C-Peptide in insulin resistance and vascular complications: teaching an old dog new tricks.

C-Peptide in insulin resistance and vascular complications: teaching an old dog new tricks.
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C 肽在胰岛素抵抗和血管并发症中的作用:教老狗新把戏。

DOI:
10.1161/01.res.0000251785.83860.3b
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发表时间:
2006
影响因子:
20.1
通讯作者:
Bruemmer,Dennis
Bruemmer,Dennis
中科院分区:
医学1区
文献类型:
--
作者:
Bruemmer,Dennis

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Based on the recent evidence that patients with type 2 diabetes have the same risk of myocardial infarction as nondiabetic subjects with a history of infarction, diabetes has been designated as an atherosclerosis equivalent. 1 Insulin resistance plays a primary role in the development of type 2 diabetes and considerable evidence supports the association between insulin resistance, hyperinsulinemia, and vascular disease. 2, 3 Although the molecular mechanisms are incompletely understood, this association is supported by several large clinical studies showing a direct relationship between insulin levels and cardiovascular risk. The Paris Prospective Study4 and the Multiple Risk Factor Intervention Trial (MRFIT) 5 reported positive relationships between insulin levels and atherosclerotic events. In addition, the Veterans Affairs High Density Lipoprotein Intervention Trial (VA-HIT) 6 demonstrated the highest incidence of cardiovascular events in the subgroups with highest levels of insulin. Finally, the landmark Insulin Resistance Atherosclerosis Study (IRAS) provided further evidence for an inverse relationship between carotid intima-medial thickness and insulin sensitivity. 7
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