Increased Expression of Tissue Factor and Receptor for Advanced Glycation End Products in Peripheral Blood Mononuclear Cells of Patients With Type 2 Diabetes Mellitus with Vascular Complications
2004

Increased Tissue Factor and RAGE in Type 2 Diabetes Patients with Vascular Complications

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): A. E. Buchs, A. Kornberg, M. Zahavi, D. Aharoni, C. Zarfati, M. J. Rapoport

Primary Institution: Assaf Harofeh Medical Center, Zerifin, Israel

Hypothesis

The study aims to determine the correlation between the expression of tissue factor (TF) and the receptor for advanced glycation end products (RAGEs) and vascular complications in patients with longstanding uncontrolled type 2 diabetes.

Conclusion

The study found that tissue factor and RAGE expression are significantly increased in patients with type 2 diabetes who have vascular complications compared to those without.

Supporting Evidence

  • TF mRNA expression was significantly higher in patients with complications compared to those without.
  • Basal TF activity was significantly higher in patients with complications.
  • RAGE mRNA expression was also increased in patients with complications.

Takeaway

This study shows that patients with type 2 diabetes and blood vessel problems have higher levels of certain proteins that might be making their condition worse.

Methodology

The study assessed TF and RAGE mRNA expression and activity in peripheral blood mononuclear cells from 21 patients with type 2 diabetes, using RT-PCR and ELISA.

Potential Biases

Potential bias due to the exclusion criteria and the small sample size.

Limitations

The study did not separate male and female patients and could not exclude minor asymptomatic macrovascular disease in noncomplicated patients.

Participant Demographics

21 patients (13 males and 8 females, age range 41 to 82 years) with longstanding uncontrolled type 2 diabetes.

Statistical Information

P-Value

P = .003

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1080/15438600490424325

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