ABSTRACT
In this study, the association of the Pro12Ala peroxisome proliferator-activated receptor gamma2 (PPARgamma2) polymorphism with atherosclerosis was examined in a Japanese Type 2 diabetic population. PPARgamma has been identified as a key regulator of adipogenesis. Recently, some studies reported that the Pro12Ala polymorphism was associated with resistance to Type 2 diabetes. It is well-known that Type 2 diabetes is closely related with disorder of lipid metabolism as well as impaired glucose homeostasis, resulting in atherosclerosis. We aimed to evaluate the association between carriers of the Pro12Ala PPARgamma2 mutation and clinical profiles concerning atherosclerosis besides plasma glucose and lipid concentrations. Screening for the mutation was performed using the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method among 154 Type 2 diabetic patients. The homozygotes of the Pro12 allele were 143 (93%), the heterozygotes of the Pro12 and Ala12 allele were 11 (7%) and the homozygote of the Ala12 allele was not detected. The group with the Ala12 allele had a significantly lower value of carotid artery intima-media thickness (IMT) than that without it, although there was no difference between two groups in sex, age or other clinical variables we examined. The Pro12Ala PPARgamma2 polymorphism may be associated with carotid artery IMT values in Type 2 diabetes mellitus.
Subject(s)
Alanine , Carotid Arteries/physiology , Polymorphism, Single Nucleotide/genetics , Proline , Receptors, Cytoplasmic and Nuclear/genetics , Transcription Factors/genetics , Tunica Intima/physiology , Tunica Media/physiology , Adult , Aged , Arteriosclerosis/epidemiology , Base Sequence , Body Mass Index , DNA/blood , DNA/genetics , DNA Primers , Diabetes Mellitus, Type 2/genetics , Diabetes Mellitus, Type 2/physiopathology , Humans , Japan , Middle AgedABSTRACT
PURPOSE: To study the blood flow velocity in the central retinal vein after the resolution of non-ischemic central retinal vein occlusion (CRVO) with optociliary vein (OCV). METHODS: Eleven patients and 22 healthy volunteers were studied. Indocyanine green (ICG) angiography was used to investigate the choroidal veins in the affected eyes. Color Doppler imaging was used to measure the blood velocity in the central retinal artery and vein in the 11 affected and 22 healthy eyes. RESULTS: Indocyanine green angiography verified the formation of retinochoroidal collaterals in all the affected eyes. The velocity in the central retinal vein was significantly lower in the affected eyes. CONCLUSIONS: The results indicate that the collaterals are important routes of extraretinal outflow of retinal venous blood. It is recommended in the investigation of CRVO by color Doppler imaging to perform ICG angiography to determine if retinochoroidal collateral veins have been formed.
