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Sebastian Sixt, Sebastian Beer, Matthias Blüher, Nicolai Korff, Thomas Peschel, Melanie Sonnabend, Daniel Teupser, Joachim Thiery, Volker Adams, Gerhard Schuler, Josef Niebauer, Long- but not short-term multifactorial intervention with focus on exercise training improves coronary endothelial dysfunction in diabetes mellitus type 2 and coronary artery disease, European Heart Journal, Volume 31, Issue 1, January 2010, Pages 112–119, https://doi.org/10.1093/eurheartj/ehp398
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Abstract
Patients with type 2 diabetes mellitus (T2DM) suffer from accelerated coronary artery disease. We assessed the effects of a multifactorial intervention with focus on exercise training on coronary endothelial function, vascular structure, and inflammation in serum and skeletal muscle biopsies, including mRNA expression of diabetes candidate genes.
Twenty-three patients were randomized to either 4 weeks in-hospital exercise training (6 × 15 min bicycle/day, 5 days/week) and a hypocaloric diet, followed by a 5 months ambulatory program (30 min ergometer/day, 5 days/week, plus 1 h group exercise/week), or a control group. At the beginning of the study, at 4 weeks, and after 6 months changes in diameter of coronary arteries in response to acetylcholine and mean peak flow velocity were invasively measured; intramural plaques were assessed by intravascular ultrasound. Six months of intervention led to significant improvement of coronary endothelial function, whereas intramural plaque burden remained unchanged. After 4 weeks, endothelial function remained unchanged, however, lowest values for fasting glucose, HbA1c, high-sensitive C-reactive protein, total and LDL-cholesterol, and highest values for mRNA expression in skeletal muscle of p22, gp91, haem oxygenase 1, peroxisome proliferator activator receptor (PPAR) α and γ were observed. There was a continuous increase for AdipoR1, AdipoR2, Glut4, interleukin-6, endothelial nitric oxide synthase, and PPARγ-coactivator-1α mRNA expression in skeletal muscle.
This is the first study to demonstrate improvement in coronary endothelial function by a multifactorial intervention which focused on exercise training in patients with T2DM. This coincided with improved markers of hyperglycaemia, insulin sensitivity, and inflammation both in serum and skeletal muscle biopsies.
- acetylcholine
- coronary arteriosclerosis
- ldl cholesterol lipoproteins
- inflammation
- endothelial dysfunction
- intravascular ultrasonography
- diabetes mellitus, type 2
- exercise
- endothelium
- skeletal muscles
- nitric oxide synthase
- rna, messenger
- c-reactive protein
- interleukin-6
- insulin sensitivity
- candidate disease gene
- diameter
