Association of Plasma Adiponectin and Oxidized Low-Density Lipoprotein with Carotid Intima-Media Thickness in Diabetic Nephropathy

Aims. We sought to determine the association between levels of adiponectin and oxidized low-density lipoprotein (ox-LDL) in patients with diabetic nephropathy as well as their effect on carotid intima-media thickness (cIMT). Methods. Adiponectin and ox-LDL were determined in 25 diabetic patients wit...

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Main Authors: Anna Tavridou, Anastasia Georgoulidou, Athanasios Roumeliotis, Stefanos Roumeliotis, Efstathia Giannakopoulou, Nikolaos Papanas, Ploumis Passadakis, Vangelis G. Manolopoulos, Vassilis Vargemezis
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2015/507265
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author Anna Tavridou
Anastasia Georgoulidou
Athanasios Roumeliotis
Stefanos Roumeliotis
Efstathia Giannakopoulou
Nikolaos Papanas
Ploumis Passadakis
Vangelis G. Manolopoulos
Vassilis Vargemezis
author_facet Anna Tavridou
Anastasia Georgoulidou
Athanasios Roumeliotis
Stefanos Roumeliotis
Efstathia Giannakopoulou
Nikolaos Papanas
Ploumis Passadakis
Vangelis G. Manolopoulos
Vassilis Vargemezis
author_sort Anna Tavridou
collection DOAJ
description Aims. We sought to determine the association between levels of adiponectin and oxidized low-density lipoprotein (ox-LDL) in patients with diabetic nephropathy as well as their effect on carotid intima-media thickness (cIMT). Methods. Adiponectin and ox-LDL were determined in 25 diabetic patients without nephropathy and 94 patients at different stages of diabetic nephropathy including subjects on hemodialysis. cIMT was measured using real-time B-mode ultrasonography. Results. Plasma adiponectin levels increased significantly with severity of diabetic nephropathy (P=0.002), on the contrary to ox-LDL which decreased with disease severity (P<0.001). cIMT was significantly higher at late stages of diabetic nephropathy compared with early stages (P=0.022). Adiponectin was a significant negative predictor of ox-LDL levels (β=-5.45, P=0.023), independently of confounding factors. There was no significant correlation between cIMT and adiponectin or ox-LDL either in the total sample population or according to disease staging. Cluster analysis showed that patients with the highest cIMT values, highest levels of adiponectin, and lowest levels of ox-LDL were included in one cluster and all assigned to stage 5 of diabetic nephropathy. Conclusions. There was no significant association between adiponectin or ox-LDL and cIMT and, therefore, other factors affecting this surrogate marker of cardiovascular disease in diabetic nephropathy should be sought.
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spelling doaj-art-a9428ea1304d4f37bc24fef7a7475c402025-08-20T02:20:33ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/507265507265Association of Plasma Adiponectin and Oxidized Low-Density Lipoprotein with Carotid Intima-Media Thickness in Diabetic NephropathyAnna Tavridou0Anastasia Georgoulidou1Athanasios Roumeliotis2Stefanos Roumeliotis3Efstathia Giannakopoulou4Nikolaos Papanas5Ploumis Passadakis6Vangelis G. Manolopoulos7Vassilis Vargemezis8Laboratory of Pharmacology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceDepartment of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceDepartment of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceDepartment of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceLaboratory of Pharmacology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceSecond Department of Internal Medicine, Diabetes Clinic, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceDepartment of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceLaboratory of Pharmacology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceDepartment of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, GreeceAims. We sought to determine the association between levels of adiponectin and oxidized low-density lipoprotein (ox-LDL) in patients with diabetic nephropathy as well as their effect on carotid intima-media thickness (cIMT). Methods. Adiponectin and ox-LDL were determined in 25 diabetic patients without nephropathy and 94 patients at different stages of diabetic nephropathy including subjects on hemodialysis. cIMT was measured using real-time B-mode ultrasonography. Results. Plasma adiponectin levels increased significantly with severity of diabetic nephropathy (P=0.002), on the contrary to ox-LDL which decreased with disease severity (P<0.001). cIMT was significantly higher at late stages of diabetic nephropathy compared with early stages (P=0.022). Adiponectin was a significant negative predictor of ox-LDL levels (β=-5.45, P=0.023), independently of confounding factors. There was no significant correlation between cIMT and adiponectin or ox-LDL either in the total sample population or according to disease staging. Cluster analysis showed that patients with the highest cIMT values, highest levels of adiponectin, and lowest levels of ox-LDL were included in one cluster and all assigned to stage 5 of diabetic nephropathy. Conclusions. There was no significant association between adiponectin or ox-LDL and cIMT and, therefore, other factors affecting this surrogate marker of cardiovascular disease in diabetic nephropathy should be sought.http://dx.doi.org/10.1155/2015/507265
spellingShingle Anna Tavridou
Anastasia Georgoulidou
Athanasios Roumeliotis
Stefanos Roumeliotis
Efstathia Giannakopoulou
Nikolaos Papanas
Ploumis Passadakis
Vangelis G. Manolopoulos
Vassilis Vargemezis
Association of Plasma Adiponectin and Oxidized Low-Density Lipoprotein with Carotid Intima-Media Thickness in Diabetic Nephropathy
Journal of Diabetes Research
title Association of Plasma Adiponectin and Oxidized Low-Density Lipoprotein with Carotid Intima-Media Thickness in Diabetic Nephropathy
title_full Association of Plasma Adiponectin and Oxidized Low-Density Lipoprotein with Carotid Intima-Media Thickness in Diabetic Nephropathy
title_fullStr Association of Plasma Adiponectin and Oxidized Low-Density Lipoprotein with Carotid Intima-Media Thickness in Diabetic Nephropathy
title_full_unstemmed Association of Plasma Adiponectin and Oxidized Low-Density Lipoprotein with Carotid Intima-Media Thickness in Diabetic Nephropathy
title_short Association of Plasma Adiponectin and Oxidized Low-Density Lipoprotein with Carotid Intima-Media Thickness in Diabetic Nephropathy
title_sort association of plasma adiponectin and oxidized low density lipoprotein with carotid intima media thickness in diabetic nephropathy
url http://dx.doi.org/10.1155/2015/507265
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