Prospective study of microalbuminuria as predictor of mortality in NIDDM.

Abstract:

:Retrospective studies of patients with non-insulin-dependent diabetes mellitus (NIDDM) have suggested that microalbuminuria predicts early all-cause (mainly cardiovascular) mortality independently of arterial blood pressure. These findings have not been confirmed in prospective studies, and it is not known whether the predictive power of microalbuminuria is independent of other major cardiovascular risk factors. During 1985-1987, we examined a representative group of 141 nonproteinuric patients with NIDDM for the prevalence of coronary heart disease and several of its established and putative risk factors, including raised urinary albumin excretion (UAE) rate. Thirty-six patients had microalbuminuria (UAE 20-200 micrograms/min), and 105 had normal UAE (less than 20 micrograms/min). At follow-up, an average of 3.4 yr later, 14 patients had died. There was a highly significant excess mortality (chiefly from cardiovascular disease) among those with microalbuminuria (28%) compared to those without microalbuminuria (4%, P less than 0.001). In univariate survival analysis, significant predictors of all-cause mortality included microalbuminuria (P less than 0.001), hypercholesterolemia (P less than 0.01), hypertriglyceridemia (P less than 0.05), and preexisting coronary heart disease (P less than 0.05). The predictive power of microalbuminuria persisted after adjustment for the effects of other major risk factors (P less than 0.05). We conclude that microalbuminuria is a significant risk marker for mortality in NIDDM, independent of the other risk factors examined. Its presence can be regarded as an index of increased cardiovascular vulnerability and a signal for vigorous efforts at correction of known risk factors.

journal_name

Diabetes

journal_title

Diabetes

authors

Mattock MB,Morrish NJ,Viberti G,Keen H,Fitzgerald AP,Jackson G

doi

10.2337/diab.41.6.736

subject

Has Abstract

pub_date

1992-06-01 00:00:00

pages

736-41

issue

6

eissn

0012-1797

issn

1939-327X

journal_volume

41

pub_type

杂志文章

相关文献

DIABETES文献大全
  • Increased hemoglobin AIc in diabetic mice.

    abstract::The minor hemoglobins AIa, AIb, and AIc were studied in mice with either genetic or chemically induced diabetes. Hemoglobin AIc was elevated approximately twofold in all the phenotypically diabetic mice studied (C57BL/KsJ-db/db, C57BL/KsJ-ob/ob, C57BL/6J-db/db, and alloxan- and streptozotocin-treated mice). Elevation ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.25.1.1

    authors: Koenig RJ,Araujo DC,Cerami A

    更新日期:1976-01-01 00:00:00

  • Differential effects of p27 in regulation of beta-cell mass during development, neonatal period, and adult life.

    abstract::beta-Cell cycle progression and proliferation are critical to maintain beta-cell mass in adult mice. Of the cell cycle inhibitors, p27Kip1 is thought to be the primary modulator of the proliferative status in most cell types. p27 plays a role in beta-cell adaptation in genetic models of insulin resistance. To study th...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db06-0861

    authors: Rachdi L,Balcazar N,Elghazi L,Barker DJ,Krits I,Kiyokawa H,Bernal-Mizrachi E

    更新日期:2006-12-01 00:00:00

  • Type I and II Interferon Receptors Differentially Regulate Type 1 Diabetes Susceptibility in Male Versus Female NOD Mice.

    abstract::The role of interferons, either pathogenic or protective, during autoimmune diabetes remains controversial. Herein, we examine the progression of diabetes in NOD mice lacking the type I (IFNAR) or type II (IFNGR) interferon receptor and, for the first time, in mice deficient in both receptors (double knockout [DKO]). ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db18-0331

    authors: Carrero JA,Benshoff ND,Nalley K,Unanue ER

    更新日期:2018-09-01 00:00:00

  • Tetracycline treatment retards the onset and slows the progression of diabetes in human amylin/islet amyloid polypeptide transgenic mice.

    abstract:OBJECTIVE:Aggregation of human amylin/islet amyloid polypeptide (hA/hIAPP) into small soluble beta-sheet-containing oligomers is linked to islet beta-cell degeneration and the pathogenesis of type 2 diabetes. Here, we used tetracycline, which modifies hA/hIAPP oligomerization, to probe mechanisms whereby hA/hIAPP cause...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db09-0548

    authors: Aitken JF,Loomes KM,Scott DW,Reddy S,Phillips AR,Prijic G,Fernando C,Zhang S,Broadhurst R,L'Huillier P,Cooper GJ

    更新日期:2010-01-01 00:00:00

  • Leveraging Genetics to Improve Cardiovascular Health in Diabetes: The 2018 Edwin Bierman Award Lecture.

    abstract::The past decade has witnessed an exponential increase in our ability to search the genome for genetic factors predisposing to cardiovascular disease (CVD) and in particular coronary heart disease (CHD). Identifying these genes could lead to the development of innovative strategies to prevent the cardiovascular complic...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/dbi18-0036

    authors: Doria A

    更新日期:2019-03-01 00:00:00

  • Diabetic patients without vascular complications display enhanced basal platelet activation and decreased antioxidant status.

    abstract::Vascular complications are the leading causes of morbidity and mortality in diabetic patients. The contribution of platelets to thromboembolic complications is well documented, but their involvement in the initiation of the atherosclerotic process is of rising interest. Thus, the aim of the present study was to evalua...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.53.4.1046

    authors: Véricel E,Januel C,Carreras M,Moulin P,Lagarde M

    更新日期:2004-04-01 00:00:00

  • Effects of single and repeated blood withdrawals on circulating mononuclear cells in BB rats. Failure to prevent diabetes despite acute changes in counts.

    abstract::Repeated large-volume blood withdrawals started at a young age previously appeared to correct lymphopenia and prevent diabetes in Ottawa diabetes-prone BB (BBdp) rats. Therefore, we sought an early effect 24 h after withdrawal of 25% of estimated blood volume and then reexamined the long-term effects in BBdp rats. The...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.39.9.1099

    authors: Marliss EB,Métroz-Dayer MD,Montambault M,Faucher M,Grose M

    更新日期:1990-09-01 00:00:00

  • Transgenic mouse and gene therapy.

    abstract::In the transgenic mouse, a specific gene can be transduced or deleted to study its function and relation to human diseases. Recently, various lines of transgenic mice that overexpress or lack a specific gene have been established and are available to study the pathophysiology of human diseases, including atheroscleros...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.45.3.s129

    authors: Harada K,Shimano H,Ishibashi S,Yamada N

    更新日期:1996-07-01 00:00:00

  • Excitatory GABAergic Action and Increased Vasopressin Synthesis in Hypothalamic Magnocellular Neurosecretory Cells Underlie the High Plasma Level of Vasopressin in Diabetic Rats.

    abstract::Diabetes mellitus (DM) is associated with increased plasma levels of arginine-vasopressin (AVP), which may aggravate hyperglycemia and nephropathy. However, the mechanisms by which DM may cause the increased AVP levels are not known. Electrophysiological recordings in supraoptic nucleus (SON) slices from streptozotoci...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db17-1042

    authors: Kim YB,Kim WB,Jung WW,Jin X,Kim YS,Kim B,Han HC,Block GD,Colwell CS,Kim YI

    更新日期:2018-03-01 00:00:00

  • Expression of calcium channel mRNAs in rat pancreatic islets and downregulation after glucose infusion.

    abstract::Recent studies have shown that two different voltage-dependent Ca2+ channels are expressed in pancreatic islets, the beta-cell/neuroendocrine-brain and the cardiac subtypes. The effects of chronic hyperglycemia on the levels in pancreatic islets of the mRNAs encoding the alpha 1-subunits of the beta-cell and cardiac s...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.42.7.948

    authors: Iwashima Y,Pugh W,Depaoli AM,Takeda J,Seino S,Bell GI,Polonsky KS

    更新日期:1993-07-01 00:00:00

  • beta-cell function and viability in the spontaneously diabetic GK rat: information from the GK/Par colony.

    abstract::The GK rat model of type 2 diabetes is especially convenient to dissect the pathogenic mechanism necessary for the emergence of overt diabetes because all adult rats obtained in our department (GK/Par colony) to date have stable basal mild hyperglycemia and because overt diabetes is preceded by a period of normoglycem...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.50.2007.s89

    authors: Portha B,Giroix MH,Serradas P,Gangnerau MN,Movassat J,Rajas F,Bailbe D,Plachot C,Mithieux G,Marie JC

    更新日期:2001-02-01 00:00:00

  • Glycoprotein-like large glucagon immunoreactive species in extracts of the fetal bovine pancreas.

    abstract::Large glucagon immunoreactive substances, extracted from the fetal bovine pancreas and separated by gel filtration in the presence of 6 M guanidinium-hydrochloride, were submitted to lectin-sepharose affinity column chromatograph. Gel-filtered peak I (approximately 45 K delta) and peak II (approximately 10 K delta) in...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diacare.31.11.1002

    authors: Tung AK,Cockburn E,Siu KP

    更新日期:1982-11-01 00:00:00

  • Concanavalin A and alloxan interactions on glucose-induced insulin secretion and biosynthesis from islets of Langerhans.

    abstract::The pretreatment of isolated islets of Langerhans with concanavalin A (Con A) completely blocks alloxan from suppressing the insulin release response to glucose. The lectin itself inhibits insulin secretion. This effect is dose dependent and reversible. Con A, however, has no protective action against the inhibition o...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.33.2.164

    authors: Virji MA,Steffes MW,Estensen RD

    更新日期:1984-02-01 00:00:00

  • Magnetic resonance imaging and computed tomography in long-term-functioning duct-occluded pancreas allotransplants.

    abstract::Duct-occluded segmental-pancreas transplants develop progressive fibrotic atrophy, even though endocrine function seems to be unaffected. To determine end-stage size of the graft and to evaluate magnetic resonance imaging (MRI) and computed tomography (CT), these imaging techniques were applied in eight patients with ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.38.1.s24

    authors: Schlumpf R,Marincek B,Von Schulthess G,Decurtins M,Largiadèr F

    更新日期:1989-01-01 00:00:00

  • NIDDM genes in mice: deleterious synergism by both parental genomes contributes to diabetogenic thresholds.

    abstract::We used mouse genetics to model how polygenic thresholds for the transition from impaired glucose tolerance (IGT) to NIDDM are reached. NON/Lt and NZO/Hl are inbred mouse strains selected for IGT and polygenic obesity, respectively. Their F1 male progeny consistently developed NIDDM. Genetic analysis of F2 males from ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.47.8.1287

    authors: Leiter EH,Reifsnyder PC,Flurkey K,Partke HJ,Junger E,Herberg L

    更新日期:1998-08-01 00:00:00

  • Elevated islet amyloid pancreatic polypeptide and proinsulin in lean gestational diabetes.

    abstract::Recent research indicates that islet amyloid pancreatic polypeptide (IAPP) might have a regulatory effect on beta-cell insulin processing and secretion. To study such interaction in more detail, IAPP secretion and kinetics and the serum concentrations of proinsulin were assessed both before and after delivery in lean ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.46.4.607

    authors: Kautzky-Willer A,Thomaseth K,Ludvik B,Nowotny P,Rabensteiner D,Waldhäusl W,Pacini G,Prager R

    更新日期:1997-04-01 00:00:00

  • Circulating immune complexes and platelet thromboxane synthesis in patients with insulin-dependent (type I) diabetes mellitus.

    abstract::Platelets from diabetic subjects with circulating immune complexes (CIC) synthesized greater amounts of thromboxane than did platelets from CIC-negative patients or controls. In view of the known action of CIC on platelet function, a relationship between these two factors may be suggested in the initiation and progres...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.33.8.728

    authors: Triolo G,Davi' G,Giardina E,Cardella F,Meli F,La Grutta A,Strano A,Bompiani GD

    更新日期:1984-08-01 00:00:00

  • Hepatic lipase mRNA, protein, and plasma enzyme activity is increased in the insulin-resistant, fructose-fed Syrian golden hamster and is partially normalized by the insulin sensitizer rosiglitazone.

    abstract::Postheparin plasma hepatic lipase (HL) activity has been shown to correlate with features of the metabolic syndrome and type 2 diabetes in humans. We examined HL postheparin plasma enzyme activity, hepatocyte mRNA, and protein mass in the insulin-resistant, fructose-fed Syrian golden hamster, and the response of the i...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.53.11.2893

    authors: Lewis GF,Murdoch S,Uffelman K,Naples M,Szeto L,Albers A,Adeli K,Brunzell JD

    更新日期:2004-11-01 00:00:00

  • The effect of vitamin E on endothelial function of micro- and macrocirculation and left ventricular function in type 1 and type 2 diabetic patients.

    abstract::We examined the effects of high-dosage vitamin E treatment over a 12-month period on the vascular reactivity of micro- and macrocirculation and left ventricular function in diabetic patients. Subjects (n = 89) were randomized to vitamin E (1,800 IU daily) or placebo and were followed for 12 months. High-resolution ult...

    journal_title:Diabetes

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diabetes.54.1.204

    authors: Economides PA,Khaodhiar L,Caselli A,Caballero AE,Keenan H,Bursell SE,King GL,Johnstone MT,Horton ES,Veves A

    更新日期:2005-01-01 00:00:00

  • Dissociation of intestinal and hepatic activities of FXR and LXRα supports metabolic effects of terminal ileum interposition in rodents.

    abstract::The farnesoid X receptor (FXR) and the liver x receptors (LXRs) are bile acid-activated receptors that are highly expressed in the enterohepatic tissues. The mechanisms that support the beneficial effects of bariatric surgery are only partially defined. We have investigated the effects of ileal interposition (IT), a s...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db13-0299

    authors: Mencarelli A,Renga B,D'Amore C,Santorelli C,Graziosi L,Bruno A,Monti MC,Distrutti E,Cipriani S,Donini A,Fiorucci S

    更新日期:2013-10-01 00:00:00

  • Binding and degradation of insulin by isolated renal brush border membranes.

    abstract::Filtered proteins including insulin are absorbed in the proximal tubule by means of pinocytosis. The first step in this process is binding of the protein to brush border membrane. As it is not known whether absorption exhibits specificity, we set out to determine whether specific binding sites for insulin are present ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.31.7.618

    authors: Rabkin R,Petersen J,Mamelok R

    更新日期:1982-07-01 00:00:00

  • A novel missense substitution (Val1483Ile) in the fatty acid synthase gene (FAS) is associated with percentage of body fat and substrate oxidation rates in nondiabetic Pima Indians.

    abstract::Inhibition of fatty acid synthase (FAS) induces a rapid decline in fat stores in mice, suggesting a role for this enzyme in energy homeostasis. The human FAS gene (FAS) maps to chromosome 17q25, a region previously shown to have suggestive linkage to adiposity in a genome-wide linkage scan for genetic determinants of ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.53.7.1915

    authors: Kovacs P,Harper I,Hanson RL,Infante AM,Bogardus C,Tataranni PA,Baier LJ

    更新日期:2004-07-01 00:00:00

  • Time course of islet cell antibodies and beta-cell function in non-insulin-dependent stage of type I diabetes.

    abstract::The time course of islet cell antibodies (ICA) and serum C-peptides responses (CPRs) to oral glucose tolerance tests (OGTTs) were studied prospectively up to 60 (mean 35) mo in 32 ICA-positive subjects [28 with non-insulin-dependent diabetes (NIDDM) and 4 subjects with impaired glucose tolerance (IGT); mean age 45 yr]...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.36.4.510

    authors: Kobayashi T,Itoh T,Kosaka K,Sato K,Tsuji K

    更新日期:1987-04-01 00:00:00

  • Recessive mutations in PCBD1 cause a new type of early-onset diabetes.

    abstract::Mutations in several genes cause nonautoimmune diabetes, but numerous patients still have unclear genetic defects, hampering our understanding of the development of the disease and preventing pathogenesis-oriented treatment. We used whole-genome sequencing with linkage analysis to study a consanguineous family with ea...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db13-1784

    authors: Simaite D,Kofent J,Gong M,Rüschendorf F,Jia S,Arn P,Bentler K,Ellaway C,Kühnen P,Hoffmann GF,Blau N,Spagnoli FM,Hübner N,Raile K

    更新日期:2014-10-01 00:00:00

  • Human apolipoprotein(a) kringle V inhibits ischemia-induced retinal neovascularization via suppression of fibronectin-mediated angiogenesis.

    abstract::Retinal neovascularization is observed in progression of diabetic retinopathy. New vessels grow into the vitreous cavity in proliferative diabetic retinopathy, resulting in traction retinal detachment and vitreous hemorrhage. To overcome the catastrophic visual loss due to these complications, efforts have been focuse...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db11-1541

    authors: Lim Y,Jo DH,Kim JH,Ahn JH,Hwang YK,Kang DK,Chang SI,Yu YS,Yoon Y,Kim JH

    更新日期:2012-06-01 00:00:00

  • Endoplasmic reticulum stress and the development of diabetes: a review.

    abstract::The early steps of insulin biosynthesis occur in the endoplasmic reticulum (ER), and the beta-cell has a highly developed and active ER. All cells regulate the capacity of their ER to fold and process client proteins and they adapt to an imbalance between client protein load and folding capacity (so-called ER stress)....

    journal_title:Diabetes

    pub_type: 杂志文章,评审

    doi:10.2337/diabetes.51.2007.s455

    authors: Harding HP,Ron D

    更新日期:2002-12-01 00:00:00

  • Comparison of alpha- and beta-cell secretory responses in islets isolated with collagenase and in the isolated perfused pancreas of rats.

    abstract::The inhibitory actions of somatostatin (100 ng./ml.) on insulin release, stimulated by high glucose (20 mM), and on glucagon release, stimulated by arginine (15 mM), were studied with two in vitro systems: the isolated perifused rat islets prepared by the collagenase procedure and the isolated perfused rat pancreas. S...

    journal_title:Diabetes

    pub_type: 历史文章,杂志文章

    doi:10.2337/diab.24.11.961

    authors: Norfleet WT,Pagliara AS,Haymond MW,Matschinsky F

    更新日期:1975-11-01 00:00:00

  • Rosiglitazone improves myocardial glucose uptake in patients with type 2 diabetes and coronary artery disease: a 16-week randomized, double-blind, placebo-controlled study.

    abstract::Rosiglitazone therapy improves insulin sensitivity and glucose uptake in patients with uncomplicated type 2 diabetes. In coronary artery disease (CAD), glucose is an important source of energy and preserved myocardial glucose uptake is essential for the viability of jeopardized myocardium. The aim was to test whether ...

    journal_title:Diabetes

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diabetes.54.9.2787

    authors: Lautamäki R,Airaksinen KE,Seppänen M,Toikka J,Luotolahti M,Ball E,Borra R,Härkönen R,Iozzo P,Stewart M,Knuuti J,Nuutila P

    更新日期:2005-09-01 00:00:00

  • Skeletal muscle insulin resistance promotes increased hepatic de novo lipogenesis, hyperlipidemia, and hepatic steatosis in the elderly.

    abstract::Aging is closely associated with muscle insulin resistance, hyperlipidemia, nonalcoholic fatty liver disease (NAFLD), and type 2 diabetes. We examined the hypothesis that muscle insulin resistance in healthy aging promotes increased hepatic de novo lipogenesis (DNL) and hyperlipidemia by altering the distribution patt...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db12-0206

    authors: Flannery C,Dufour S,Rabøl R,Shulman GI,Petersen KF

    更新日期:2012-11-01 00:00:00

  • Restoration of Glucose Counterregulation by Islet Transplantation in Long-standing Type 1 Diabetes.

    abstract::Patients with long-standing type 1 diabetes (T1D) may exhibit defective glucose counterregulation and impaired hypoglycemia symptom recognition that substantially increase their risk for experiencing severe hypoglycemia. The purpose of this study was to determine whether intrahepatic islet transplantation improves end...

    journal_title:Diabetes

    pub_type: 临床试验,杂志文章

    doi:10.2337/db14-1620

    authors: Rickels MR,Fuller C,Dalton-Bakes C,Markmann E,Palanjian M,Cullison K,Tiao J,Kapoor S,Liu C,Naji A,Teff KL

    更新日期:2015-05-01 00:00:00