Diverging effects of diabetes mellitus in patients with peripheral artery disease and abdominal aortic aneurysm and the role of advanced glycation end-products : ARTERY study - protocol for a multicentre cross-sectional study

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INTRODUCTION: Diabetes mellitus is a well-defined risk factor for peripheral artery disease (PAD), but protects against the development and growth of abdominal aortic aneurysm (AAA). Diabetes mellitus is associated with arterial stiffening and peripheral arterial media sclerosis. Advanced glycation end-products (AGEs) are increased in diabetes mellitus and cardiovascular disease. AGEs are known to form cross-links between proteins and are associated with arterial stiffness. Whether AGEs contribute to the protective effects of diabetes mellitus in AAA is unknown. Therefore, the ARTERY (Advanced glycation end-pRoducts in patients with peripheral arTery disEase and abdominal aoRtic aneurYsm) study is designed to evaluate the role of AGEs in the diverging effects of diabetes mellitus on AAA and PAD.

METHODS AND ANALYSIS: This cross-sectional multicentre study will compare the amount, type and location of AGEs in the arterial wall in a total of 120 patients with AAA or PAD with and without diabetes mellitus (n=30 per subgroup). Also, local and systemic vascular parameters, including pulse wave velocity, will be measured to evaluate the association between arterial stiffness and AGEs. Finally, AGEs will be measured in serum, urine, and assessed in skin with skin autofluorescence using the AGE Reader.

ETHICS AND DISSEMINATION: This study is approved by the Medical Ethics committees of University Medical Center Groningen, Martini Hospital and Medisch Spectrum Twente, the Netherlands. Study results will be disseminated through peer-reviewed journals and scientific events.

TRIAL REGISTRATION NUMBER: trialregister.nl NTR 5363.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:7

Enthalten in:

BMJ open - 7(2017), 4 vom: 11. Apr., Seite e012584

Sprache:

Englisch

Beteiligte Personen:

de Vos, L C [VerfasserIn]
Boersema, J [VerfasserIn]
Hillebrands, J L [VerfasserIn]
Schalkwijk, C G [VerfasserIn]
Meerwaldt, R [VerfasserIn]
Breek, J C [VerfasserIn]
Smit, A J [VerfasserIn]
Zeebregts, C J [VerfasserIn]
Lefrandt, J D [VerfasserIn]

Links:

Volltext

Themen:

Abdominal aortic aneurysm
Advanced glycation end products
Diabetes mellitus
Glycation End Products, Advanced
Journal Article
Multicenter Study
Peripheral artery disease
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 20.12.2017

Date Revised 02.02.2019

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bmjopen-2016-012584

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM270878882