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DOI: 10.1055/s-0038-1649917
Increased Plasma Thrombin-Antithrombin III Complex Levels in Non-Insulin Dependent Diabetic Patients with Albuminuria Are Reduced by Ethyl Icosapentatenoate
Publication History
Received 16 January 1995
Accepted after resubmission 20 July 1995
Publication Date:
10 July 2018 (online)
Summary
Hypercoagulability may increase the risk of cardiovascular disease (CVD) in diabetic patients with albuminuria. Plasma thrombin-antithrombin III complex (TAT) levels, representing a functional state of clotting system, were studied in one hundred and fifteen non-insulin- dependent diabetic (NIDDM) patients. The patients were divided into three groups according to the urine albumin index (UAI: mg/g Cr): Group A; UAI<30, Group B; 30<UAI<300, Group C; UAI>300. The effect of albuminuria on plasma TAT levels was significant (p<0.02). Ethyl icosapentatenoate (EPA: 1800 mg/day) for 4 weeks significantly (p<0.0005) decreased plasma TAT levels. These data indicate that the degree of diabetic albuminuria is related to plasma TAT levels in NIDDM patients and that treatment with EPA may reduce TAT levels and possibly therefore the rate of development of CVD in patients with NIDDM.
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References
- 1 Mogensen CE. Microalbuminuria predicts clinical proteinuria and early mortality in maturity-onset diabetes. N Engl J Med 1984; 310: 356-365
- 2 Vaeth M, Schmitz A. Microalbuminuria: a major risk factor in non-insulin dependent diabetes. A 10-year follow-up study of 503 patients Diabetic Med 1988; 5: 126-134
- 3 Ceriello A. Coagulation activation in diabetes mellitus: the role of hyperglycemia and therapeutic prospects. Diabetologia 1993; 36: 1119-1125
- 4 van Wersch JW J, Westerhuis LW J J M, Venekamp WJ R R. Coagulation activation in diabetes mellitus. Hemostasis 1990; 20: 263-269
- 5 Ceriello A, Giugliano D, Quatrano A, Marchi E, Barbanti M, Lefevre PJ. Evidence for a hyperglycemia-dependent decrease of antithrombin III-thrombin complex formation in humans. Diabetologia 1990; 33: 163-167
- 6 Murakami T, Komiyama Y, Egawa H, Murata K. Elevation of Factor XIa-α1-antitrypsin complex levels in NIDDM patients with diabetic nephropathy. Diabetes 1993; 42: 233-238
- 7 Takahashi H, Tsuda A, Tatewaki W, Wada K, Niwano H, Shibata A. Activation of blood coagulation and fibrinolysis in diabetes mellitus: evaluation by plasma level of thrombin-antithrombin III complex and plasma-alpha2-plasmin inhibitor complex. Thromb Res 1989; 55: 727-735
- 8 Jensen T, Stender S, Deckert T. Abnormalities in plasma concentrations of lipoproteins and fibrinogen in type 1 (insulin dependent) diabetic patients with increased urinary albumin excretion. Diabetologia 1988; 31: 142-145
- 9 Bent-Hansen L, Deckert T. Metabolism of albumin and fibrinogen in type 1 (insulin-dependent) diabetes mellitus. Diabetes Res 1988; 7: 159-164
- 10 Kromhout D, Bosschieter EB, de Lezenne Coulander C. The inverse relation between fish consumption and 20-year mortality from coronary heart disease. N Engl J Med 1985; 312: 1205-1209
- 11 Nathan DM, Rosenbaum C, Protasowicki VD. Single-void urine samples can be used to estimate quantitative microalbuminuria. Diabetes Care 1987; 10: 414-418
- 12 Nelson KG, Knowler WC, Pettitt DJ, Saad MF, Charles MA, Bennett PH. Assessment of risk of overt nephropathy in diabetic patients for albumin excretion in untimed urine specimens. Ann Intern Med 1991; 151: 1761-1765
- 13 Pelzer H, Schwarz A, Heimburger N. Determination of human thrombin- antithrombin III complex in plasma with an enzyme-linked immunosorbent assay. Thromb Haemost 1988; 59: 101-106
- 14 Winocour PH, Durrington PN, Ishola M, Anderson DC, Cohen H. Influence of proteinuria on vascular disease, blood pressure and lipoproteins in insulin-dependent diabetes mellitus. Br Med J 1987; 294: 1648-1651
- 15 Jones SL, Close CF, Matlock MJ, Jarrett RJ, Keen H, Viberti GC. Plasma lipid and coagulation factor concentrations in insulin-dependent diabetics with microalbuminuria. Br Med J 1989; 298: 487-490
- 16 Deckert T, Kofoed-Enevoldsen A, Norgaard K, Borch-Johnsen K, Feldt- Rasmussen B, Jensen T. Microalbuminuria: Implications for micro-and macrovascular disease. Diabetes Care 1992; 15: 1181-1191
- 17 Ceriello A, Giugliano D, Quatraro A, Marchi E, Barbanti M, Lefèbvre P. Evidence for a hyperglycemia-dependent decrease of antithrombin III-thrombin complex formation in humans. Diabetologia 1990; 33: 163-167
- 18 Ceriello A, Quatraro A, Marchi E, Barbanti M, Russo PD, Lefebvre P, Giugliano D. The role of hyperglycemia-induced alterations of anti thrombin III and factor X activation in the thrombin hyperactivity of diabetes mellitus. Diabetic Med 1990; 7: 343-348
- 19 Haglund O, Wallin R, Luostarinen R, Saldeen T. Effects of a new fluid fish oil concentrate on triglycerides, cholesterol, fibrinogen and blood pressure. J Intern Med 1990; 227: 347-353
- 20 Haglund O, Mehta JL, Saldeen T. Effects of fish oil on some parameters of fibrinolysis and lipoprotein (a) in healthy subjects. Am J Cardiol 1994; 74: 189-192
- 21 Shahar E, Folsom AR, Wu KK. Association on fish intake and dietary n-3 polyunsaturated fatty acids with a hypocoagulable profile. Arterioscler Thromb 1993; 13: 1205-1212
- 22 Hansen J-B, Olsen JO, Wilsgard L, Østerud B. Effects of dietary supplementation with cod-liver oil on monocyte thromboplastin activity, coagulation and fibrinolysis. 1989; J Intern Med 225 Suppl (Suppl. 01) 133-139
- 23 Miller ME, Anagnostou AA, Ley B, Marshall P, Steiner M. Effect of fish oil concentrations on hemorheological and hemostatic aspects of diabetes mellitus: a preliminary study. Thromb Res 1987; 47: 201-214
- 24 Boneu B, Abbal M, Plante J, Bieme R. Factor VUI-complex and endothelial cell damage. Lancet 1975; 1: 1430
- 25 Editorial: Factor VUI-related antigen and vasculitis. Lancet 1988; 1: 1203-1204
- 26 Stoffersen E, Jorgensen KA, Dyerberg J. Antithrombin III and dietary intake of polyunsaturated fatty acids. Scand J Clin Lab Invest 1982; 42: 83-86
- 27 Mortensen JZ, Schmidt EB, Nielsen AH, Dyerberg J. The effect of N-6 and N-3 polyunsaturated fatty acids on hemostasis, blood lipids and blood pressure. Thromb Haemost 1983; 50: 543-546
- 28 Shimizu H, Sato N, Tanaka Y, Kashima K, Ohtani K, Mori M. Effect of eicosapentaenoic acid ethyl on albuminuria in NIDDM patients. Diabetes Care 1993; 16: 1406-1408
- 29 Shimizu H, Ohtani K, Tanaka Y, Sato N, Mori M, Shimomura Y. Longterm effect of eicosapentaenoic acid ethyl (EPA-E) on albuminuria of noninsulin dependent diabetic patients. Diabetes Res Clin Pract 1985; 28: 35-40