Urinary epidermal growth factor levels correlate with cardiovascular autonomic neuropathy indices in adults with type 1 diabetes
The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated. uEGF levels at baseline and standardized CAN measures were collected at baseline and annually for 3 years for type 1 diabetes adults. Linear r...
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Published in | Journal of diabetes investigation Vol. 14; no. 10; pp. 1183 - 1186 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Japan
John Wiley & Sons, Inc
01.10.2023
John Wiley and Sons Inc Wiley |
Subjects | |
Online Access | Get full text |
ISSN | 2040-1116 2040-1124 2040-1124 |
DOI | 10.1111/jdi.14049 |
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Abstract | The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated. uEGF levels at baseline and standardized CAN measures were collected at baseline and annually for 3 years for type 1 diabetes adults. Linear regression analysis and linear mixed effects model were used for analysis. In this cohort (n = 44, 59% women, mean ± standard deviation age 34 ± 13 years and diabetes duration 14 ± 6 years), lower baseline uEGF levels correlated with lower baseline expiration : inspiration ratios (P = 0.03) and greater annual declines in Valsalva ratios (P = 0.02) in the unadjusted model, and correlated with lower low‐frequency power : high‐frequency power ratios (P = 0.01) and greater annual changes in low‐frequency power : high‐frequency power ratios (P = 0.01) after adjustment for age, sex, body mass index, and hemoglobin A1C. In conclusion, baseline uEGF levels correlate to baseline and longitudinal changes in CAN indices. A large‐scale, long‐term study is needed to validate uEGF as a reliable CAN biomarker.
Relationships between baseline urinary endothelial growth factor and baseline and longitudinal changes in cardiovascular autonomic neuropathy indices were observed. A large‐scale, long‐term study is needed to evaluate if urinary endothelial growth factor can serve as a reliable non‐invasive biomarker of cardiovascular autonomic neuropathy. |
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AbstractList | The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated. uEGF levels at baseline and standardized CAN measures were collected at baseline and annually for 3 years for type 1 diabetes adults. Linear regression analysis and linear mixed effects model were used for analysis. In this cohort (
n
= 44, 59% women, mean ± standard deviation age 34 ± 13 years and diabetes duration 14 ± 6 years), lower baseline uEGF levels correlated with lower baseline expiration : inspiration ratios (
P
= 0.03) and greater annual declines in Valsalva ratios (
P
= 0.02) in the unadjusted model, and correlated with lower low‐frequency power : high‐frequency power ratios (
P
= 0.01) and greater annual changes in low‐frequency power : high‐frequency power ratios (
P
= 0.01) after adjustment for age, sex, body mass index, and hemoglobin A1C. In conclusion, baseline uEGF levels correlate to baseline and longitudinal changes in CAN indices. A large‐scale, long‐term study is needed to validate uEGF as a reliable CAN biomarker.
Relationships between baseline urinary endothelial growth factor and baseline and longitudinal changes in cardiovascular autonomic neuropathy indices were observed. A large‐scale, long‐term study is needed to evaluate if urinary endothelial growth factor can serve as a reliable non‐invasive biomarker of cardiovascular autonomic neuropathy. Abstract The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated. uEGF levels at baseline and standardized CAN measures were collected at baseline and annually for 3 years for type 1 diabetes adults. Linear regression analysis and linear mixed effects model were used for analysis. In this cohort (n = 44, 59% women, mean ± standard deviation age 34 ± 13 years and diabetes duration 14 ± 6 years), lower baseline uEGF levels correlated with lower baseline expiration : inspiration ratios (P = 0.03) and greater annual declines in Valsalva ratios (P = 0.02) in the unadjusted model, and correlated with lower low‐frequency power : high‐frequency power ratios (P = 0.01) and greater annual changes in low‐frequency power : high‐frequency power ratios (P = 0.01) after adjustment for age, sex, body mass index, and hemoglobin A1C. In conclusion, baseline uEGF levels correlate to baseline and longitudinal changes in CAN indices. A large‐scale, long‐term study is needed to validate uEGF as a reliable CAN biomarker. The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated. uEGF levels at baseline and standardized CAN measures were collected at baseline and annually for 3 years for type 1 diabetes adults. Linear regression analysis and linear mixed effects model were used for analysis. In this cohort (n = 44, 59% women, mean ± standard deviation age 34 ± 13 years and diabetes duration 14 ± 6 years), lower baseline uEGF levels correlated with lower baseline expiration : inspiration ratios (P = 0.03) and greater annual declines in Valsalva ratios (P = 0.02) in the unadjusted model, and correlated with lower low‐frequency power : high‐frequency power ratios (P = 0.01) and greater annual changes in low‐frequency power : high‐frequency power ratios (P = 0.01) after adjustment for age, sex, body mass index, and hemoglobin A1C. In conclusion, baseline uEGF levels correlate to baseline and longitudinal changes in CAN indices. A large‐scale, long‐term study is needed to validate uEGF as a reliable CAN biomarker. Relationships between baseline urinary endothelial growth factor and baseline and longitudinal changes in cardiovascular autonomic neuropathy indices were observed. A large‐scale, long‐term study is needed to evaluate if urinary endothelial growth factor can serve as a reliable non‐invasive biomarker of cardiovascular autonomic neuropathy. The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated. uEGF levels at baseline and standardized CAN measures were collected at baseline and annually for 3 years for type 1 diabetes adults. Linear regression analysis and linear mixed effects model were used for analysis. In this cohort ( n = 44, 59% women, mean ± standard deviation age 34 ± 13 years and diabetes duration 14 ± 6 years), lower baseline uEGF levels correlated with lower baseline expiration : inspiration ratios ( P = 0.03) and greater annual declines in Valsalva ratios ( P = 0.02) in the unadjusted model, and correlated with lower low‐frequency power : high‐frequency power ratios ( P = 0.01) and greater annual changes in low‐frequency power : high‐frequency power ratios ( P = 0.01) after adjustment for age, sex, body mass index, and hemoglobin A1C. In conclusion, baseline uEGF levels correlate to baseline and longitudinal changes in CAN indices. A large‐scale, long‐term study is needed to validate uEGF as a reliable CAN biomarker. The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated. uEGF levels at baseline and standardized CAN measures were collected at baseline and annually for 3 years for type 1 diabetes adults. Linear regression analysis and linear mixed effects model were used for analysis. In this cohort (n = 44, 59% women, mean ± standard deviation age 34 ± 13 years and diabetes duration 14 ± 6 years), lower baseline uEGF levels correlated with lower baseline expiration : inspiration ratios (P = 0.03) and greater annual declines in Valsalva ratios (P = 0.02) in the unadjusted model, and correlated with lower low-frequency power : high-frequency power ratios (P = 0.01) and greater annual changes in low-frequency power : high-frequency power ratios (P = 0.01) after adjustment for age, sex, body mass index, and hemoglobin A1C. In conclusion, baseline uEGF levels correlate to baseline and longitudinal changes in CAN indices. A large-scale, long-term study is needed to validate uEGF as a reliable CAN biomarker. The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated. uEGF levels at baseline and standardized CAN measures were collected at baseline and annually for 3 years for type 1 diabetes adults. Linear regression analysis and linear mixed effects model were used for analysis. In this cohort (n = 44, 59% women, mean ± standard deviation age 34 ± 13 years and diabetes duration 14 ± 6 years), lower baseline uEGF levels correlated with lower baseline expiration : inspiration ratios (P = 0.03) and greater annual declines in Valsalva ratios (P = 0.02) in the unadjusted model, and correlated with lower low-frequency power : high-frequency power ratios (P = 0.01) and greater annual changes in low-frequency power : high-frequency power ratios (P = 0.01) after adjustment for age, sex, body mass index, and hemoglobin A1C. In conclusion, baseline uEGF levels correlate to baseline and longitudinal changes in CAN indices. A large-scale, long-term study is needed to validate uEGF as a reliable CAN biomarker.The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated. uEGF levels at baseline and standardized CAN measures were collected at baseline and annually for 3 years for type 1 diabetes adults. Linear regression analysis and linear mixed effects model were used for analysis. In this cohort (n = 44, 59% women, mean ± standard deviation age 34 ± 13 years and diabetes duration 14 ± 6 years), lower baseline uEGF levels correlated with lower baseline expiration : inspiration ratios (P = 0.03) and greater annual declines in Valsalva ratios (P = 0.02) in the unadjusted model, and correlated with lower low-frequency power : high-frequency power ratios (P = 0.01) and greater annual changes in low-frequency power : high-frequency power ratios (P = 0.01) after adjustment for age, sex, body mass index, and hemoglobin A1C. In conclusion, baseline uEGF levels correlate to baseline and longitudinal changes in CAN indices. A large-scale, long-term study is needed to validate uEGF as a reliable CAN biomarker. |
Author | Tanner, Emily Ang, Lynn Lin, Yu Kuei Ju, Wenjun Pop‐Busui, Rodica Wang, Yuee Ye, Wen |
AuthorAffiliation | 2 Division of Nephrology, Department of Internal Medicine University of Michigan Ann Arbor Michigan USA 1 Division of Metabolism, Endocrinology and Diabetes, Department of Internal Medicine University of Michigan Ann Arbor Michigan USA 3 Department of Biostatistics, School of Public Health University of Michigan Ann Arbor Michigan USA |
AuthorAffiliation_xml | – name: 1 Division of Metabolism, Endocrinology and Diabetes, Department of Internal Medicine University of Michigan Ann Arbor Michigan USA – name: 2 Division of Nephrology, Department of Internal Medicine University of Michigan Ann Arbor Michigan USA – name: 3 Department of Biostatistics, School of Public Health University of Michigan Ann Arbor Michigan USA |
Author_xml | – sequence: 1 givenname: Yu Kuei orcidid: 0000-0003-1988-7046 surname: Lin fullname: Lin, Yu Kuei email: yuklin@med.umich.edu organization: University of Michigan – sequence: 2 givenname: Emily surname: Tanner fullname: Tanner, Emily organization: University of Michigan – sequence: 3 givenname: Yuee surname: Wang fullname: Wang, Yuee organization: University of Michigan – sequence: 4 givenname: Wen surname: Ye fullname: Ye, Wen organization: University of Michigan – sequence: 5 givenname: Lynn surname: Ang fullname: Ang, Lynn organization: University of Michigan – sequence: 6 givenname: Wenjun surname: Ju fullname: Ju, Wenjun organization: University of Michigan – sequence: 7 givenname: Rodica surname: Pop‐Busui fullname: Pop‐Busui, Rodica organization: University of Michigan |
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Cites_doi | 10.2215/CJN.11441114 10.1016/j.autneu.2020.102646 10.1177/2048004016677687 10.1016/j.jdiacomp.2016.03.008 10.2337/dc16-2042 10.1007/s11906-015-0571-z 10.2337/db19-0145 10.1016/j.diabres.2021.108945 10.1126/scitranslmed.aac7071 |
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Copyright | 2023 The Authors. published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd. 2023 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd. 2023. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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Keywords | Type 1 diabetes Endothelial growth factor Cardiovascular autonomic neuropathy |
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References | 2017; 40 2016; 5 2020; 225 2016; 30 2015; 17 2021; 178 2015; 7 2019; 68 2015; 10 e_1_2_7_6_1 e_1_2_7_11_1 e_1_2_7_5_1 e_1_2_7_10_1 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_9_1 e_1_2_7_8_1 e_1_2_7_7_1 e_1_2_7_2_1 |
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Snippet | The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was evaluated.... Abstract The relationship between urinary endothelial growth factor (uEGF) and cardiovascular autonomic neuropathy (CAN) in adults with type 1 diabetes was... |
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SubjectTerms | Adult Alcohol Autonomic Nervous System Autonomic Nervous System Diseases - complications Autonomic Nervous System Diseases - diagnosis Biomarkers Biomarkers - urine Body mass index Cardiovascular autonomic neuropathy Creatinine Diabetes Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 - complications Diabetic Neuropathies - etiology Diabetic neuropathy Endothelial growth factor Epidermal growth factor Epidermal Growth Factor - urine Female Hemoglobin Humans Male Middle Aged Ratios Short Report Standard deviation Type 1 diabetes Urine Young Adult |
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Title | Urinary epidermal growth factor levels correlate with cardiovascular autonomic neuropathy indices in adults with type 1 diabetes |
URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjdi.14049 https://www.ncbi.nlm.nih.gov/pubmed/37395013 https://www.proquest.com/docview/2866747742 https://www.proquest.com/docview/2832840393 https://pubmed.ncbi.nlm.nih.gov/PMC10512902 https://doaj.org/article/2a30adf80192496d8357f0c488a62531 |
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