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    Nature Publishing Group (NPG)
    Published 2015
    Staff View
    Publication Date:
    2015-07-02
    Publisher:
    Nature Publishing Group (NPG)
    Print ISSN:
    0028-0836
    Electronic ISSN:
    1476-4687
    Topics:
    Biology
    Chemistry and Pharmacology
    Medicine
    Natural Sciences in General
    Physics
    Keywords:
    Biological Evolution ; Blood Pressure/genetics ; Body Height/*genetics ; Cholesterol, LDL/genetics ; *Cognition ; Cohort Studies ; Educational Status ; Female ; Forced Expiratory Volume/genetics ; Genome, Human/genetics ; *Homozygote ; Humans ; Lung Volume Measurements ; Male ; Phenotype
    Published by:
    http://www.nature.com/

    Latest Papers from Table of Contents or Articles in Press
  2. 2
    Staff View
    ISSN:
    1432-0428
    Keywords:
    Keywords Type II diabetes, inflammation, troglitazone, hyperglycaemia, serum amyloid A, complement protein C3.
    Source:
    Springer Online Journal Archives 1860-2000
    Topics:
    Medicine
    Notes:
    Abstract Aims/hypothesis. Inflammation could play a part in insulin resistance. Thiazolidinediones, new antidiabetic drugs, possess anti-inflammatory effects in vitro. We investigated if acute-phase serum proteins are increased in patients with Type II (non-insulin-dependent) diabetes mellitus who had been treated with insulin and whether troglitazone has anti-inflammatory effects in vivo.¶Methods. A total of 27 patients (age 63.0 ± 1.7 years, HbA1 c 8.8 ± 0.3 %, BMI 32.7 ± 0.8 kg/m2, duration 15.2 ± 1.4 years, insulin dose 73.3 ± 7.0 U/day) participated in the study. The patients received daily either 400 mg troglitazone or placebo for 16 weeks. Blood samples were taken at baseline, at the end of therapy and after a follow-up time of 23 ± 4 days.¶Results. The concentrations of serum amyloid A (6.2 ± 1.1 mg/l) and C-reactive protein (6.1 ± 1.1 mg/l) were increased (p 〈 0.001) and complement protein C3 (1.69 ± 0.05 g/l) was also above the reference range for healthy subjects. Placebo treatment had no effect on glucose or inflammation, whereas troglitazone reduced fasting glucose (from 10.4 ± 0.6 mmol/l to 8.1 ± 0.5 mmol/l, p 〈 0.01), HbA1 c (from 8.7 ± 0.3 % to 7.5 ± 0.3 %, p 〈 0.01), insulin requirements (from 75 ± 10 U/day to 63 ± 10 U/day, p 〈 0.05), serum amyloid A (from 6.3 ± 1.5 mg/l to 4.0 ± 1.3 mg/l, p = 0.001), α-1-acid glycoprotein (from 906 ± 51 mg/l to 729 ± 52 mg/l, p = 0.001) and C3 (from 1.72 ± 0.07 g/l to 1.66 ± 0.06 g/l, p 〈 0.05) but not α-1-antitrypsin, ceruloplasmin, C-reactive protein or haptoglobin significantly. Concentrations of glucose and acute-phase reactants had returned to those before treatment at the follow-up visit.¶Conclusion/interpretation. In Type II diabetic patients serum amyloid A and complement protein C3 are raised. Troglitazone exerts a selective reversible action on some acute-phase proteins and C3 but not on others in conjunction with the improvement in glucose metabolism. [Diabetologia (1999) 42: 1433–1438]
    Type of Medium:
    Electronic Resource
    URL:
    http://dx.doi.org/10.1007/s001250051315

    Articles: DFG German National Licenses
  3. 3
    Staff View
    ISSN:
    1432-0428
    Keywords:
    Keywords Leptin, erythropoietin, hypoxia, fetus, diabetes mellitus.
    Source:
    Springer Online Journal Archives 1860-2000
    Topics:
    Medicine
    Notes:
    Abstract Aims/hypothesis. The purpose of this study was to examine whether fetal leptin concentration correlates with severity of chronic or subchronic fetal hypoxia as indicated by increased fetal concentrations of erythropoietin in fetuses of mothers with Type I (insulin dependent) diabetes mellitus.¶Methods. We measured leptin and erythropoietin concentrations in cord plasma and amniotic fluid with radioimmunoassay in 25 pregnancies (gestational age 37.2 ± 1.0 weeks). Fetuses with amniotic fluid erythropoietin over 22.5 mU/ml were classified as hypoxic (n = 9) and those with amniotic fluid erythropoietin below 22.5 mU/ml (n = 16) as non-hypoxic.¶Results. The hypoxic fetuses had significantly higher cord leptin concentrations than non-hypoxic fetuses (median 36.8; range, 12.5–135.1 vs median 16.2; range, 3.7–52.2 μg/l), (p = 0.0066). Cord plasma leptin (n = 25) correlated directly with amniotic fluid erythropoietin (r = 0.727, p = 0.0001), with cord plasma erythropoietin (r = 0.644, p = 0.0005) and with the maternal last trimester HbA1C (r = 0.612, p = 0.0019) and negatively with cord artery pO2 (r = –0.440, p = 0.032), and pH (r = –0.414, p = 0.040).¶Conclusion/interpretation. Fetal leptin concentrations increased concomitantly with erythropoietin during chronic or subchronic hypoxia. This phenomenon could indicate a role for leptin in fetal adaptation to hypoxia. [Diabetologia (2000) 43: 709–713]
    Type of Medium:
    Electronic Resource
    URL:
    http://dx.doi.org/10.1007/s001250051367

    Articles: DFG German National Licenses