Abnormal Glucose Tolerance in Infants and Young Children with Cystic Fibrosis.

Abstract:

RATIONALE:In cystic fibrosis, abnormal glucose tolerance is associated with decreased lung function and worsened outcomes. Translational evidence indicates that abnormal glucose tolerance may begin in early life. OBJECTIVES:To determine whether very young children with cystic fibrosis have increased abnormal glucose tolerance prevalence compared with control subjects. The secondary objective was to compare area under the curve for glucose and insulin in children with cystic fibrosis with control subjects. METHODS:This is a prospective multicenter study in children ages 3 months to 5 years with and without cystic fibrosis. MEASUREMENTS AND MAIN RESULTS:Oral glucose tolerance testing with glucose, insulin, and C-peptide was sampled at 0, 10, 30, 60, 90, and 120 minutes. Twenty-three children with cystic fibrosis and nine control subjects had complete data. All control subjects had normal glucose tolerance. Nine of 23 subjects with cystic fibrosis had abnormal glucose tolerance (39%; P = 0.03). Of those, two met criteria for cystic fibrosis-related diabetes, two indeterminate glycemia, and six impaired glucose tolerance. Children with cystic fibrosis failed to exhibit the normal increase in area under the curve insulin with age observed in control subjects (P < 0.01), despite increased area under the curve glucose (P = 0.02). CONCLUSIONS:Abnormal glucose tolerance is notably prevalent among young children with cystic fibrosis. Children with cystic fibrosis lack the normal increase in insulin secretion that occurs in early childhood despite increased glucose. These findings demonstrate that glycemic abnormalities begin very early in cystic fibrosis, possibly because of insufficient insulin secretion.

authors

Yi Y,Norris AW,Wang K,Sun X,Uc A,Moran A,Engelhardt JF,Ode KL

doi

10.1164/rccm.201512-2518OC

subject

Has Abstract

pub_date

2016-10-15 00:00:00

pages

974-980

issue

8

eissn

1073-449X

issn

1535-4970

journal_volume

194

pub_type

杂志文章,多中心研究
  • Evaluating UK National Guidance for Screening of Children for Tuberculosis. A Prospective Multicenter Study.

    abstract:RATIONALE:To identify infected contacts of tuberculosis (TB) cases, the UK National Institute for Health and Care Excellence (NICE) recommended the addition of IFN-γ release assays (IGRA) to the tuberculin skin test (TST) in its 2006 TB guidelines. Treatment for TB infection was no longer recommended for children who s...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1164/rccm.201707-1487OC

    authors: Kampmann B,Seddon JA,Paton J,Nademi Z,Keane D,Williams B,Williams A,Liebeschutz S,Riddell A,Bernatoniene J,Patel S,Martinez N,McMaster P,Basu-Roy R,Welch SB

    更新日期:2018-04-15 00:00:00

  • Obstructive Sleep Apnea and Retinopathy in Patients with Type 2 Diabetes. A Longitudinal Study.

    abstract:RATIONALE:Obstructive sleep apnea (OSA) is associated with several pathophysiological deficits found in diabetic retinopathy (DR). Hence, it's plausible that OSA could play a role in the pathogenesis of sight-threatening DR (STDR). OBJECTIVES:To assess the relationship between OSA and DR in patients with type 2 diabet...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201701-0175OC

    authors: Altaf QA,Dodson P,Ali A,Raymond NT,Wharton H,Fellows H,Hampshire-Bancroft R,Shah M,Shepherd E,Miah J,Barnett AH,Tahrani AA

    更新日期:2017-10-01 00:00:00

  • Mutations of the cystic fibrosis gene and intermediate sweat chloride levels in children.

    abstract::The incidence of mutations of the cystic fibrosis transmembrane conductance regulator (CFTR) gene in children with intermediate sweat chloride levels is unknown. The results of 2,349 sweat tests performed at two Belgian university hospitals were reviewed. Intermediate chloride concentrations were observed in 98 subjec...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1164/ajrccm.165.6.2104073

    authors: Lebecque P,Leal T,De Boeck C,Jaspers M,Cuppens H,Cassiman JJ

    更新日期:2002-03-15 00:00:00

  • The early bactericidal activity of isoniazid related to its dose size in pulmonary tuberculosis.

    abstract::Collections of sputum from 105 patients with newly diagnosed pulmonary tuberculosis were made before and at 1 and 2 d after the start of chemotherapy with isoniazid (INH) alone given to groups of patients in doses of 600 mg, 300 mg, 150 mg, 75 mg, 37.5 mg, 18.75 mg, and 9 mg daily, as well as from an untreated group. ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1164/ajrccm.156.3.9609132

    authors: Donald PR,Sirgel FA,Botha FJ,Seifart HI,Parkin DP,Vandenplas ML,Van de Wal BW,Maritz JS,Mitchison DA

    更新日期:1997-09-01 00:00:00

  • Graft ischemic time and outcome of lung transplantation: a multicenter analysis.

    abstract:RATIONALE:The effect of graft ischemic time on early graft function and long-term survival of patients who underwent lung transplantation remains controversial. Consequently, graft ischemic time has not been incorporated in the decision-making process at the time of graft acceptance. OBJECTIVES:To investigate the rela...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1164/rccm.200409-1248OC

    authors: Thabut G,Mal H,Cerrina J,Dartevelle P,Dromer C,Velly JF,Stern M,Loirat P,Lesèche G,Bertocchi M,Mornex JF,Haloun A,Despins P,Pison C,Blin D,Reynaud-Gaubert M

    更新日期:2005-04-01 00:00:00

  • Inflammatory basis of exercise-induced bronchoconstriction.

    abstract:RATIONALE:Exercise-induced bronchoconstriction (EIB) is a highly prevalent condition with unclear pathogenesis. Two competing theories of the pathogenesis of EIB differ regarding the inflammatory basis of this condition. OBJECTIVES:Our goals were to establish whether epithelial cell and mast cell activation with relea...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1164/rccm.200412-1667OC

    authors: Hallstrand TS,Moody MW,Wurfel MM,Schwartz LB,Henderson WR Jr,Aitken ML

    更新日期:2005-09-15 00:00:00

  • The Association of Aging Biomarkers, Interstitial Lung Abnormalities, and Mortality.

    abstract:RATIONALE:The association between aging and idiopathic pulmonary fibrosis is established. The associations between aging-related biomarkers and interstitial lung abnormalities (ILA) have not been comprehensively evaluated. OBJECTIVE:Evaluate associations between aging biomarkers, ILA, and all-cause mortality. METHODS...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.202007-2993OC

    authors: Sanders JL,Putman RK,Dupuis J,Xu H,Murabito JM,Araki T,Nishino M,Benjamin EJ,Levy DL,Vasan RS,Washko GR,Curtis JL,Freeman CM,Bowler R,Hatabu H,O'Connor GT,Hunninghake GM

    更新日期:2020-10-20 00:00:00

  • The pleural space and organ transplantation.

    abstract::Pleural disease both before and after organ transplantation has important implications. Pleural effusions are common in candidates for heart, liver, and kidney transplantation. A thoracentesis is not mandatory in these patients, but it should be performed if clinical or radiologic features suggest that the effusion is...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1164/ajrccm.153.3.8630560

    authors: Judson MA,Sahn SA

    更新日期:1996-03-01 00:00:00

  • Effect of laparotomy on clearance and cytokine induction in Staphylococcus aureus infected lungs.

    abstract:RATIONALE:Staphylococcus aureus is a major pathogen complicating postsurgical care. OBJECTIVES:To test the effect of sterile laparotomy (LAP) on pulmonary clearance of S. aureus in a murine model. METHODS:Control and LAP mice were infected intranasally with 10(8) cfu of S. aureus. Microbial clearance, pulmonary leuko...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200606-763OC

    authors: Olszewski MA,Falkowski NR,Surana R,Sonstein J,Hartman A,Moore BB,Huffnagle GB,Toews GB

    更新日期:2007-11-01 00:00:00

  • Impact of untreated obstructive sleep apnea on glucose control in type 2 diabetes.

    abstract:RATIONALE:Obstructive sleep apnea (OSA), a treatable sleep disorder that is associated with alterations in glucose metabolism in individuals without diabetes, is a highly prevalent comorbidity of type 2 diabetes. However, it is not known whether the severity of OSA is a predictor of glycemic control in patients with di...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200909-1423OC

    authors: Aronsohn RS,Whitmore H,Van Cauter E,Tasali E

    更新日期:2010-03-01 00:00:00

  • Airway inflammation in children with cystic fibrosis and healthy children assessed by sputum induction.

    abstract::A noninvasive method to characterize inflammation and infection in the airways of nonexpectorating children with cystic fibrosis (CF) is needed for clinical and research purposes. Accordingly, we performed sputum inductions by administering 3% saline to 11 healthy control children and 20 children with CF, composed of ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.164.8.2104075

    authors: Sagel SD,Kapsner R,Osberg I,Sontag MK,Accurso FJ

    更新日期:2001-10-15 00:00:00

  • Lung microvascular and arterial endothelial cells differ in their responses to intercellular adhesion molecule-1 ligation.

    abstract::Neutrophil adherence to tumor necrosis factor-alpha (TNF-alpha)-treated human pulmonary microvascular endothelial cells (PMECs) induces cytoskeletal changes in endothelial cells that require intercellular adhesion molecule-1 (ICAM-1)-dependent signaling events. This study determined whether similar changes occurred in...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.2201007

    authors: Wang Q,Pfeiffer GR 2nd,Stevens T,Doerschuk CM

    更新日期:2002-09-15 00:00:00

  • Mechanisms of airway narrowing and hyperresponsiveness in viral respiratory tract infections.

    abstract::Viral respiratory tract infections are associated with an acute increase in airway responsiveness in normal subjects and patients with asthma. Airway responsiveness is also increased at least transiently in animals during acute viral infections. In this article, we discuss possible mechanisms whereby viral infections ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1164/ajrccm.151.5.7735630

    authors: Hegele RG,Hayashi S,Hogg JC,Paré PD

    更新日期:1995-05-01 00:00:00

  • Human airway narrowing measured using high resolution computed tomography.

    abstract::Exaggerated airway narrowing in response to bronchoconstricting stimuli is a characteristic feature of asthmatic subjects. It is unknown whether the site of airway narrowing differs in asthmatic subjects from that observed in normal subjects. Increased airway wall thickness has been suggested as a contributing cause f...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1164/ajrccm.154.5.8912780

    authors: Okazawa M,Müller N,McNamara AE,Child S,Verburgt L,Paré PD

    更新日期:1996-11-01 00:00:00

  • Cyclic adenosine monophosphate-mediated release of nitric oxide from canine cultured tracheal epithelium.

    abstract::Nitric oxide (NO) may play a part in pulmonary vascular regulation and bronchomotor control and has been detected in exhaled air. We report the release of NO from airway epithelial cells and its regulation by cyclic adenosine monophosphate (cAMP). To directly measure NO release, a highly specific amperometric sensor f...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.152.4.7551390

    authors: Tamaoki J,Kondo M,Takemura H,Chiyotani A,Yamawaki I,Konno K

    更新日期:1995-10-01 00:00:00

  • Down-regulation of insular cortex responses to dyspnea and pain in asthma.

    abstract:RATIONALE:Dyspnea is the impairing cardinal symptom of asthma but its accurate perception is also crucial for timely initiation of treatment. However, the underlying brain mechanisms of perceived dyspnea in patients with asthma are unknown. OBJECTIVES:To study brain mechanisms of dyspnea in asthma. METHODS:By using f...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200902-0300OC

    authors: von Leupoldt A,Sommer T,Kegat S,Eippert F,Baumann HJ,Klose H,Dahme B,Büchel C

    更新日期:2009-08-01 00:00:00

  • Nasal continuous positive airway pressure reduces sleep-induced blood pressure increments in preeclampsia.

    abstract::Preeclampsia is the predominant cause of admissions to neonatal intensive care. The diurnal blood pressure pattern is flattened or reversed in preeclampsia. We hypothesized that snoring and partial upper airway obstruction contribute to nocturnal rises in blood pressure. We tested this hypothesis by controlling sleep-...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.162.1.9905006

    authors: Edwards N,Blyton DM,Kirjavainen T,Kesby GJ,Sullivan CE

    更新日期:2000-07-01 00:00:00

  • Lymphoid aggregates in endobronchial biopsies from young elite cross-country skiers.

    abstract::Observation of bronchus-associated lymphoid tissue (BALT) in whole lung specimens from healthy nonsmoking adults has questioned the hypothesis that BALT is not constitutively present in healthy adult human lungs. In our study, we investigated endobronchial biopsies of the second- and third-generation carinae from 44 c...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.158.2.9711012

    authors: Sue-Chu M,Karjalainen EM,Altraja A,Laitinen A,Laitinen LA,Naess AB,Larsson L,Bjermer L

    更新日期:1998-08-01 00:00:00

  • Inflammatory lung injury after bronchial instillation of air pollution particles.

    abstract::Epidemiologic investigation has established an association between exposure to particulate matter (PM) and human health in the Utah Valley. Reduction of particle mass during the temporary closure of a local steel mill was associated with diminished morbidity and mortality. We tested the hypothesis that the biologic ef...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.164.4.2011089

    authors: Ghio AJ,Devlin RB

    更新日期:2001-08-15 00:00:00

  • Suplatast tosilate inhibits late response and airway inflammation in sensitized guinea pigs.

    abstract::The effect of suplatast tosilate, which has been proven to inhibit T-cell synthesis of IL-4 and IL-5, on the response to antigen inhalation challenge was investigated in sensitized guinea pigs. The animals were given an oral dose of 30 or 100 mg/kg of suplatast or vehicle (distilled water) daily for 1 wk before antige...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.160.1.9809059

    authors: Iijima H,Tamura G,Hsiue TR,Liu Y,Taniguchi H,Shirato K

    更新日期:1999-07-01 00:00:00

  • Long-term influence of inhaled corticosteroids on bone metabolism and density. Are biological markers predictors of bone loss?

    abstract::Long-term effects of high doses of inhaled corticosteroids (ICS) on bone density and metabolism are still uncertain. Fifty-one patients (37 male, 14 female) using beclomethasone or budesonide at a daily dose > 800 microgram/d (high-dose group [Group HD] mean: 983 microgram/d [prescribed dose x estimated compliance]) o...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.159.3.9802096

    authors: Boulet LP,Milot J,Gagnon L,Poubelle PE,Brown J

    更新日期:1999-03-01 00:00:00

  • Exposure-response relationship between passive smoking and adult pulmonary function.

    abstract::The effects of exposure to environmental tobacco smoke (ETS) on pulmonary function were investigated in a random sample of 1,033 adults aged 40 to 69 yr from a residential area in Beijing. Compared with those not exposed, those exposed to ETS either at home or at work were associated with a 102-ml (SE = 40 ml) reducti...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.151.1.7812570

    authors: Xu X,Li B

    更新日期:1995-01-01 00:00:00

  • The effect of an anti-CD3 monoclonal antibody on bleomycin-induced lymphokine production and lung injury.

    abstract::Acute lung injury was produced in C57BL/6 mice by the intratracheal (i.t.) administration of bleomycin (BLM). Following injection of 0.1 U BLM, CD3+ lymphocytes and the production of the T-helper-1 (Th1) lymphokines interleukin-2 (IL-2) and interferon-gamma (IFN-gamma) were increased in lung and lymph nodes. The produ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.154.1.8680680

    authors: Sharma SK,MacLean JA,Pinto C,Kradin RL

    更新日期:1996-07-01 00:00:00

  • Results of the Randomized Danish Lung Cancer Screening Trial with Focus on High-Risk Profiling.

    abstract:RATIONALE:As of April 2015, participants in the Danish Lung Cancer Screening Trial had been followed for at least 5 years since their last screening. OBJECTIVES:Mortality, causes of death, and lung cancer findings are reported to explore the effect of computed tomography (CT) screening. METHODS:A total of 4,104 parti...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1164/rccm.201505-1040OC

    authors: Wille MM,Dirksen A,Ashraf H,Saghir Z,Bach KS,Brodersen J,Clementsen PF,Hansen H,Larsen KR,Mortensen J,Rasmussen JF,Seersholm N,Skov BG,Thomsen LH,Tønnesen P,Pedersen JH

    更新日期:2016-03-01 00:00:00

  • Future directions in sarcoidosis research: summary of an NHLBI working group.

    abstract::Sarcoidosis is a systemic granulomatous disease of unknown etiology that primarily affects the lungs. The etiology remains unclear; however, environmental, genetic, ethnic, and familial factors probably modify expression of the disease. As an example, African Americans are at greater risk of mortality and morbidity th...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1164/rccm.200308-1073WS

    authors: Martin WJ 2nd,Iannuzzi MC,Gail DB,Peavy HH

    更新日期:2004-09-01 00:00:00

  • Dietary antioxidants and asthma in adults: population-based case-control study.

    abstract::A protective role for dietary antioxidants in asthma has been proposed. However, epidemiological evidence to implicate antioxidant vitamins is weak, and data on the role of flavonoid-rich foods and antioxidant trace elements are lacking. We carried out a population-based case-control study in South London, UK, to inve...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.164.10.2104061

    authors: Shaheen SO,Sterne JA,Thompson RL,Songhurst CE,Margetts BM,Burney PG

    更新日期:2001-11-15 00:00:00

  • A new method to analyze lung compliance when pressure-volume relationship is nonlinear.

    abstract::Changes in dynamic lung compliance during inspiration and expiration cannot be modeled accurately with conventional algorithms. We developed a simple method to analyze pressure-volume (P/V) relationships under condition of nonlinearity (APVNL) and tested it in a lung model with known resistance and nonlinear P/V relat...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.158.4.9801011

    authors: Nikischin W,Gerhardt T,Everett R,Bancalari E

    更新日期:1998-10-01 00:00:00

  • Allergen induces the migration of platelets to lung tissue in allergic asthma.

    abstract:RATIONALE:Platelets are essential for pulmonary leukocyte recruitment, airway hyperresponsiveness, and bronchial remodeling in animals with allergic inflammation and can be found in bronchoalveolar lavage of sensitized animals. No studies, however, have explored the direct migration of platelets to lungs. OBJECTIVES:T...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200702-214OC

    authors: Pitchford SC,Momi S,Baglioni S,Casali L,Giannini S,Rossi R,Page CP,Gresele P

    更新日期:2008-03-15 00:00:00

  • Cost-effectiveness of directly observed versus self-administered therapy for tuberculosis.

    abstract::Decision analysis was used to compare three alternative strategies for a 6-mo course of treatment for tuberculosis: directly observed drug therapy (DOT), self-administered fixed-dose combination drug therapy, and self-administered conventional individual drug therapy. Estimates of effectiveness were obtained from the ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.154.4.8887600

    authors: Moore RD,Chaulk CP,Griffiths R,Cavalcante S,Chaisson RE

    更新日期:1996-10-01 00:00:00

  • Gastric mucosal pH and blood flow during weaning from mechanical ventilation in patients with chronic obstructive pulmonary disease.

    abstract::To determine if gastric intramucosal pH changes during weaning from mechanical ventilation are related to gastric mucosal blood flow modifications, we studied 16 ventilator-supported patients with chronic obstructive pulmonary disease (COPD) who tolerated a 2-h trial of spontaneous breathing with pressure support vent...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.160.5.9901018

    authors: Bocquillon N,Mathieu D,Neviere R,Lefebvre N,Marechal X,Wattel F

    更新日期:1999-11-01 00:00:00