Therapeutic modulation of growth-promoting activity in platelets from diabetics.

Abstract:

:Proliferation of vascular smooth muscle is thought to be involved in the major diabetic complication atherosclerosis. We have previously reported an increase of growth-promoting activity (GA) in platelets from insulin-dependent diabetics. In this study, GA was measured in the platelet extract (PE) from eight diabetic patients who had been treated by conventional insulin therapy. Vascular smooth muscle cells from rat aorta were cultured and used as an assay system for GA. Incorporation of [3H]thymidine into DNA of cultured cells was stimulated by diabetic PE significantly more (P less than .05) than by normal PE. Diabetic PE incubated with cells for 4 days increased cell numbers significantly more (P less than .05) than normal PE. These abnormalities were corrected by long-term intensive insulin treatments (continuous subcutaneous insulin infusion and Pen infuser). The decrease of platelet extract GA appeared to correlate with the amount of insulin administered before meals as short-acting boluses, whereas the level of basal or long-acting insulin appeared to correlate with an increase of PE GA. Thus, the growth-promoting potential of platelets can be normalized by intensive insulin therapy. The relationship of insulin levels to this activity needs further evaluation.

journal_name

Diabetes

journal_title

Diabetes

authors

Sugimoto H,Franks DJ,Lecavalier L,Chiasson JL,Hamet P

doi

10.2337/diab.36.5.667

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

667-72

issue

5

eissn

0012-1797

issn

1939-327X

journal_volume

36

pub_type

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