Association between microfibrillar-associated protein 4 (MFAP4) and micro- and macrovascular complications in long-term type 1 diabetes mellitus

Aims To evaluate microfibrillar-associated protein 4 (MFAP4) as a marker of micro- and macrovascular complications in patients with type 1 diabetes. Methods This cross-sectional study included 203 persons with a long duration of type 1 diabetes from a population-based cohort ascertained in the forme...

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Veröffentlicht in:Acta diabetologica 2017-04, Vol.54 (4), p.367-372
Hauptverfasser: Blindbæk, S.L., Schlosser, A., Green, A., Holmskov, U., Sorensen, G.L., Grauslund, J.
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container_start_page 367
container_title Acta diabetologica
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creator Blindbæk, S.L.
Schlosser, A.
Green, A.
Holmskov, U.
Sorensen, G.L.
Grauslund, J.
description Aims To evaluate microfibrillar-associated protein 4 (MFAP4) as a marker of micro- and macrovascular complications in patients with type 1 diabetes. Methods This cross-sectional study included 203 persons with a long duration of type 1 diabetes from a population-based cohort ascertained in the former Funen County, Denmark. Detection of plasma-MFAP4 (pMFAP4) was performed by the AlphaLISA Technique. Diabetic retinopathy (DR) was graded in accordance with the Early Treatment Diabetic Retinopathy Study adaptation of the modified Airlie House classification. A monofilament test was used to test for neuropathy, and nephropathy was evaluated in a single spot urine sample. Data describing macrovascular disease were obtained from the Danish National Patient Register. Results Median age and duration of diabetes were 58.7 and 43 years, respectively, and 61% were males. High levels of pMFAP4 were found in participants of old age, in women and in non-smokers ( p  
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Methods This cross-sectional study included 203 persons with a long duration of type 1 diabetes from a population-based cohort ascertained in the former Funen County, Denmark. Detection of plasma-MFAP4 (pMFAP4) was performed by the AlphaLISA Technique. Diabetic retinopathy (DR) was graded in accordance with the Early Treatment Diabetic Retinopathy Study adaptation of the modified Airlie House classification. A monofilament test was used to test for neuropathy, and nephropathy was evaluated in a single spot urine sample. Data describing macrovascular disease were obtained from the Danish National Patient Register. Results Median age and duration of diabetes were 58.7 and 43 years, respectively, and 61% were males. High levels of pMFAP4 were found in participants of old age, in women and in non-smokers ( p  &lt; 0.05). In a multiple logistic regression model, patients with high levels of pMFAP4 were more likely to have diabetic neuropathy (OR 2.47 for quartile 4 versus quartile 1, 95% CI 1.01–6.03). No association was found between pMFAP4 and proliferative diabetic retinopathy, nephropathy or macrovascular disease. Conclusions No association between pMFAP4 and macrovascular vascular complications was found. However, high levels of pMFAP4 correlated independently with diabetic neuropathy. Further studies on the predictive value of increased circulating MFAP4 in diabetic neuropathy are warranted.</description><identifier>ISSN: 0940-5429</identifier><identifier>EISSN: 1432-5233</identifier><identifier>DOI: 10.1007/s00592-016-0953-y</identifier><identifier>PMID: 28039584</identifier><identifier>CODEN: ACDAEZ</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biomarkers - blood ; Cardiovascular Diseases - blood ; Cardiovascular Diseases - complications ; Cardiovascular Diseases - diagnosis ; Carrier Proteins - blood ; Circulatory system ; Cross-Sectional Studies ; Denmark ; Diabetes ; Diabetes Mellitus, Type 1 - blood ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - diagnosis ; Diabetic Angiopathies - blood ; Diabetic Angiopathies - diagnosis ; Diabetic Neuropathies - blood ; Diabetic Neuropathies - complications ; Diabetic Neuropathies - diagnosis ; Diabetic neuropathy ; Diabetic retinopathy ; Diabetic Retinopathy - blood ; Diabetic Retinopathy - complications ; Diabetic Retinopathy - diagnosis ; Extracellular Matrix Proteins - blood ; Female ; Glycoproteins - blood ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Middle Aged ; Original Article ; Physiology ; Predictive Value of Tests ; Proteins ; Risk Factors</subject><ispartof>Acta diabetologica, 2017-04, Vol.54 (4), p.367-372</ispartof><rights>Springer-Verlag Italia 2016</rights><rights>Acta Diabetologica is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-82289ba989a397768f2acc8e052314e1c9ca066bc18b07a1d00a95e407d9c85a3</citedby><cites>FETCH-LOGICAL-c471t-82289ba989a397768f2acc8e052314e1c9ca066bc18b07a1d00a95e407d9c85a3</cites><orcidid>0000-0003-0628-684X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00592-016-0953-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00592-016-0953-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28039584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blindbæk, S.L.</creatorcontrib><creatorcontrib>Schlosser, A.</creatorcontrib><creatorcontrib>Green, A.</creatorcontrib><creatorcontrib>Holmskov, U.</creatorcontrib><creatorcontrib>Sorensen, G.L.</creatorcontrib><creatorcontrib>Grauslund, J.</creatorcontrib><title>Association between microfibrillar-associated protein 4 (MFAP4) and micro- and macrovascular complications in long-term type 1 diabetes mellitus</title><title>Acta diabetologica</title><addtitle>Acta Diabetol</addtitle><addtitle>Acta Diabetol</addtitle><description>Aims To evaluate microfibrillar-associated protein 4 (MFAP4) as a marker of micro- and macrovascular complications in patients with type 1 diabetes. Methods This cross-sectional study included 203 persons with a long duration of type 1 diabetes from a population-based cohort ascertained in the former Funen County, Denmark. Detection of plasma-MFAP4 (pMFAP4) was performed by the AlphaLISA Technique. Diabetic retinopathy (DR) was graded in accordance with the Early Treatment Diabetic Retinopathy Study adaptation of the modified Airlie House classification. A monofilament test was used to test for neuropathy, and nephropathy was evaluated in a single spot urine sample. Data describing macrovascular disease were obtained from the Danish National Patient Register. Results Median age and duration of diabetes were 58.7 and 43 years, respectively, and 61% were males. High levels of pMFAP4 were found in participants of old age, in women and in non-smokers ( p  &lt; 0.05). In a multiple logistic regression model, patients with high levels of pMFAP4 were more likely to have diabetic neuropathy (OR 2.47 for quartile 4 versus quartile 1, 95% CI 1.01–6.03). No association was found between pMFAP4 and proliferative diabetic retinopathy, nephropathy or macrovascular disease. Conclusions No association between pMFAP4 and macrovascular vascular complications was found. However, high levels of pMFAP4 correlated independently with diabetic neuropathy. Further studies on the predictive value of increased circulating MFAP4 in diabetic neuropathy are warranted.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biomarkers - blood</subject><subject>Cardiovascular Diseases - blood</subject><subject>Cardiovascular Diseases - complications</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Carrier Proteins - blood</subject><subject>Circulatory system</subject><subject>Cross-Sectional Studies</subject><subject>Denmark</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - blood</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - diagnosis</subject><subject>Diabetic Angiopathies - blood</subject><subject>Diabetic Angiopathies - diagnosis</subject><subject>Diabetic Neuropathies - blood</subject><subject>Diabetic Neuropathies - complications</subject><subject>Diabetic Neuropathies - diagnosis</subject><subject>Diabetic neuropathy</subject><subject>Diabetic retinopathy</subject><subject>Diabetic Retinopathy - blood</subject><subject>Diabetic Retinopathy - complications</subject><subject>Diabetic Retinopathy - diagnosis</subject><subject>Extracellular Matrix Proteins - blood</subject><subject>Female</subject><subject>Glycoproteins - blood</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; 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Methods This cross-sectional study included 203 persons with a long duration of type 1 diabetes from a population-based cohort ascertained in the former Funen County, Denmark. Detection of plasma-MFAP4 (pMFAP4) was performed by the AlphaLISA Technique. Diabetic retinopathy (DR) was graded in accordance with the Early Treatment Diabetic Retinopathy Study adaptation of the modified Airlie House classification. A monofilament test was used to test for neuropathy, and nephropathy was evaluated in a single spot urine sample. Data describing macrovascular disease were obtained from the Danish National Patient Register. Results Median age and duration of diabetes were 58.7 and 43 years, respectively, and 61% were males. High levels of pMFAP4 were found in participants of old age, in women and in non-smokers ( p  &lt; 0.05). In a multiple logistic regression model, patients with high levels of pMFAP4 were more likely to have diabetic neuropathy (OR 2.47 for quartile 4 versus quartile 1, 95% CI 1.01–6.03). No association was found between pMFAP4 and proliferative diabetic retinopathy, nephropathy or macrovascular disease. Conclusions No association between pMFAP4 and macrovascular vascular complications was found. However, high levels of pMFAP4 correlated independently with diabetic neuropathy. Further studies on the predictive value of increased circulating MFAP4 in diabetic neuropathy are warranted.</abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>28039584</pmid><doi>10.1007/s00592-016-0953-y</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-0628-684X</orcidid></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biomarkers - blood
Cardiovascular Diseases - blood
Cardiovascular Diseases - complications
Cardiovascular Diseases - diagnosis
Carrier Proteins - blood
Circulatory system
Cross-Sectional Studies
Denmark
Diabetes
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - diagnosis
Diabetic Angiopathies - blood
Diabetic Angiopathies - diagnosis
Diabetic Neuropathies - blood
Diabetic Neuropathies - complications
Diabetic Neuropathies - diagnosis
Diabetic neuropathy
Diabetic retinopathy
Diabetic Retinopathy - blood
Diabetic Retinopathy - complications
Diabetic Retinopathy - diagnosis
Extracellular Matrix Proteins - blood
Female
Glycoproteins - blood
Humans
Internal Medicine
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Middle Aged
Original Article
Physiology
Predictive Value of Tests
Proteins
Risk Factors
title Association between microfibrillar-associated protein 4 (MFAP4) and micro- and macrovascular complications in long-term type 1 diabetes mellitus
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