Tissue factor, tissue factor pathway inhibitor and factor VII activity in cardiovascular complicated type 2 diabetes mellitus

Joint Authors

al-Hajrasi, Rihab S.
Kamal, Jihan M.
al-Nabrawi, Inas Muhammad Sabri Muhammad
Sad, Abir Atiyyah
Abu al-Izz, Nahlah Fawwaz
Nasr, Hisham A. R.

Source

Egyptian Journal of Applied Endocrinology

Issue

Vol. 26, Issue 1-2 (31 Jul. 2008), pp.189-206, 18 p.

Publisher

The Egyptian Society of Applied Endocrinology

Publication Date

2008-07-31

Country of Publication

Egypt

No. of Pages

18

Main Subjects

Medicine

Topics

Abstract EN

Background : Tissue factor (TF) is the main initiator of the extrinsic coagulation pathway through factor VII (FVII) activation, which is physiologically inhibited by tissue factor pathway inhibitor (TFPI).

Alteration in this pathway has been described in Type 2 diabetes mellitus (T2DM).

Objectives : The aim of the work was to assess TF and TFPI plasma levels and FVII coagulant activity (FVIIa) in T2DM in relation to cardiothrombotic disease and their correlation to metabolic and clinical behavior of the patients. Patients and Methods : The study was conducted on 60 T2DM patients divided to groupI:30 patients without history or clinically detected heart disease and groupII:30 patients with a history of myocardial infarction compared to 19 controls.

Patients were recruited from Ain Shams University diabetes clinic from May/2008 to June/2009.

Peripheral blood samples were taken for measurement of plasma TF and TFPI levels using ELISA technique and quantitative FVIIa using FVII deficient plasma.

Results : Plasma levels of TF, TFPI and FVIIa were significantly higher in T2DM compared to controls (p<0.001).

TF and TFPI were significantly higher in groupII (236.50±79.23), (242.33±85.84) compared to groupI (150.33±81.16), (152.8± 82.46)(p<0.001).

FVIIa tended to be higher in group II, but the difference was not statistically significant (P=0.65).

TF and TFPI were significantly correlated to body mass index and glycemic control.

They were significantly higher in hypertensives and dyslipidemics (P=0.001),(P=0.006) but not in smokers (p=0.64),( p=0.11). Conclusion : There was correlation between high TF, TFPI plasma levels, FVIIa activity and cardiothrombotic complications in T2DM especially in the presence of high risk factors as poor glycemic control, dyslipidemia and obesity.

Future target therapy against TF may be beneficial for T2DM patients.

American Psychological Association (APA)

al-Hajrasi, Rihab S.& Kamal, Jihan M.& al-Nabrawi, Inas Muhammad Sabri Muhammad& Sad, Abir Atiyyah& Abu al-Izz, Nahlah Fawwaz& Nasr, Hisham A. R.. 2008. Tissue factor, tissue factor pathway inhibitor and factor VII activity in cardiovascular complicated type 2 diabetes mellitus. Egyptian Journal of Applied Endocrinology،Vol. 26, no. 1-2, pp.189-206.
https://search.emarefa.net/detail/BIM-248789

Modern Language Association (MLA)

Nasr, Hisham A. R.…[et al.]. Tissue factor, tissue factor pathway inhibitor and factor VII activity in cardiovascular complicated type 2 diabetes mellitus. Egyptian Journal of Applied Endocrinology Vol. 26, no. 1-2 (Jul. 2008), pp.189-206.
https://search.emarefa.net/detail/BIM-248789

American Medical Association (AMA)

al-Hajrasi, Rihab S.& Kamal, Jihan M.& al-Nabrawi, Inas Muhammad Sabri Muhammad& Sad, Abir Atiyyah& Abu al-Izz, Nahlah Fawwaz& Nasr, Hisham A. R.. Tissue factor, tissue factor pathway inhibitor and factor VII activity in cardiovascular complicated type 2 diabetes mellitus. Egyptian Journal of Applied Endocrinology. 2008. Vol. 26, no. 1-2, pp.189-206.
https://search.emarefa.net/detail/BIM-248789

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 199-203.

Record ID

BIM-248789