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Effect of chronic hyperglycaemia on the parameters of protein, lipid metabolism and platelet-coagulation haemostasis in acromegaly

https://doi.org/10.14341/2071-8713-5299

Abstract

The aim of the research. Assessing the impact of chronic hyperglycemia on the parameters of the protein, lipid metabolism
and platelet-coagulation haemostasis in patients with active phase of acromegaly. Materials and methods: The research included 58 patients
with the active phase of acromegaly (36 women and 28 men), median age 50 (43, 57) years, disease duration 9.0 (5.0, 15.0) years,
26 of whom had verified diabetes mellitus. Results: Biochemical parameters and parameters of haemostasis in patients with active
phase of acromegaly with normoglycemia differed from the control group by higher levels of total cholesterol, high-density lipoproteins,
an increase in the average volume of platelet aggregation and enhancement of their function. The presence of diabetes mellitus
was accompanied by the increase in concentration of total cholesterol, triglycerides, decrease in high-density lipoproteins, and increase
in fibrinogen concentration, soluble fibrin-monomeasured complexes, as well as reduction of disaggregation properties of platelets
and enhancement of ejection reactions. Conclusion: The presence of diabetes mellitus with acromegaly can be regarded as a significant
risk factor for atherogenic dyslipidemia, hyperfibrinogenemia and platelet disfunction.

About the Authors

G Petrik



S Pavlishchuk



References

1. Алгоритмы специализированной медицинской помощи больным сахарным диабетом (Издание четвертое) / Под. ред. И.И. Дедова, М.В. Шестаковой. - М., 2009. - 103 с.

2. Эндокринология: Национальное руководство. Под ред. И.И. Дедова, Г.А. Мельниченко. М.:ГЭОТАР-МЕДИА.2008:643.

3. Пронин В.С., Молитвословова Н.Н. Акромегалия. Этиология, патогенез, кли- ника, диагностика, лечение / Под ред. И.И. Дедова, Г.А.Мельниченко. - М., 2009. - С. 171-172.

4. Ayuk J., Sheppard M.C. Growth hormone and its disorders // Postgrad Med J. - 2006. - № 82 (963). - Р. 24-30.

5. Becker K.L. Principles and Practice of Endocrinology and Metabolism (Third Edition). - Lippincott Williams & Wilkins, Phyladelphia, USA. - 2001. - № 143.

6. Boero L., Manavela M., Rosso L.G. et al. Alterations in biomarkers of cardiovascular disease in active acromegaly // Clin Endocrinol. - 2009. - № 70 (1). - Р. 88-95.

7. Colao A., Ferone D., Marzullo P. et al Systemic complications of acromegaly: epidemiology, pathogenesis, and management // Endocr Rev. - 2004. - № 25. - Р. 102-152.

8. Grellier P., Chanson P., Casadevall N. et al. Remission of Polycythemia Vera after Surgical Cure of Acromegaly // Ann Intern Med. - 1996. - № 124. - Р. 149.

9. Guerci B., Kearney-Schwartz A., Bohme P. et al. Endothelial dysfunction and type 2 diabetes // Diabetes Metab (Paris). - 2001. - № 27. - Р. 425-434.

10. Kannel W.B., D'Agostino R.B., Wilson P.W. et al. Diabetes, fibrinogen, and risk of cardiovascular disease: the Framingham experience // Am Heart J. - 1990. - № 120. - Р. 672-76.

11. Kreze A., KrezeSpirova E., Mikulecky M. Risk factors for glucose intolerance in active acromegaly // Braz J Med Biol Res. - 2001. - № 34. - Р. 1429-1433.

12. Le Dévéhat C., Khodabandehlou T., Vimeux M. Diabetes mellitus and fibrinogen. Hemorrheological and microcirculatory consequence // J Mal Vasc. - 2000. - № 25 (1). - Р. 53-57.

13. Michelson A.D. Platelets (Second Edition). Academic Press. - 2007. - Р. 697-713.

14. Rajasoorya C., Holdaway I.M., Wrightson P. et al. Determinants of clinical outcome and survival in acromegaly // Clin.Endocrinol.(Oxf.). - 1994. - № 41. - Р. 95-102.

15. Sarji K.E., Levine J.H., Nair R.M.G. et al. Relation between growth hormone levels and von Willebrand factor activity // J Clin Endocrinol Metab. - 1977. - № 45 (4). - Р. 853-856.

16. Savino W., Smaniotto S., Dardenne M. Hematopoiesis / In.: The Growth Hormone/ Insulin-like Growth Factor Axis During Development. - Springer Sciens + Business Media, Inc. - 2005. - Р. 167-168.

17. Sonenberg M. Interaction of Human Growth Hormone and Human Erythrocyte Membranes Studied by Intrinsic Fluorescence // Proc Natl cad Sci USA. - 1971. - № 68 (5). - Р. 1051-1055.

18. Targher G., Pichiri I., Zoppini G. et al. Hemostatic and Fibrinolytic Abnormalities in Endocrine Diseases: A Narrative Review // Semin Thromb Hemost. - 2009. - № 35 (7). - Р. 605-612.


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For citations:


 ,   Effect of chronic hyperglycaemia on the parameters of protein, lipid metabolism and platelet-coagulation haemostasis in acromegaly. Obesity and metabolism. 2011;8(4):23-27. (In Russ.) https://doi.org/10.14341/2071-8713-5299

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ISSN 2071-8713 (Print)
ISSN 2306-5524 (Online)