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Cited by 796

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Acute Hyperglycemia Attenuates Endothelium-Dependent Vasodilation in Humans In Vivo

Open access
Williams, Stephen B., Goldfine, Allison B., Timimi, Farris K., Ting, Henry H., Roddy, Mary-Anne, Simonson, Donald C., Creager, Mark A.·1998·Circulation

Abstract

Background—Endothelial function is impaired in patients with diabetes mellitus. However, the factors contributing to this defect are currently unknown. Hyperglycemia attenuates endothelium-dependent relaxation in normal rabbit arteries in vitro and rat arterioles in vivo. Accordingly, this study examined the effect of acute hyperglycemia on endothelium-dependent vasodilation in nondiabetic humans in vivo. Methods and Results—Endothelium-dependent vasodilation was assessed through brachial artery infusion of methacholine chloride both before and during 6 hours of local hyperglycemia (300 mg/dL) achieved by intra-arterial infusion of 50% dextrose. Forearm blood flow was determined by plethysmography. In a group of 10 subjects, there was a trend toward attenuated methacholine-mediated vasodilation during hyperglycemia compared with euglycemia (P=.07 by ANOVA; maximal response, 13.3±2.8 versus 14.7±1.5 mL · min−1· 100 mL−1, respectively). In these subjects, the systemic serum insulin levels increased significantly during the dextrose infusion (P<.001). To eliminate the confounding vasoactive effects of insulin, the protocol was repeated during systemic infusion of octreotide (30 ng · kg−1· min−1) to inhibit pancreatic secretion of insulin. In these subjects (n=10), hyperglycemia significantly attenuated the forearm blood flow response to methacholine (P<.01 by ANOVA; maximal response, 16.9±2.5 before versus 12.7±1.8 mL · min−1· 100 mL−1 during hyperglycemia). Methacholine-mediated vasodilation was not attenuated by an equimolar infusion of mannitol (P>.40), nor did hyperglycemia reduce endothelium-independent vasodilation to verapamil (P>.50). Conclusions—Acute hyperglycemia impairs endothelium-dependent vasodilation in healthy humans in vivo. This finding suggests that elevated glucose may contribute to the endothelial dysfunction observed in patients with diabetes mellitus.

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Crossref · 10.1161/01.cir.97.17.1695

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Metadata

Authors
Williams, S. B., Goldfine, A. B., Timimi, F. K., Ting, H. H., Roddy, M.-A., Simonson, D. C., & Creager, M. A.
Venue
Circulation
Published
1998-05-05
Volume
97
Issue
17
Pages
1695-1701
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2089736652
Cited by
796
References
2
FWCI
16.46
Type
journal article
Language
en
Open access
bronze

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