Single Oral Challenge by Advanced Glycation End Products Acutely Impairs Endothelial Function in Diabetic and Nondiabetic Subjects

OBJECTIVE:--The current study was designed to test the acute effects of dietary advanced glycation end products (AGEs) on endothelial function of diabetic and nondiabetic subjects. RESEARCH DESIGN AND METHODS--Flow-mediated dilation (FMD) of the brachial artery and serum levels of AGEs, plasminogen...

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Veröffentlicht in:Diabetes care 2007-10, Vol.30 (10), p.2579-2582
Hauptverfasser: Uribarri, Jaime, Stirban, Alin, Sander, Denise, Cai, Weijing, Negrean, Monica, Buenting, Cristina E, Koschinsky, Theodore, Vlassara, Helen
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container_end_page 2582
container_issue 10
container_start_page 2579
container_title Diabetes care
container_volume 30
creator Uribarri, Jaime
Stirban, Alin
Sander, Denise
Cai, Weijing
Negrean, Monica
Buenting, Cristina E
Koschinsky, Theodore
Vlassara, Helen
description OBJECTIVE:--The current study was designed to test the acute effects of dietary advanced glycation end products (AGEs) on endothelial function of diabetic and nondiabetic subjects. RESEARCH DESIGN AND METHODS--Flow-mediated dilation (FMD) of the brachial artery and serum levels of AGEs, plasminogen activator inhibitor 1 (PAI-1), vascular cell adhesion molecule 1 (VCAM-1), and glucose were assessed before and after a single oral AGE challenge (~1.8 x 10⁶ AGE units) in 44 diabetic and 10 nondiabetic subjects. RESULTS:--The diabetic patients had higher baseline levels of serum AGEs (P = 0.020), PAI-1 (NS), and VCAM-1 (P = 0.033) and lower baseline values of FMD compared with nondiabetic subjects (P = 0.032). Ninety minutes after a single oral AGE challenge, serum AGEs and PAI-1 levels increased and FMD decreased significantly in both healthy subjects (AGEs: 7.2 ± 0.5 to 9.3 ± 1 units/ml, P = 0.014; PAI-1: 5.4 ± 0.4 to 6.8 ± 0.4 ng/ml, P = 0.007; and FMD: 9.9 ± 0.7 to 7.4 ± 0.9%, P = 0.019) and diabetic subjects (AGEs: 10.5 ± 0.7 to 14.2 ± 1 units/ml, P = 0.020; PAI-1: 6.5 ± 1 to 10 ± 2 ng/ml, P = 0.030; and FMD: 5.4 ± 0.4 to 4.0 ± 0.3%, P = 0.032). Serum glucose and VCAM-1 levels remained unchanged. CONCLUSIONS:--Significant increases in serum AGEs can occur together with altered clinical measures of endothelial function in diabetic and nondiabetic subjects after a single modest AGE-rich beverage. Thus, repeated or chronic exposure to high AGE diets could over time lead to and/or accelerate vascular disease.
doi_str_mv 10.2337/dc07-0320
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RESEARCH DESIGN AND METHODS--Flow-mediated dilation (FMD) of the brachial artery and serum levels of AGEs, plasminogen activator inhibitor 1 (PAI-1), vascular cell adhesion molecule 1 (VCAM-1), and glucose were assessed before and after a single oral AGE challenge (~1.8 x 10⁶ AGE units) in 44 diabetic and 10 nondiabetic subjects. RESULTS:--The diabetic patients had higher baseline levels of serum AGEs (P = 0.020), PAI-1 (NS), and VCAM-1 (P = 0.033) and lower baseline values of FMD compared with nondiabetic subjects (P = 0.032). Ninety minutes after a single oral AGE challenge, serum AGEs and PAI-1 levels increased and FMD decreased significantly in both healthy subjects (AGEs: 7.2 ± 0.5 to 9.3 ± 1 units/ml, P = 0.014; PAI-1: 5.4 ± 0.4 to 6.8 ± 0.4 ng/ml, P = 0.007; and FMD: 9.9 ± 0.7 to 7.4 ± 0.9%, P = 0.019) and diabetic subjects (AGEs: 10.5 ± 0.7 to 14.2 ± 1 units/ml, P = 0.020; PAI-1: 6.5 ± 1 to 10 ± 2 ng/ml, P = 0.030; and FMD: 5.4 ± 0.4 to 4.0 ± 0.3%, P = 0.032). Serum glucose and VCAM-1 levels remained unchanged. CONCLUSIONS:--Significant increases in serum AGEs can occur together with altered clinical measures of endothelial function in diabetic and nondiabetic subjects after a single modest AGE-rich beverage. Thus, repeated or chronic exposure to high AGE diets could over time lead to and/or accelerate vascular disease.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/dc07-0320</identifier><identifier>PMID: 17496238</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>ACE inhibitors ; Administration, Oral ; Biological and medical sciences ; Blood circulation disorders ; Cardiovascular disease ; Cardiovascular Diseases - blood ; Cardiovascular Diseases - physiopathology ; Cell adhesion &amp; migration ; Data analysis ; Diabetes ; Diabetes Mellitus - physiopathology ; Diabetes. Impaired glucose tolerance ; Diabetic Angiopathies - blood ; Diabetic Angiopathies - physiopathology ; Diabetic retinopathy ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Endothelium, Vascular - drug effects ; Endothelium, Vascular - physiology ; Endothelium, Vascular - physiopathology ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Glycation End Products, Advanced - administration &amp; dosage ; Glycation End Products, Advanced - blood ; Glycation End Products, Advanced - pharmacology ; Human subjects ; Humans ; Hyperglycemia ; Medical sciences ; Metabolic diseases ; Miscellaneous ; Monoclonal antibodies ; Mortality ; Patients ; Plasminogen Activator Inhibitor 1 - blood ; Properties ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Reference Values ; Risk factors ; Studies ; Vascular endothelium ; Vein &amp; artery diseases</subject><ispartof>Diabetes care, 2007-10, Vol.30 (10), p.2579-2582</ispartof><rights>2007 INIST-CNRS</rights><rights>COPYRIGHT 2007 American Diabetes Association</rights><rights>Copyright American Diabetes Association Oct 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c578t-de64078af3c59066bcf3094d22971af8351f2f2189712c64bdf48c87ea5dc5543</citedby><cites>FETCH-LOGICAL-c578t-de64078af3c59066bcf3094d22971af8351f2f2189712c64bdf48c87ea5dc5543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=19141873$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17496238$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Uribarri, Jaime</creatorcontrib><creatorcontrib>Stirban, Alin</creatorcontrib><creatorcontrib>Sander, Denise</creatorcontrib><creatorcontrib>Cai, Weijing</creatorcontrib><creatorcontrib>Negrean, Monica</creatorcontrib><creatorcontrib>Buenting, Cristina E</creatorcontrib><creatorcontrib>Koschinsky, Theodore</creatorcontrib><creatorcontrib>Vlassara, Helen</creatorcontrib><title>Single Oral Challenge by Advanced Glycation End Products Acutely Impairs Endothelial Function in Diabetic and Nondiabetic Subjects</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>OBJECTIVE:--The current study was designed to test the acute effects of dietary advanced glycation end products (AGEs) on endothelial function of diabetic and nondiabetic subjects. RESEARCH DESIGN AND METHODS--Flow-mediated dilation (FMD) of the brachial artery and serum levels of AGEs, plasminogen activator inhibitor 1 (PAI-1), vascular cell adhesion molecule 1 (VCAM-1), and glucose were assessed before and after a single oral AGE challenge (~1.8 x 10⁶ AGE units) in 44 diabetic and 10 nondiabetic subjects. RESULTS:--The diabetic patients had higher baseline levels of serum AGEs (P = 0.020), PAI-1 (NS), and VCAM-1 (P = 0.033) and lower baseline values of FMD compared with nondiabetic subjects (P = 0.032). Ninety minutes after a single oral AGE challenge, serum AGEs and PAI-1 levels increased and FMD decreased significantly in both healthy subjects (AGEs: 7.2 ± 0.5 to 9.3 ± 1 units/ml, P = 0.014; PAI-1: 5.4 ± 0.4 to 6.8 ± 0.4 ng/ml, P = 0.007; and FMD: 9.9 ± 0.7 to 7.4 ± 0.9%, P = 0.019) and diabetic subjects (AGEs: 10.5 ± 0.7 to 14.2 ± 1 units/ml, P = 0.020; PAI-1: 6.5 ± 1 to 10 ± 2 ng/ml, P = 0.030; and FMD: 5.4 ± 0.4 to 4.0 ± 0.3%, P = 0.032). Serum glucose and VCAM-1 levels remained unchanged. CONCLUSIONS:--Significant increases in serum AGEs can occur together with altered clinical measures of endothelial function in diabetic and nondiabetic subjects after a single modest AGE-rich beverage. Thus, repeated or chronic exposure to high AGE diets could over time lead to and/or accelerate vascular disease.</description><subject>ACE inhibitors</subject><subject>Administration, Oral</subject><subject>Biological and medical sciences</subject><subject>Blood circulation disorders</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - blood</subject><subject>Cardiovascular Diseases - physiopathology</subject><subject>Cell adhesion &amp; migration</subject><subject>Data analysis</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - physiopathology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Angiopathies - blood</subject><subject>Diabetic Angiopathies - physiopathology</subject><subject>Diabetic retinopathy</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Endothelium, Vascular - drug effects</subject><subject>Endothelium, Vascular - physiology</subject><subject>Endothelium, Vascular - physiopathology</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Glycation End Products, Advanced - administration &amp; dosage</subject><subject>Glycation End Products, Advanced - blood</subject><subject>Glycation End Products, Advanced - pharmacology</subject><subject>Human subjects</subject><subject>Humans</subject><subject>Hyperglycemia</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Miscellaneous</subject><subject>Monoclonal antibodies</subject><subject>Mortality</subject><subject>Patients</subject><subject>Plasminogen Activator Inhibitor 1 - blood</subject><subject>Properties</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Impaired glucose tolerance</topic><topic>Diabetic Angiopathies - blood</topic><topic>Diabetic Angiopathies - physiopathology</topic><topic>Diabetic retinopathy</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Endothelium, Vascular - drug effects</topic><topic>Endothelium, Vascular - physiology</topic><topic>Endothelium, Vascular - physiopathology</topic><topic>Etiopathogenesis. Screening. Investigations. 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RESEARCH DESIGN AND METHODS--Flow-mediated dilation (FMD) of the brachial artery and serum levels of AGEs, plasminogen activator inhibitor 1 (PAI-1), vascular cell adhesion molecule 1 (VCAM-1), and glucose were assessed before and after a single oral AGE challenge (~1.8 x 10⁶ AGE units) in 44 diabetic and 10 nondiabetic subjects. RESULTS:--The diabetic patients had higher baseline levels of serum AGEs (P = 0.020), PAI-1 (NS), and VCAM-1 (P = 0.033) and lower baseline values of FMD compared with nondiabetic subjects (P = 0.032). Ninety minutes after a single oral AGE challenge, serum AGEs and PAI-1 levels increased and FMD decreased significantly in both healthy subjects (AGEs: 7.2 ± 0.5 to 9.3 ± 1 units/ml, P = 0.014; PAI-1: 5.4 ± 0.4 to 6.8 ± 0.4 ng/ml, P = 0.007; and FMD: 9.9 ± 0.7 to 7.4 ± 0.9%, P = 0.019) and diabetic subjects (AGEs: 10.5 ± 0.7 to 14.2 ± 1 units/ml, P = 0.020; PAI-1: 6.5 ± 1 to 10 ± 2 ng/ml, P = 0.030; and FMD: 5.4 ± 0.4 to 4.0 ± 0.3%, P = 0.032). Serum glucose and VCAM-1 levels remained unchanged. CONCLUSIONS:--Significant increases in serum AGEs can occur together with altered clinical measures of endothelial function in diabetic and nondiabetic subjects after a single modest AGE-rich beverage. Thus, repeated or chronic exposure to high AGE diets could over time lead to and/or accelerate vascular disease.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>17496238</pmid><doi>10.2337/dc07-0320</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects ACE inhibitors
Administration, Oral
Biological and medical sciences
Blood circulation disorders
Cardiovascular disease
Cardiovascular Diseases - blood
Cardiovascular Diseases - physiopathology
Cell adhesion & migration
Data analysis
Diabetes
Diabetes Mellitus - physiopathology
Diabetes. Impaired glucose tolerance
Diabetic Angiopathies - blood
Diabetic Angiopathies - physiopathology
Diabetic retinopathy
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Endothelium, Vascular - drug effects
Endothelium, Vascular - physiology
Endothelium, Vascular - physiopathology
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Glycation End Products, Advanced - administration & dosage
Glycation End Products, Advanced - blood
Glycation End Products, Advanced - pharmacology
Human subjects
Humans
Hyperglycemia
Medical sciences
Metabolic diseases
Miscellaneous
Monoclonal antibodies
Mortality
Patients
Plasminogen Activator Inhibitor 1 - blood
Properties
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reference Values
Risk factors
Studies
Vascular endothelium
Vein & artery diseases
title Single Oral Challenge by Advanced Glycation End Products Acutely Impairs Endothelial Function in Diabetic and Nondiabetic Subjects
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