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January 1, 2008Journal of Vascular Research

Effects of Insulin on Endothelial and Contractile Function of Subcutaneous Small Resistance Arteries of Hypertensive and Diabetic Patients

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Key result

Low-concentration insulin decreased norepinephrine reactivity in subcutaneous small resistance arteries of normotensive subjects, but this effect was lost in patients with hypertension and/or NIDDM.

Why the study?

Does insulin alter the contractile response to norepinephrine and acetylcholine in subcutaneous small resistance arteries of hypertensive and diabetic patients?

Population

39 subjects providing subcutaneous small resistance arteries

Comparison

Preincubation with insulin at low and high… vs Absence of insulin

Design

Preclinical

Authors

CCCarolina De CiuceisAzienda Socio Sanitaria Territoriale degli Spedali Civili di BresciaDRDamiano RizzoniGeneral CardiologyEPEnzo PorteriUniversity of Brescia

Discussion

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Implication

May indicate vascular insulin resistance in hypertension/diabetes; leaves open its role in human disease progression.

Structured PICO

Does insulin alter the contractile response to norepinephrine and acetylcholine in subcutaneous small resistance arteries of hypertensive and diabetic patients?

P
Population
39 subjects including normotensive individuals and patients with essential hypertension, NIDDM, or both, whose subcutaneous small resistance arteries were evaluated ex vivo.
I
Intervention
Preincubation with insulin at low (715 pmol/l) and high (715 nmol/l) concentrations
C
Comparator
Absence of insulin
O
Outcome
Concentration-response curves to norepinephrine (10(-8) to 10(-5) mol/l) and acetylcholine (10(-9) to 10(-5) mol/l)surrogate

Main Result

p-value: p=0.02 to 0.05

Physiological concentrations of insulin decrease vascular reactivity to norepinephrine in healthy subjects, but this vasodilatory effect is lost in patients with hypertension and/or type 2 diabetes.

Cite This Study

Ciuceis et al. (2008) studied Essential hypertension and non-insulin-dependent diabetes mellitus (n=39). Insulin vs. Absence of insulin was evaluated on Contractile response to norepinephrine (p=0.02 to 0.05). Low-concentration insulin decreased norepinephrine reactivity in subcutaneous small resistance arteries of normotensive subjects, but this effect was lost in patients with hypertension and/or NIDDM.

synapsesocial.com/papers/6a7d970c0631e052c4b86d9bhttps://doi.org/10.1159/000128604

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Dissociation of sympathoexcitatory and vasodilator actions of modestly elevated plasma insulin levels1995 · 91 citations
  2. 2Insulin stimulates endothelin-1 secretion from human endothelial cells and modulates its circulating levels in vivo.1995 · 197 citations
  3. 3Effect of Insulin and Glucose Infusions on Sympathetic Nervous System Activity in Normal Man1981 · 1,154 citations
  4. 4Insulin Enhances Endothelial α 2 -Adrenergic Vasorelaxation by a Pertussis Toxin Mechanism1997 · 51 citations
  5. 5Insulin reduces reflex forearm sympathetic vasoconstriction in healthy humans.1993 · 55 citations