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 rosiglitazone changes myocardial metabolism in type 2 diabetic patients with CAD. We studied 54 patients (38 men and 16 women) with type 2 diabetes (HbA(1c) 7.2 + 0.9%) and CAD. Myocardial glucose uptake was measured with [(18)F]fluoro-2-deoxy-d-glucose positron emission tomography in ischemic (evaluated by single-photon emission tomography and coronary angiography) and nonischemic regions during euglycemic-hyperinsulinemic clamp before and after a 16-week intervention period with rosiglitazone (n = 27) or placebo (n = 27). Rosiglitazone significantly improved glycemic control (P < 0.0001) and whole-body insulin sensitivity (P < 0.0001). Rosiglitazone increased myocardial glucose uptake from 20.6 +/- 11.8 to 25.5 +/- 12.4 micromol . 100 g(-1) . min(-1) (P = 0.038 vs. baseline, P = 0.023 vs. placebo) in ischemic regions and from 21.7 +/- 12.1 to 28.0 +/- 12.7 micromol . 100 g(-1) . min(-1) (P = 0.014 vs. baseline, P = 0.003 vs. placebo) in nonischemic regions. The increase in myocardial glucose uptake was partly explained by the suppression of free fatty acid levels during clamp. Rosiglitazone therapy significantly increased insulin sensitivity and improved myocardial glucose uptake in type 2 diabetic patients with CAD. These results suggest that rosiglitazone therapy may facilitate myocardial glucose storage and utilization in these patients.

journal_name

Diabetes

journal_title

Diabetes

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

doi

10.2337/diabetes.54.9.2787

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

2787-94

issue

9

eissn

0012-1797

issn

1939-327X

pii

54/9/2787

journal_volume

54

pub_type

临床试验,杂志文章,随机对照试验

相关文献

DIABETES文献大全
  • Essential role of chicken ovalbumin upstream promoter-transcription factor II in insulin secretion and insulin sensitivity revealed by conditional gene knockout.

    abstract::Chicken ovalbumin upstream promoter-transcription factor II (COUP-TFII) has been implicated in the control of blood glucose by its potent effect on expression and signaling of various nuclear receptors. To understand the role of COUP-TFII in glucose homeostasis, conditional COUP-TFII-deficient mice were generated and ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.54.5.1357

    authors: Bardoux P,Zhang P,Flamez D,Perilhou A,Lavin TA,Tanti JF,Hellemans K,Gomas E,Godard C,Andreelli F,Buccheri MA,Kahn A,Le Marchand-Brustel Y,Burcelin R,Schuit F,Vasseur-Cognet M

    更新日期:2005-05-01 00:00:00

  • Quantitative and qualitative lipoprotein abnormalities in diabetes mellitus.

    abstract::In people with diabetes, the concentration of an individual lipoprotein or apolipoprotein can be highly variable and is totally different in the two major forms of the disease. Alterations in the concentrations of major lipids and lipoproteins are well characterized in both IDDM and NIDDM. In general, the lipoprotein ...

    journal_title:Diabetes

    pub_type: 杂志文章,评审

    doi:10.2337/diab.41.2.s12

    authors: Taskinen MR

    更新日期:1992-10-01 00:00:00

  • Characterization of human DNA topoisomerase II as an autoantigen recognized by patients with IDDM.

    abstract::Autoantibodies against several cytoplasmic autoantigens such as glutamic acid decarboxylase, heat shock protein 65, insulin, and carboxypeptidase H have been identified in the sera of patients with IDDM. To investigate whether type II DNA topoisomerase (TopII) is an autoantigen in IDDM patients, we have constructed a ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.45.4.408

    authors: Chang YH,Hwang J,Shang HF,Tsai ST

    更新日期:1996-04-01 00:00:00

  • Gestational diabetes mellitus. Influence of race on disease prevalence and perinatal outcome in a U.S. population.

    abstract::We explore whether racial differences in a United States population influence disease prevalence and perinatal outcome in gestational diabetes mellitus (GDM). The data presented are based on 3744 consecutive patients who underwent universal screening at 24-28 wk gestation; those with a 1-h plasma glucose greater than ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.40.2.s25

    authors: Dooley SL,Metzger BE,Cho NH

    更新日期:1991-12-01 00:00:00

  • Increased expression of Gi-coupled muscarinic acetylcholine receptor and Gi in atrium of elderly diabetic subjects.

    abstract::In an ongoing investigation of the effects of age on G protein-coupled receptor signaling in human atrial tissue, we have found that the density of atrial muscarinic acetylcholine receptor (mAChR) increases with age but reaches statistical significance only in patients with diabetes. Moreover, we find that in elderly ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.53.9.2392

    authors: Richardson MD,Kilts JD,Kwatra MM

    更新日期:2004-09-01 00:00:00

  • Gene expression profiles of nondiabetic and diabetic obese mice suggest a role of hepatic lipogenic capacity in diabetes susceptibility.

    abstract::Obesity is a strong risk factor for the development of type 2 diabetes. We have previously reported that in adipose tissue of obese (ob/ob) mice, the expression of adipogenic genes is decreased. When made genetically obese, the BTBR mouse strain is diabetes susceptible and the C57BL/6J (B6) strain is diabetes resistan...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.52.3.688

    authors: Lan H,Rabaglia ME,Stoehr JP,Nadler ST,Schueler KL,Zou F,Yandell BS,Attie AD

    更新日期:2003-03-01 00:00:00

  • Dietary cod protein restores insulin-induced activation of phosphatidylinositol 3-kinase/Akt and GLUT4 translocation to the T-tubules in skeletal muscle of high-fat-fed obese rats.

    abstract::Diet-induced obesity is known to cause peripheral insulin resistance in rodents. We have recently found that feeding cod protein to high-fat-fed rats prevents the development of insulin resistance in skeletal muscle. In the present study, we have further explored the cellular mechanisms behind this beneficial effect o...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.52.1.29

    authors: Tremblay F,Lavigne C,Jacques H,Marette A

    更新日期:2003-01-01 00:00:00

  • Galactosemic neuropathy in transgenic mice for human aldose reductase.

    abstract::We studied the functional consequences of an enhanced polyol pathway activity, elicited with galactose feeding, on the peripheral nerve of transgenic mice expressing human aldose reductase. Nontransgenic littermate mice were used as controls. With a quantitative immunoassay, the expression level of human aldose reduct...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.45.1.56

    authors: Yagihashi S,Yamagishi S,Wada R,Sugimoto K,Baba M,Wong HG,Fujimoto J,Nishimura C,Kokai Y

    更新日期:1996-01-01 00:00:00

  • Early glomerular macrophage recruitment in streptozotocin-induced diabetic rats.

    abstract::Diabetic glomerulosclerosis is defined by increased glomerular extracellular matrix (ECM) that is mainly synthesized by mesangial cells that underwent an activation mediated by cytokines and growth factors from various cellular origins. In this study, we tested whether macrophages could infiltrate the glomeruli and in...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.49.3.466

    authors: Sassy-Prigent C,Heudes D,Mandet C,Bélair MF,Michel O,Perdereau B,Bariéty J,Bruneval P

    更新日期:2000-03-01 00:00:00

  • Hypoglycemia-associated changes in the electroencephalogram in patients with type 1 diabetes and normal hypoglycemia awareness or unawareness.

    abstract::Hypoglycemia is associated with increased activity in the low-frequency bands in the electroencephalogram (EEG). We investigated whether hypoglycemia awareness and unawareness are associated with different hypoglycemia-associated EEG changes in patients with type 1 diabetes. Twenty-four patients participated in the st...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db14-1359

    authors: Sejling AS,Kjær TW,Pedersen-Bjergaard U,Diemar SS,Frandsen CS,Hilsted L,Faber J,Holst JJ,Tarnow L,Nielsen MN,Remvig LS,Thorsteinsson B,Juhl CB

    更新日期:2015-05-01 00:00:00

  • Leucine deprivation decreases fat mass by stimulation of lipolysis in white adipose tissue and upregulation of uncoupling protein 1 (UCP1) in brown adipose tissue.

    abstract:OBJECTIVE:White adipose tissue (WAT) and brown adipose tissue (BAT) play distinct roles in adaptation to changes in nutrient availability, with WAT serving as an energy store and BAT regulating thermogenesis. We previously showed that mice maintained on a leucine-deficient diet unexpectedly experienced a dramatic reduc...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db09-0929

    authors: Cheng Y,Meng Q,Wang C,Li H,Huang Z,Chen S,Xiao F,Guo F

    更新日期:2010-01-01 00:00:00

  • Contribution of partial pancreatectomy, systemic hormone delivery, and duct obliteration to glucose regulation in canine pancreas. Importance in pancreas transplantation.

    abstract::Our aim was to isolate and determine the contribution of partial pancreatectomy, systemic delivery of pancreatic hormones, and duct obliteration to glucose regulation after segmental pancreas transplantation in dogs. Fasting, postprandial, and intravenous glucose-stimulated glucose, insulin, glucagon, pancreatic polyp...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:

    authors: van der Burg MP,Gooszen HG,Guicherit OR,Jansen JB,Frölich M,van Haastert FA,Lamers CB

    更新日期:1989-09-01 00:00:00

  • Insulin secretory profiles and C-peptide clearance kinetics at 6 months and 2 years after kidney-pancreas transplantation.

    abstract::Glucose, insulin secretion, and insulin secretory pulses were measured by deconvolution of peripheral C-peptide concentrations in 10 IDDM recipients of a combined kidney-pancreas allograft 6 mo post-transplantation and were compared with 10 matched nondiabetic control subjects. Seven of the 10 recipients were restudie...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.41.10.1346

    authors: Blackman JD,Polonsky KS,Jaspan JB,Sturis J,Van Cauter E,Thistlethwaite JR

    更新日期:1992-10-01 00:00:00

  • Leptin resistance during aging is independent of fat mass.

    abstract::Increased fat mass, abdominal adiposity, and insulin resistance are typical findings in aging mammals and are frequently associated with leptin resistance and increased plasma leptin levels. To examine whether leptin's failure in aging is due to aging per se or to changes in body fat mass or distribution, we studied a...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.51.4.1016

    authors: Gabriely I,Ma XH,Yang XM,Rossetti L,Barzilai N

    更新日期:2002-04-01 00:00:00

  • Oral vanadate reduces Na(+)-dependent glucose transport in rat small intestine.

    abstract::The effects of oral vanadate supplementation on intestinal morphometry and glucose transport were examined in STZ-induced diabetic and age-matched control male Sprague-Dawley rats. Animals received 0.1 mg/ml vanadium pentoxide in their drinking water over 14 days. Vanadate reduced intestinal glucose maximal transport ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.42.8.1126

    authors: Madsen KL,Porter VM,Fedorak RN

    更新日期:1993-08-01 00:00:00

  • Enhanced NF-κB activity impairs vascular function through PARP-1-, SP-1-, and COX-2-dependent mechanisms in type 2 diabetes.

    abstract::Type 2 diabetes (T2D) is associated with vascular dysfunction. We hypothesized that increased nuclear factor-κB (NF-κB) signaling contributes to vascular dysfunction in T2D. We treated type 2 diabetic (db(-)/db(-)) and control (db(-)/db(+)) mice with two NF-κB inhibitors (6 mg/kg dehydroxymethylepoxyquinomicin twice a...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db12-1374

    authors: Kassan M,Choi SK,Galán M,Bishop A,Umezawa K,Trebak M,Belmadani S,Matrougui K

    更新日期:2013-06-01 00:00:00

  • The role of melanocortin 3 receptor gene in childhood obesity.

    abstract:OBJECTIVE:Melanocortin 3 receptor (MC3R) plays a critical role in weight regulation of rodents, but its role in humans remains unclear. The objective of this study was to identify genetic variants of the MC3R gene and determine its association with childhood obesity. RESEARCH DESIGN AND METHODS:We screened 201 obese c...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db07-0225

    authors: Lee YS,Poh LK,Kek BL,Loke KY

    更新日期:2007-10-01 00:00:00

  • Effect of tolbutamide on myocardial metabolism and mechanical performance of the diabetic rat.

    abstract::Exposure of the isolated, glucose-perfused rat heart to buffer containing 0.4 mM tolbutamide resulted in significant changes in both energy metabolism and myocardial contractility. In the nondiabetic, tolbutamide mediated only small increases in mechanical function at low atrial filling pressure, but this effect incre...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.33.12.1138

    authors: Tan BH,Wilson GL,Schaffer SW

    更新日期:1984-12-01 00:00:00

  • Autosomal-dominant mode of inheritance of a melanocortin-4 receptor mutation in a patient with severe early-onset obesity is due to a dominant-negative effect caused by receptor dimerization.

    abstract::Mutations in the melanocortin-4 receptor (MC4R) gene are the most frequent monogenic causes of severe obesity. Most mutations have been described as heterozygous with loss of function, suggesting that haploinsufficiency is the most likely mechanism of dominant inheritance. We detected a heterozygous mutation, D90N, in...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.52.12.2984

    authors: Biebermann H,Krude H,Elsner A,Chubanov V,Gudermann T,Grüters A

    更新日期:2003-12-01 00:00:00

  • Effect of ethanol, acetaldehyde, and acetate on insulin and glucagon secretion in the perfused rat pancreas.

    abstract::The effects of varying concentrations of ethanol (1, 10, and 30 mM) and its metabolites (1 mM acetate and 1 and 10 mM acetaldehyde) on insulin and glucagon secretion induced by glucose (11.1 mM) and arginine (20 mM) were studied in isolated perfused pancreas of Sprague-Dawley rats. Ethanol and its metabolites did not ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.30.9.705

    authors: Tiengo A,Valerio A,Molinari M,Meneghel A,Lapolla A

    更新日期:1981-09-01 00:00:00

  • Regulation of the diabetes-associated autoantigen IA-2 in INS-1 pancreatic beta-cells.

    abstract::IA-2, a member of the protein tyrosine phosphatase family, represents a major target autoantigen in type 1 diabetes. To study the regulation of IA-2 gene expression, we used INS-1 insulinoma cells to analyze beta-cell signal transduction pathways as well as the effect of metabolic and hormonal factors involved in the ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.49.7.1137

    authors: Seissler J,Nguyen TB,Aust G,Steinbrenner H,Scherbaum WA

    更新日期:2000-07-01 00:00:00

  • Accurate Measurement of Postprandial Glucose Turnover: Why Is It Difficult and How Can It Be Done (Relatively) Simply?

    abstract::Fasting hyperglycemia occurs when an excessive rate of endogenous glucose production (EGP) is not accompanied by an adequate compensatory increase in the rate of glucose disappearance (Rd). The situation following food ingestion is more complex as the amount of glucose that reaches the circulation for disposal is a fu...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db15-1166

    authors: Rizza RA,Toffolo G,Cobelli C

    更新日期:2016-05-01 00:00:00

  • Epinephrine enhancement of potassium-stimulated immunoreactive insulin secretion. Role of beta-adrenergic receptors.

    abstract::Although epinephrine stimulates insulin release by activation of beta-adrenergic receptors, its dominant effect (mediated by stimulation of alpha-adrenergic receptors) is an inhibition of insulin secretion that is powerful enough to suppress the secretory activity of insulin's most potent stimulants. The insulin-secre...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.27.5.550

    authors: Hiatt N,Davidson MB,Chapman LW,Sheinkopf JA

    更新日期:1978-05-01 00:00:00

  • Placental adiponectin gene DNA methylation levels are associated with mothers' blood glucose concentration.

    abstract::Growing evidence suggests that epigenetic profile changes occurring during fetal development in response to in utero environment variations could be one of the mechanisms involved in the early determinants of adult chronic diseases. In this study, we tested whether maternal glycemic status is associated with the adipo...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db11-1160

    authors: Bouchard L,Hivert MF,Guay SP,St-Pierre J,Perron P,Brisson D

    更新日期:2012-05-01 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

  • Genetic determinants of energy expenditure and insulin resistance in diet-induced obesity in mice.

    abstract::Diet-induced obesity is the primary determinant of the current epidemic of diabetes. We have explored the role of genetics in this phenomenon, using C57Bl/6 (B6), 129S6/SvEvTac (129), and intercross (B6 x 129)F2 mice on a low- or high-fat diet. Over an 18-week period, B6 and F2 mice gained more weight, had higher leve...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.53.12.3274

    authors: Almind K,Kahn CR

    更新日期:2004-12-01 00:00:00

  • Factors in development of diabetic neuropathy. Baseline analysis of neuropathy in feasibility phase of Diabetes Control and Complications Trial (DCCT). The DCCT Research Group.

    abstract::The Diabetes Control and Complications Trial (DCCT) is a multicenter randomized clinical trial studying the effect of intensive insulin therapy on the early vascular and neurological complications of insulin-dependent diabetes mellitus (IDDM). During the feasibility phase of the DCCT, baseline neurological histories, ...

    journal_title:Diabetes

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors:

    更新日期:1988-04-01 00:00:00

  • Hyperglycemia suppresses the adrenal medullary response to hypoxemia.

    abstract::An in vivo microdialysis technique was used to study adrenal medullary function in 6 euglycemic and 6 hyperglycemic anesthetized Sprague-Dawley rats exposed to hypoxia. After stabilization of an adrenal dialysis probe, dialyzable adrenal epinephrine and norepinephrine were measured in response to 15 min of 7.8% oxygen...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.43.5.645

    authors: Cohen WR,Deutsch J

    更新日期:1994-05-01 00:00:00

  • Selective Insulin Resistance and the Development of Cardiovascular Diseases in Diabetes: The 2015 Edwin Bierman Award Lecture.

    abstract::The Edwin Bierman Award Lecture is presented in honor of the memory of Edwin L. Bierman, MD, an exemplary scientist, mentor, and leader in the field of diabetes, obesity, hyperlipidemia, and atherosclerosis. The award and lecture recognizes a leading scientist in the field of macrovascular complications and contributi...

    journal_title:Diabetes

    pub_type: 杂志文章,评审

    doi:10.2337/db16-0152

    authors: King GL,Park K,Li Q

    更新日期:2016-06-01 00:00:00

  • Pathobiology of endothelial and other vascular cells in diabetes mellitus. Call for data.

    abstract::Because the pathogenetic understanding of diabetic vascular complications remains fragmentary, and even the best available interventions may prove insufficient to arrest the progression of certain lesions, new avenuses of investigation should be pursued. One of these should be the early in vivo investigation of the ce...

    journal_title:Diabetes

    pub_type: 杂志文章,评审

    doi:10.2337/diab.40.6.653

    authors: Lorenzi M,Cagliero E

    更新日期:1991-06-01 00:00:00