Nazratun, N. and Mahmood Merican, A. and Kuppusamy, U.R. and Ahmad, T.S. and Tan, S.Y. (2007) Diabetes mellitus exacerbates advanced glycation end product accumulation in the veins of end-stage renal failure patients. Vascular Medicine, 11 (4). pp. 245-250. ISSN 1358-863X,
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Abstract
The excess accumulation of advanced glycation end products (AGEs) contributes to the chronic complications of type 2 diabetes mellitus (DM) and renal failure. Biopsy specimens (n = 184) of arterial (n = 92) and venous (n = 92) tissues were obtained (radial artery and cephalic vein) from end-stage renal disease (ESRD) patients with or without DM and normal healthy subjects (n = 12) requiring surgery (trauma patients). Immunohistochemical assessment of the blood vessels revealed the presence of pentosidine (AGE marker) in both veins and arteries in 72% of the ESRD patients. The percentage of arteries and veins that showed positive pentosidine staining in ESRD patients with type 2 DM alone was 100% and 92% respectively, in the non-diabetic ESRD patients it was <70% (for arteries and veins), and in the ESRD patients with hypertension as an additional co-morbidity to type 2 DM it was 70% and 82%, respectively. The veins of ESRD patients with DM showed a strong (+++) positive staining and very strong (++++) positive staining was observed in the patients with DM and hypertension. Only mild (+) or moderate (++) pentosidine staining intensity was observed in the arteries of ESRD patients without or with comorbidities, respectively. The accumulation of AGE in the vein rather than the artery may be a better reflection of the extent of complications of ESRD.
Item Type: | Article |
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Funders: | UNSPECIFIED |
Additional Information: | Address for correspondence: Umah Rani Kuppusamy, Department of Molecular Medicine, Faculty of Medicine, University Malaya, 50603 Kuala Lumpur, Malaysia. Tel: �60 3 79674900; Fax: �60 3 79676600; E-mail: umah@um.edu.my |
Uncontrolled Keywords: | AGE; artery; diabetes mellitus; ESRD; pentosidine; vein |
Subjects: | R Medicine |
Divisions: | Faculty of Medicine |
Depositing User: | Nor Izzati Ab Razak |
Date Deposited: | 25 Jan 2012 03:07 |
Last Modified: | 27 Oct 2014 06:57 |
URI: | http://eprints.um.edu.my/id/eprint/2496 |
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