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Angiogenesis, Metabolism, Endothelial and Platelet Markers in Diabetes and Cardiovascular Disease

  • A. D. Blann*
  • , J. E. Brown
  • , R. Heitmar
  • *Corresponding author for this work
    • School of Applied Sciences , Huddersfield University , Huddersfield , United Kingdom

    Research output: Contribution to journal › Article › peer-review

    17 Downloads (Pure)

    Abstract

    Introduction: Diabetes is a leading risk factor for cardiovascular disease (CVD), the pathophysiology of both being linked to metabolic, endothelial, renal, angiogenic and platelet abnormalities. We hypothesised that abnormalities in these systems are more adverse in those whose CVD is compounded by diabetes, compared to those with diabetes or CVD alone. Materials and methods: Serum or plasma from 66 patients with diabetes alone, 76 with CVD alone, and 70 with both diabetes and CVD i.e. diabetic cardiovascular disease, was probed for markers of angiogenesis [angiopoietin 1 and 2, vascular endothelial growth factor (VEGF) and endoglin], metabolic [soluble receptor for advanced glycation products (sRAGE), leptin, lipocalin-2, interleukin-8, and cystatin-C], the endothelium (von Willebrand factor, endothelial microparticles and soluble E selectin)], and the platelet (platelet microparticles and soluble P selectin) by ELISA, Luminex or flow cytometry. Results: VEGF (p = 0.04), von Willebrand factor (p = 0.001) and endothelial microparticles (p = 0.042) were all higher in diabetic cardiovascular disease than in diabetes alone and cardiovascular disease alone. Soluble E selectin was higher in diabetic cardiovascular disease than in diabetes alone (p = 0.045), whilst cystatin-C (p = 0.004) and soluble P selectin (p < 0.001) were higher in diabetes and diabetic cardiovascular disease than in cardiovascular disease alone. There were no differences in angiopoietin 1 or 2, endoglin, sRAGE, leptin, lipocalin-2, or interleukin-8. Conclusion: Angiopoietin 1 or 2, endoglin, sRAGE, leptin, lipocalin-2, interleukin-8, and cystatin-c cannot differentiate diabetes from cardiovascular disease, or both conditions combined. Our data point to a more adverse endothelial (von Willebrand factor, endothelial microparticles), and angiogenic profile (VEGF) in those with diabetic cardiovascular disease, supporting the view that this group should be targeted more aggressively.

    Original languageEnglish
    Article number10313
    Pages (from-to)10313
    JournalBritish Journal of Biomedical Science
    Volume79
    DOIs
    Publication statusPublished - 22 Mar 2022

    Bibliographical note

    Copyright © 2022 Blann, Brown and Heitmar. This is an open-access article
    distributed under the terms of the Creative Commons Attribution License (CC
    BY). The use, distribution or reproduction in other forums is permitted, provided the
    original author(s) and the copyright owner(s) are credited and that the original
    publication in this journal is cited, in accordance with accepted academic practice.
    No use, distribution or reproduction is permitted which does not comply with
    these terms.

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • angiogenesis
    • cardiovascular diesease
    • diabetes
    • endothelial cells
    • platelets

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