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자료유형
학술저널
저자정보
최윤미 (한림대학교) 권혁상 (가톨릭대학교) 최경묵 (고려대학교) 이원영 (성균관대학교) 홍은경 (한림대학교)
저널정보
대한내분비학회 Endocrinology and Metabolism Endocrinology and Metabolism Vol.34 No.4
발행연도
2019.1
수록면
398 - 405 (8page)

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Background: To evaluate the changes in cardiovascular risk markers including pulse wave velocity (PWV), microalbuminuria, inflammatory cytokines, and adhesion molecules after treatment with beraprost sodium (BPS) in patients with diabetic nephropathyMethods: This was a multicenter, prospective, randomized, double-blind, placebo-controlled trial. Type 2 diabetes mellitus patientswith microalbuminuria were included. The primary endpoints were changes in microalbuminuria in spot urine and PWV after BPSor placebo (PCB) treatment for 24 weeks. The secondary endpoints were changes in clinical and metabolic parameters. Results: A total of 52 patients completed the 24-week trial. Changes in PWV were not different significantly in the BPS and PCBgroups (right, P=0.16; left, P=0.11). Changes in microalbuminuria were 14.2±157.0 and 34.5±146.6 (μg/mg Cr) in the BPS andPCB groups, respectively (P=0.63). Subgroup analysis in the high blood pressure (BP) group (baseline systolic BP >120 mm Hgand diastolic BP >80 mm Hg), showed that microalbuminuria decreased by –47.6 in the BPS group compared with an increase by116.4 (μg/mg Cr) in the PCB group (P=0.04). Also, in the large waist circumference group (>95 cm), microalbuminuria decreasedsignificantly in the BPS group (P=0.04). Conclusion: Short-term treatment of BPS for patients with diabetic nephropathy did not show significant improvement in variouscardiovascular risk factors. However, BPS significantly decreased microalbuminuria in study subjects with higher cardiovascularrisk such as high BP or large waist circumference

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