Association of glycemic variability and the presence and severity of coronary artery disease in patients with type 2 diabetes

<p>Abstract</p> <p>Background</p> <p>Glucose variability is one of components of the dysglycemia in diabetes and may play an important role in development of diabetic vascular complications. The objective of this study was to assess the relationship between glycemic variability determined by a continuous glucose monitoring (CGM) system and the presence and severity of coronary artery disease (CAD) in patients with type 2 diabetes mellitus (T2DM).</p> <p>Methods</p> <p>In 344 T2DM patients with chest pain, coronary angiography revealed CAD (coronary stenosis ≥ 50% luminal diameter narrowing) in 252 patients and 92 patients without CAD. Gensini score was used to assess the severity of CAD. All participants' CGM parameters and biochemical characteristics were measured at baseline.</p> <p>Results</p> <p>Diabetic patients with CAD were older, and more were male and cigarette smokers compared with the controls. Levels of the mean amplitude of glycemic excursions (MAGE) (3.7 ± 1.4 mmol/L vs. 3.2 ± 1.2 mmol/L, p < 0.001), postprandial glucose excursion (PPGE) (3.9 ± 1.6 mmol/L vs. 3.6 ± 1.4 mmol/L, p = 0.036), serum high-sensitive C-reactive protein (hs-CRP) (10.7 ± 12.4 mg/L vs. 5.8 ± 6.7 mg/L, p < 0.001) and creatinine (Cr) (87 ± 23 mmol/L vs. 77 ± 14 mmol/L, p < 0.001) were significantly higher in patients with CAD than in patients without CAD. Gensini score closely correlated with age, MAGE, PPGE, hemoglobin A_1c(HbA_1c), hs-CRP and total cholesterol (TC). Multivariate analysis indicated that age (p < 0.001), MAGE (p < 0.001), serum levels of HbA_1c(p = 0.022) and hs-CRP (p = 0.005) were independent determinants for Gensini score. Logistic regression analysis revealed that MAGE ≥ 3.4 mmol/L was an independent predictor for CAD. The area under the receiver-operating characteristic curve for MAGE (0.618, p = 0.001) was superior to that for HbA_1c(0.554, p = 0.129).</p> <p>Conclusions</p> <p>The intraday glycemic variability is associated with the presence and severity of CAD in patients with T2DM. Effects of glycemic excursions on vascular complications should not be neglected in diabetes.</p

Eosinophilia triggers changes in IL-5, eotaxin and IL-17, and acts as a prognostic biomarker for atopic dermatitis

Purpose: To investigate the implication of eosinophilia in atopic dermatitis (AD).Methods: A total of 139 AD patients from The First Affiliated Hospital of Guangxi University of Chinese Medicine between February 2013 and May 2015, were involved in this study. Scoring atopic dermatitis (SCORAD) index was used to evaluate the skin lesions. The levels of IL-4, IL-5, IL-13, IL-17, INFgamma, IP-10, eotaxin and Regulated on Activation, Normal T-cell Expressed and Secreted (RANTES), were determined with commercial enzyme-linked immunosorbent assay (ELISA) kits. Eosinophil counts were carried out by granulocyte count method. Correlation between SCORAD scores and levels of cytokines was analyzed using the Spearman correlation method.Results: SCORAD scores significantly increased in the eosinophil-positive group when compared to eosinophil-negative group (p &lt; 0.05). Eosinophil counts correlated with SCORAD scores in the eosinophil-positive group (p &lt; 0.05). INF-γ, IP-10 and RANTES levels were significantly higher in the eosinophil-positive group than in eosinophil- negative group, while IL-5, eotaxin and IL-17 levels significantly decreased in eosinophil-positive group (p &lt; 0.05). In the eosinophil-positive group, IL-5, eotaxin and IL-17 levels positively correlated with SCORAD scores.Conclusion: Eosinophilia triggers lL-5, eotaxin and IL-17 changes and acts as a prognostic biomarker for atopic dermatitis. These findings may give further insights into the pathogenesis of AD.Keywords: Atopic dermatitis, Eosinophilia, SCORAD score, Biomarker, Cytokine

A Three-Dimensional Porous Conducting Polymer Composite with Ultralow Density and Highly Sensitive Pressure Sensing Properties

An ultralight conducting polyaniline/SiC/polyacrylonitrile (PANI/SiC/PAN) composite was fabricated by in situ polymerization of aniline monomer on the surface of fibers in SiC/PAN aerogel. The SiC/PAN aerogel was obtained by electrospinning, freeze-drying, and heat treatment. The ingredient, morphology, structure, and electrical properties of the aerogel before and after in situ polymerization were investigated by X-ray powder diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), scanning electron microscope (SEM), and voltage-current characteristic measurement. The thermostability of PANI/SiC/PAN composite was investigated by thermogravimetric analysis (TGA) and electrical resistance measured at different temperatures. The density of the PANI/SiC/PAN composite was approximately 0.211 g cm−3, the porosity was 76.44%, and the conductivity was 0.013 S m−1. The pressure sensing properties were evaluated at room temperature. The electrical resistance of as-prepared sample decreased gradually with the increase of pressure. Furthermore, the pressure sensing process was reversible and the response time was short (about 1 s). This composite may have application in pressure sensor field