vascular reactivity measures.
    • No significant changes were observed in endothelial activation markers or skin receptor for advanced glycation end-products expression.
    • Adiponectin levels correlated with changes in fasting plasma glucose, hemoglobin A1c, total cholesterol, and LDL-cholesterol.

    Conclusions:

    • The increase in adiponectin levels following troglitazone treatment is not associated with improved endothelium-dependent vasodilation in type 2 diabetic patients.
    • Adiponectin does not appear to be a major determinant of endothelial function in this context.
    • Troglitazone treatment did not affect receptor for advanced glycation end-products expression in the skin microcirculation.