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Cited by 585

The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.

Relation between Complications of Type I Diabetes Mellitus and Collagen-Linked Fluorescence

Monnier, Vincent M., Vishwanath, Vasanth, Frank, Kay E., Elmets, Craig A., Dauchot, Paul, Kohn, Robert R.·1986·New England Journal of Medicine

Abstract

Nonenzymatically glycosylated proteins gradually form fluorescent cross-linked protein adducts--a process termed "browning." The rate of this reaction increases with the glucose concentration. Assaying for the presence of browning products in long-lived proteins should therefore provide information on long-term metabolic control. We measured collagen-linked fluorescence typical for nonenzymatic browning in skin-biopsy specimens from 41 subjects with longstanding Type I diabetes and from 25 controls. Fluorescence correlated with age and (weakly) with the duration of diabetes. Mean age-adjusted fluorescence values were twice as high in diabetic subjects as in control subjects (P less than 0.0001) and increased with the severity of retinopathy, nephropathy, and arterial and joint stiffness. The correlation was significant for retinopathy (r = 0.42; P less than 0.01), arterial stiffness (r = 0.41; P less than 0.01), joint stiffness (r = 0.34; P less than 0.05), and the sum of all complications (r = 0.47; P less than 0.01). Fluorescence also correlated with systolic (r = 0.42; P less than 0.01) and diastolic (r = 0.36; P less than 0.05) blood pressures. If one can assume that the fluorescence results from a browning product of glucose, our data suggest that there is an overall correlation between the severity of diabetic complications and cumulative glycemia over many years.

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Metadata

Authors
Monnier, V. M., Vishwanath, V., Frank, K. E., Elmets, C. A., Dauchot, P., & Kohn, R. R.
Venue
New England Journal of Medicine
Published
1986-02-13
Volume
314
Issue
7
Pages
403-408
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2337292567
Cited by
585
References
19
FWCI
14.30
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Relation between Complications of Type I Diabetes Mellitus and Collagen-Linked Fluorescence. https://app.cochat.ai/papers/10.1056/nejm198602133140702
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Monnier, V. M., Vishwanath, V., Frank, K. E., Elmets, C. A., Dauchot, P., & Kohn, R. R. (1986). Relation between Complications of Type I Diabetes Mellitus and Collagen-Linked Fluorescence. New England Journal of Medicine. https://doi.org/10.1056/nejm198602133140702

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