Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28724799
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 JCI+Insight
2017 ; 2
(14
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Galantamine alleviates inflammation and insulin resistance in patients with
metabolic syndrome in a randomized trial
#MMPMID28724799
Consolim-Colombo FM
; Sangaleti CT
; Costa FO
; Morais TL
; Lopes HF
; Motta JM
; Irigoyen MC
; Bortoloto LA
; Rochitte CE
; Harris YT
; Satapathy SK
; Olofsson PS
; Akerman M
; Chavan SS
; MacKay M
; Barnaby DP
; Lesser ML
; Roth J
; Tracey KJ
; Pavlov VA
JCI Insight
2017[Jul]; 2
(14
): ä PMID28724799
show ga
BACKGROUND: Metabolic syndrome (MetS) is an obesity-driven condition of pandemic
proportions that increases the risk of type 2 diabetes and cardiovascular
disease. Pathophysiological mechanisms are poorly understood, though inflammation
has been implicated in MetS pathogenesis. The aim of this study was to assess the
effects of galantamine, a centrally acting acetylcholinesterase inhibitor with
antiinflammatory properties, on markers of inflammation implicated in insulin
resistance and cardiovascular risk, and other metabolic and cardiovascular
indices in subjects with MetS. METHODS: In this randomized, double-blind,
placebo-controlled trial, subjects with MetS (30 per group) received oral
galantamine 8 mg daily for 4 weeks, followed by 16 mg daily for 8 weeks or
placebo. The primary outcome was inflammation assessed through plasma levels of
cytokines and adipokines associated with MetS. Secondary endpoints included body
weight, fat tissue depots, plasma glucose, insulin, homeostasis model assessment
of insulin resistance (HOMA-IR), cholesterol (total, HDL, LDL), triglycerides,
BP, heart rate, and heart rate variability (HRV). RESULTS: Galantamine resulted
in lower plasma levels of proinflammatory molecules TNF (-2.57 pg/ml [95% CI
-4.96 to -0.19]; P = 0.035) and leptin (-12.02 ng/ml [95% CI -17.71 to -6.33]; P
< 0.0001), and higher levels of the antiinflammatory molecules adiponectin (2.71
?g/ml [95% CI 1.93 to 3.49]; P < 0.0001) and IL-10 (1.32 pg/ml, [95% CI 0.29 to
2.38]; P = 0.002) as compared with placebo. Galantamine also significantly
lowered plasma insulin and HOMA-IR values, and altered HRV. CONCLUSION: Low-dose
galantamine alleviates inflammation and insulin resistance in MetS subjects.
These findings support further study of galantamine in MetS therapy. TRIAL
REGISTRATION: ClinicalTrials.gov, number NCT02283242. FUNDING: Fundação de Amparo
a Pesquisa do Estado de São Paulo (FAPESP) and Conselho Nacional de
Desenvolvimento Científico e Tecnológico (CNPq), Brazil, and the NIH.