Abstract:
INTRODUCTION:Patients with type 1 diabetes have high risk of developing microvascular complications, and microangiopathy contributes to premature cardiovascular disease in this population. The role that microvesicles (MVs) may play in the development of microangiopathy in type 1 diabetes remains unclear. MATERIALS AND METHODS:Plasma levels of endothelial MVs (EMVs) and platelet MVs (PMVs) in 130 patients with type 1 diabetes without microangiopathy, 106 patients with microangiopathy and 100 matched healthy controls were analyzed using flow cytometry. MV expression of procoagulant phosphatidylserine (PS) and proinflammatory high mobility group box-1 protein (HMGB1) was also assessed. RESULTS:Patients with type 1 diabetes had markedly elevated levels of EMVs and PS+ EMVs as well as PMVs and PS+ PMVs compared to healthy controls (p < .001 for all). Furthermore, HMGB1+ EMVs and HMGB1+ PMVs were significantly increased in patients (p < .001 for all). After adjusting for potential confounders, there were no clear differences between patients with or without microvascular complications for any of the MV parameters. CONCLUSION:Type 1 diabetes is a prothrombotic and proinflammatory disease state that, regardless of the presence of clinical microangiopathy, is associated with elevated levels of plasma MVs, in particular those of an endothelial origin. We have for the first time demonstrated that patients with type 1 diabetes have higher levels of HMGB1+ MVs. HMGB1 is an alarmin with potent proinflammatory effects that drive endothelial dysfunction, and it would therefore be of interest to further study the role of HMGB1+ MVs in the development of macrovascular complications in type 1 diabetes.
journal_name
Thromb Resjournal_title
Thrombosis researchauthors
Bergen K,Mobarrez F,Jörneskog G,Wallén H,Tehrani Sdoi
10.1016/j.thromres.2020.08.012subject
Has Abstractpub_date
2020-12-01 00:00:00pages
78-86eissn
0049-3848issn
1879-2472pii
S0049-3848(20)30450-3journal_volume
196pub_type
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journal_title:Thrombosis research
pub_type: 杂志文章
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journal_title:Thrombosis research
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journal_title:Thrombosis research
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doi:10.1016/0049-3848(86)90265-3
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journal_title:Thrombosis research
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doi:10.1016/0049-3848(82)90305-x
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journal_title:Thrombosis research
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doi:10.1016/0049-3848(85)90209-9
更新日期:1985-06-15 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/0049-3848(82)90210-9
更新日期:1982-01-01 00:00:00
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journal_title:Thrombosis research
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doi:10.1016/j.thromres.2014.10.014
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/0049-3848(89)90463-5
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journal_title:Thrombosis research
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doi:10.1016/j.thromres.2018.07.007
更新日期:2018-09-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/j.thromres.2019.12.012
更新日期:2020-12-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章,评审
doi:10.1016/j.thromres.2018.05.027
更新日期:2018-08-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/0049-3848(84)90265-2
更新日期:1984-09-15 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/s0049-3848(02)00072-5
更新日期:2002-04-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/j.thromres.2007.01.006
更新日期:2007-01-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/0049-3848(89)90068-6
更新日期:1989-08-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/0049-3848(83)90061-0
更新日期:1983-12-15 00:00:00
abstract::Platelet alpha adrenoceptor status was examined using the radioligands 3H-yohimbine (3H-YOH) and 3H-dihydroergocryptine (3H-DHE) in 14 patients with myeloproliferative disorder (MPD) and 10 normal controls. Platelets from normal controls and MPD patients sensitive to adrenaline induced aggregation exhibited approximat...
journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/0049-3848(85)90300-7
更新日期:1985-12-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/0049-3848(86)90002-2
更新日期:1986-11-01 00:00:00
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journal_title:Thrombosis research
pub_type: 临床试验,杂志文章
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更新日期:2012-04-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/j.thromres.2018.05.028
更新日期:2018-08-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/j.thromres.2010.11.021
更新日期:2011-03-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/j.thromres.2008.11.010
更新日期:2009-05-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/s0049-3848(01)00396-6
更新日期:2001-12-15 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/S0049-3848(20)30398-4
更新日期:2020-07-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/0049-3848(82)90056-1
更新日期:1982-08-15 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/0049-3848(89)90062-5
更新日期:1989-08-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/j.thromres.2012.05.005
更新日期:2012-09-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章
doi:10.1016/s0049-3848(99)00146-2
更新日期:2000-02-01 00:00:00
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journal_title:Thrombosis research
pub_type: 杂志文章,meta分析
doi:10.1016/j.thromres.2014.10.007
更新日期:2015-01-01 00:00:00