Advanced glycation end products via skin autofluorescence as potential marker of carotid atherosclerosis in patients with type 2 diabetes
Ying, Lingwen3; Shen, Yun3; Zhang, Yang1,2; Wang, Yikun1; Liu, Yong1; Yin, Jun3; Wang, Yufei3; Yin, Jingrong3; Zhu, Wei3; Bao, Yuqian3
刊名NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES
2021-11-29
卷号31
关键词Advanced glycation end products Carotid atherosclerosis Cardiovascular events Non-invasive Type 2 diabetes
ISSN号0939-4753
DOI10.1016/j.numecd.2021.09.005
通讯作者Wang, Yikun(wyk@aiofm.ac.cn) ; Zhou, Jian(zhoujian@sjtu.edu.cn)
英文摘要Background and aims: Advanced glycation end products (AGEs) are reported to be correlated with diabetic vascular complications. This study aimed to investigate the association between AGEs and carotid atherosclerosis (CAS) as a surrogate marker of cardiovascular disease (CVD). Methods and results: A total of 1006 patients with type 2 diabetes were included. CAS was defined as the presence of carotid arterial atherosclerotic plaque in any of bilateral carotid artery segments measured by ultrasonography. AGEs were measured by the noninvasive skin autofluorescence method. AGE(age) index was calculated as AGEs x age/100. Patients with CAS showed a significantly higher AGE(age) (P < 0.01), and the prevalence of CAS increased with ascending AGE(age) levels (P for trend < 0.001). Logistic regression analysis revealed that AGE(age) was significantly positively associated with odds of CAS, and the odds ratios of the presence of CAS across quartiles of AGE(age) were 1.00, 3.00 [95% confidence interval (CI) 1.90-4.74], 4.04 (95% CI 2.50-6.53 ) and 4.99 (95% CI 2.97-8.40 ) for the multivariable-adjusted model (P for trend <0.001), respectively. In the fully adjusted model, each 5.0 increase in AGE(age) was associated with a 0.019 mm increment in carotid intima-media thickness. Furthermore, AGE(age) presented an acceptable predictive value for CAS, with an optimal cutoff point of 43.2, and the sensitivity, specificity and area under the curve (AUC) were 74.5% (95% CI 70.7-78.1 %), 61.9% (95%CI 57.2-66.4%) and 0.735 (0.706-0.762), respectively. Conclusion: AGE(age), the noninvasive measurement of AGEs combined with age is a promising approach for triaging patients at high risk of CVDs. (C) 2021 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.
资助项目National Key R&D Program of China[2018YFC2000802] ; Shanghai Municipal Educa-tion CommissiondGaofeng Clinical Medicine Grant Sup-port[20161430] ; Bureau of International Cooperation, Chinese Academy of Sciences[116134KYSB20170018] ; Natural Science Foundation of Anhui Province of China[1908085QH365]
WOS关键词INTIMA-MEDIA THICKNESS ; LONG-TERM COMPLICATIONS ; RISK ; ENDPRODUCTS ; ASSOCIATION ; PROGRESSION ; MELLITUS ; DISEASE ; PEOPLE
WOS研究方向Cardiovascular System & Cardiology ; Endocrinology & Metabolism ; Nutrition & Dietetics
语种英语
出版者ELSEVIER SCI LTD
WOS记录号WOS:000722579400021
资助机构National Key R&D Program of China ; Shanghai Municipal Educa-tion CommissiondGaofeng Clinical Medicine Grant Sup-port ; Bureau of International Cooperation, Chinese Academy of Sciences ; Natural Science Foundation of Anhui Province of China
内容类型期刊论文
源URL[http://ir.hfcas.ac.cn:8080/handle/334002/126712]  
专题中国科学院合肥物质科学研究院
通讯作者Wang, Yikun; Zhou, Jian
作者单位1.Chinese Acad Sci, Hefei Inst Phys Sci, Anhui Inst Opt & Fine Mech, 350 Shushanhu Rd, Hefei 230031, Anhui, Peoples R China
2.Univ Sci & Technol China, Hefei 230026, Peoples R China
3.Shanghai Jiao Tong Univ, Affiliated Peoples Hosp 6, Shanghai Clin Ctr Diabet,Shanghai Key Lab Diabet, Shanghai Diabet Inst,Dept Endocrinol & Metab, Shanghai 200233, Peoples R China
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Ying, Lingwen,Shen, Yun,Zhang, Yang,et al. Advanced glycation end products via skin autofluorescence as potential marker of carotid atherosclerosis in patients with type 2 diabetes[J]. NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES,2021,31.
APA Ying, Lingwen.,Shen, Yun.,Zhang, Yang.,Wang, Yikun.,Liu, Yong.,...&Zhou, Jian.(2021).Advanced glycation end products via skin autofluorescence as potential marker of carotid atherosclerosis in patients with type 2 diabetes.NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES,31.
MLA Ying, Lingwen,et al."Advanced glycation end products via skin autofluorescence as potential marker of carotid atherosclerosis in patients with type 2 diabetes".NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES 31(2021).
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