Key result
Childhood type 1 diabetes is linked to elevated endothelial lesion markers versus healthy controls.
Why the study?
Endothelial dysfunction and vascular changes contribute to diabetic kidney disease in type 1 diabetes, but vascular endothelial function in children with type 1 diabetes was not well characterized.
Are serum markers of endothelial lesions elevated in children with type 1 diabetes mellitus compared to healthy controls?
Case-Control (n=87)
Are serum markers of endothelial lesions elevated in children with type 1 diabetes mellitus compared to healthy controls?
p-value: p=< 0.001
Endothelial inflammatory markers are significantly elevated in children with type 1 diabetes, with PAI-1 and sE-SELECTIN correlating with eGFR, suggesting early vascular changes.
Elevated endothelial markers in pediatric type 1 diabetes may signal early dysfunction; leaves open their value as kidney-disease predictors.
Diabetic kidney disease belongs to the major complications of diabetes mellitus. Here, hyperglycaemia is a key metabolic factor that causes endothelial dysfunction and vascular changes within the renal glomerulus. The aim of the present study was to assess the function of the vascular endothelium in children with type 1 diabetes mellitus (type 1 diabetes) by measuring selected endothelial lesion markers in blood serum. The selected markers of endothelial lesions (sVCAM-1, sICAM-1, sE-SELECTIN, PAI-1, ADMA and RAGE) were assayed by the immunoenzymatic ELISA method. The study involved 66 patients (age: 5–18 years) with type 1 diabetes and 21 healthy controls (age: 5–16 years). In the type 1 diabetes patients, significantly higher concentrations of all of the assayed markers were observed compared to the healthy controls (p < 0.001). All of the evaluated markers positively correlated with the disease duration, the age, and BMI of the patients, while only PAI-1 and sE-SELECTIN were characteristic of linear correlations with the estimated glomerular filtration rate (eGFR). It can be concluded that endothelial inflammatory disease occurs in the early stages of type 1 diabetes mellitus in children. The correlations between PAI-1, sE-SELECTIN, and eGFR suggest an advantage of these markers over other markers of endothelial dysfunction as prognostic factors for kidney dysfunction in children with type 1 diabetes.
No takes yet. Share an insight, caveat, or question.
Nocuń-Wasilewska et al. (2021) conducted a case-control in Type 1 diabetes mellitus (n=87). Type 1 diabetes mellitus vs. Healthy controls was evaluated on Serum concentrations of endothelial lesion markers (sVCAM-1, sICAM-1, sE-SELECTIN, PAI-1, ADMA and RAGE) (p=< 0.001). Type 1 diabetes mellitus in children was associated with significantly higher serum concentrations of endothelial lesion markers compared to healthy controls (p < 0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: