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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Diabetes+Investig
2017 ; 8
(3
): 330-340
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Linagliptin improves endothelial function in patients with type 2 diabetes: A
randomized study of linagliptin effectiveness on endothelial function
#MMPMID27868359
Shigiyama F
; Kumashiro N
; Miyagi M
; Iga R
; Kobayashi Y
; Kanda E
; Uchino H
; Hirose T
J Diabetes Investig
2017[May]; 8
(3
): 330-340
PMID27868359
show ga
AIMS/INTRODUCTION: The present multicenter, prospective, controlled, open and
randomized three-arm parallel study was designed to compare the effects of
linagliptin with those of metformin on endothelial function. MATERIALS AND
METHODS: Type 2 diabetes patients treated with 750 mg of metformin (hemoglobin
A1c ?6.0% and <8.0%, n = 96) were randomized to continue metformin 750 mg/day
(control group, n = 29), metformin at 1,500 mg/day (metformin group, n = 26) and
metformin 750 mg/day supplemented with linagliptin 5 mg/day (linagliptin add-on
group, n = 29) and treated for 16 weeks. Vascular endothelial function was
evaluated by flow-mediated dilation. The primary end-point was changes in
flow-mediated dilation at 16 weeks relative to baseline. RESULTS: Linagliptin
significantly improved flow-mediated dilation from baseline (4.9 ± 2.7%) to 16
weeks (6.3 ± 2.7%, P < 0.05), whereas the other groups did not show any changes.
Hemoglobin A1c at 16 weeks was significantly lower in the metformin and
linagliptin add-on groups compared with the control (6.6 ± 0.6%, 6.5 ± 0.5% and
7.0 ± 0.6%, respectively). Single and multiple regression analyses showed that
apolipoprotein B correlated significantly with change in flow-mediated dilation,
and apolipoprotein B was decreased only in the linagliptin add-on group (-6.0 ±
11.3 mg/dL, P < 0.01). CONCLUSIONS: Linagliptin for 16 weeks improved endothelial
function with a modest improvement in glycemic control. This effect was mediated,
at least in part, by reduction in apolipoprotein B. Linagliptin has a protective
role on endothelial function in patients with type 2 diabetes with moderate
hyperglycemia.