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Erschienen in: Diabetologia 1/2006

01.01.2006 | Article

The in vivo effects of the Pro12Ala PPARγ2 polymorphism on adipose tissue NEFA metabolism: the first use of the Oxford Biobank

verfasst von: G. D. Tan, M. J. Neville, E. Liverani, S. M. Humphreys, J. M. Currie, L. Dennis, B. A. Fielding, F. Karpe

Erschienen in: Diabetologia | Ausgabe 1/2006

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Abstract

Aims/hypothesis

To investigate the phenotypic effects of common polymorphisms on adipose tissue metabolism and cardiovascular risk factors, we set out to establish a biobank with the unique feature of allowing a prospective recruit-by-genotype approach. The first use of this biobank investigates the effects of the peroxisome proliferator-activated receptor (PPAR) Pro12Ala polymorphism on integrative tissue-specific physiology. We hypothesised that Ala12 allele carriers demonstrate greater adipose tissue metabolic flexibility and insulin sensitivity.

Materials and methods

From a comprehensive population register, subjects were recruited into a biobank, which was genotyped for the Pro12Ala polymorphism. Twelve healthy male Ala12 carriers and 12 matched Pro12 homozygotes underwent detailed physiological phenotyping using stable isotope techniques, and measurements of blood flow and arteriovenous differences in adipose tissue and muscle in response to a mixed meal containing [1,1,1-13C]tripalmitin.

Results

Of 6,148 invited subjects, 1,072 were suitable for inclusion in the biobank. Among Pro12 homozygotes, insulin sensitivity correlated with HDL-cholesterol concentrations, and inversely correlated with blood pressure, apolipoprotein B, triglyceride and total cholesterol concentrations. Ala12 carriers showed no such correlations. In the meal study, Ala12 carriers had lower plasma NEFA concentrations, higher adipose tissue and muscle blood flow, and greater insulin-mediated postprandial hormone-sensitive lipase suppression along with greater insulin sensitivity than Pro12 homozygotes.

Conclusions/interpretation

This study shows that a recruit-by-genotype approach is feasible and describes the biobank’s first application, providing tissue-specific physiological findings consistent with the epidemiological observation that the PPAR Ala12 allele protects against the development of type 2 diabetes.
Literatur
1.
Zurück zum Zitat Kersten S, Desvergne B, Wahli W (2000) Roles of PPARs in health and disease. Nature 405:421–424PubMedCrossRef Kersten S, Desvergne B, Wahli W (2000) Roles of PPARs in health and disease. Nature 405:421–424PubMedCrossRef
2.
Zurück zum Zitat Yen CJ, Beamer BA, Negri C et al (1997) Molecular scanning of the human peroxisome proliferator activated receptor gamma (hPPAR gamma) gene in diabetic Caucasians: identification of a Pro12Ala PPAR gamma 2 missense mutation. Biochem Biophys Res Commun 241:270–274PubMedCrossRef Yen CJ, Beamer BA, Negri C et al (1997) Molecular scanning of the human peroxisome proliferator activated receptor gamma (hPPAR gamma) gene in diabetic Caucasians: identification of a Pro12Ala PPAR gamma 2 missense mutation. Biochem Biophys Res Commun 241:270–274PubMedCrossRef
3.
Zurück zum Zitat Altshuler D, Hirschhorn JN, Klannemark M et al (2000) The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes. Nat Genet 26:76–80PubMedCrossRef Altshuler D, Hirschhorn JN, Klannemark M et al (2000) The common PPARgamma Pro12Ala polymorphism is associated with decreased risk of type 2 diabetes. Nat Genet 26:76–80PubMedCrossRef
4.
Zurück zum Zitat Ardlie KG, Lunetta KL, Seielstad M (2002) Testing for population subdivision and association in four case-control studies. Am J Hum Genet 71:304–311PubMedCrossRef Ardlie KG, Lunetta KL, Seielstad M (2002) Testing for population subdivision and association in four case-control studies. Am J Hum Genet 71:304–311PubMedCrossRef
5.
Zurück zum Zitat Deeb SS, Fajas L, Nemoto M et al (1998) A Pro12Ala substitution in PPARgamma2 associated with decreased receptor activity, lower body mass index and improved insulin sensitivity. Nat Genet 20:284–287PubMedCrossRef Deeb SS, Fajas L, Nemoto M et al (1998) A Pro12Ala substitution in PPARgamma2 associated with decreased receptor activity, lower body mass index and improved insulin sensitivity. Nat Genet 20:284–287PubMedCrossRef
6.
Zurück zum Zitat Ek J, Andersen G, Urhammer SA et al (2001) Studies of the Pro12Ala polymorphism of the peroxisome proliferator-activated receptor-gamma2 (PPAR-gamma2) gene in relation to insulin sensitivity among glucose tolerant Caucasians. Diabetologia 44:1170–1176PubMedCrossRef Ek J, Andersen G, Urhammer SA et al (2001) Studies of the Pro12Ala polymorphism of the peroxisome proliferator-activated receptor-gamma2 (PPAR-gamma2) gene in relation to insulin sensitivity among glucose tolerant Caucasians. Diabetologia 44:1170–1176PubMedCrossRef
7.
Zurück zum Zitat Koch M, Rett K, Maerker E et al (1999) The PPARgamma2 amino acid polymorphism Pro 12 Ala is prevalent in offspring of Type II diabetic patients and is associated to increased insulin sensitivity in a subgroup of obese subjects. Diabetologia 42:758–762PubMedCrossRef Koch M, Rett K, Maerker E et al (1999) The PPARgamma2 amino acid polymorphism Pro 12 Ala is prevalent in offspring of Type II diabetic patients and is associated to increased insulin sensitivity in a subgroup of obese subjects. Diabetologia 42:758–762PubMedCrossRef
8.
Zurück zum Zitat Hara K, Okada T, Tobe K et al (2000) The Pro12Ala polymorphism in PPAR gamma2 may confer resistance to type 2 diabetes. Biochem Biophys Res Commun 271:212–216PubMedCrossRef Hara K, Okada T, Tobe K et al (2000) The Pro12Ala polymorphism in PPAR gamma2 may confer resistance to type 2 diabetes. Biochem Biophys Res Commun 271:212–216PubMedCrossRef
9.
Zurück zum Zitat Buzzetti R, Petrone A, Ribaudo MC et al (2004) The common PPAR-gamma2 Pro12Ala variant is associated with greater insulin sensitivity. Eur J Hum Genet 12:1050–1054PubMedCrossRef Buzzetti R, Petrone A, Ribaudo MC et al (2004) The common PPAR-gamma2 Pro12Ala variant is associated with greater insulin sensitivity. Eur J Hum Genet 12:1050–1054PubMedCrossRef
10.
Zurück zum Zitat Masugi J, Tamori Y, Mori H, Koike T, Kasuga M (2000) Inhibitory effect of a proline-to-alanine substitution at codon 12 of peroxisome proliferator-activated receptor-gamma 2 on thiazolidinedione-induced adipogenesis. Biochem Biophys Res Commun 268:178–182PubMedCrossRef Masugi J, Tamori Y, Mori H, Koike T, Kasuga M (2000) Inhibitory effect of a proline-to-alanine substitution at codon 12 of peroxisome proliferator-activated receptor-gamma 2 on thiazolidinedione-induced adipogenesis. Biochem Biophys Res Commun 268:178–182PubMedCrossRef
11.
Zurück zum Zitat Masud S, Ye S (2003) Effect of the peroxisome proliferator activated receptor-gamma gene Pro12Ala variant on body mass index: a meta-analysis. J Med Genet 40:773–780PubMedCrossRef Masud S, Ye S (2003) Effect of the peroxisome proliferator activated receptor-gamma gene Pro12Ala variant on body mass index: a meta-analysis. J Med Genet 40:773–780PubMedCrossRef
12.
Zurück zum Zitat Tan GD, Fielding BA, Currie JM et al (2005) The effects of rosiglitazone on fatty acid and triglyceride metabolism in type 2 diabetes. Diabetologia 48:83–95PubMedCrossRef Tan GD, Fielding BA, Currie JM et al (2005) The effects of rosiglitazone on fatty acid and triglyceride metabolism in type 2 diabetes. Diabetologia 48:83–95PubMedCrossRef
13.
Zurück zum Zitat Sarkkinen E, Korhonen M, Erkkila A, Ebeling T, Uusitupa M (1998) Effect of apolipoprotein E polymorphism on serum lipid response to the separate modification of dietary fat and dietary cholesterol. Am J Clin Nutr 68:1215–1222PubMed Sarkkinen E, Korhonen M, Erkkila A, Ebeling T, Uusitupa M (1998) Effect of apolipoprotein E polymorphism on serum lipid response to the separate modification of dietary fat and dietary cholesterol. Am J Clin Nutr 68:1215–1222PubMed
14.
Zurück zum Zitat Lundahl B, Hamsten A, Karpe F (2002) Postprandial plasma ApoB-48 levels are influenced by a polymorphism in the promoter of the microsomal triglyceride transfer protein gene. Arterioscler Thromb Vasc Biol 22:289–293PubMedCrossRef Lundahl B, Hamsten A, Karpe F (2002) Postprandial plasma ApoB-48 levels are influenced by a polymorphism in the promoter of the microsomal triglyceride transfer protein gene. Arterioscler Thromb Vasc Biol 22:289–293PubMedCrossRef
15.
Zurück zum Zitat Auboeuf D, Rieusset J, Fajas L et al (1997) Tissue distribution and quantification of the expression of mRNAs of peroxisome proliferator-activated receptors and liver X receptor-alpha in humans: no alteration in adipose tissue of obese and NIDDM patients. Diabetes 46:1319–1327PubMedCrossRef Auboeuf D, Rieusset J, Fajas L et al (1997) Tissue distribution and quantification of the expression of mRNAs of peroxisome proliferator-activated receptors and liver X receptor-alpha in humans: no alteration in adipose tissue of obese and NIDDM patients. Diabetes 46:1319–1327PubMedCrossRef
16.
Zurück zum Zitat Guo Z, Hensrud DD, Johnson CM, Jensen MD (1999) Regional postprandial fatty acid metabolism in different obesity phenotypes. Diabetes 48:1586–1592PubMedCrossRef Guo Z, Hensrud DD, Johnson CM, Jensen MD (1999) Regional postprandial fatty acid metabolism in different obesity phenotypes. Diabetes 48:1586–1592PubMedCrossRef
18.
Zurück zum Zitat Welsh K, Bunce M (1999) Molecular typing for the MHC with PCR-SSP. Rev Immunogenet 1:157–176PubMed Welsh K, Bunce M (1999) Molecular typing for the MHC with PCR-SSP. Rev Immunogenet 1:157–176PubMed
19.
Zurück zum Zitat Frayn KN, Coppack SW (2001) Assessment of white adipose tissue metabolism by measurement of arteriovenous differences. Methods Mol Biol 155:269–279PubMed Frayn KN, Coppack SW (2001) Assessment of white adipose tissue metabolism by measurement of arteriovenous differences. Methods Mol Biol 155:269–279PubMed
20.
Zurück zum Zitat Frayn KN, Coppack SW, Humphreys SM, Whyte PL (1989) Metabolic characteristics of human adipose tissue in vivo. Clin Sci (Lond) 76:509–516 Frayn KN, Coppack SW, Humphreys SM, Whyte PL (1989) Metabolic characteristics of human adipose tissue in vivo. Clin Sci (Lond) 76:509–516
21.
Zurück zum Zitat Evans K, Burdge GC, Wootton SA, Clark ML, Frayn KN (2002) Regulation of dietary fatty acid entrapment in subcutaneous adipose tissue and skeletal muscle. Diabetes 51:2684–2690PubMedCrossRef Evans K, Burdge GC, Wootton SA, Clark ML, Frayn KN (2002) Regulation of dietary fatty acid entrapment in subcutaneous adipose tissue and skeletal muscle. Diabetes 51:2684–2690PubMedCrossRef
22.
Zurück zum Zitat Larsen OA, Lassen NA, Quaade F (1966) Blood flow through human adipose tissue determined with radioactive xenon. Acta Physiol Scand 66:337–345PubMedCrossRef Larsen OA, Lassen NA, Quaade F (1966) Blood flow through human adipose tissue determined with radioactive xenon. Acta Physiol Scand 66:337–345PubMedCrossRef
23.
Zurück zum Zitat Rådegran G (1999) Limb and skeletal muscle blood flow measurements at rest and during exercise in human subjects. Proc Nutr Soc 58:887–898PubMedCrossRef Rådegran G (1999) Limb and skeletal muscle blood flow measurements at rest and during exercise in human subjects. Proc Nutr Soc 58:887–898PubMedCrossRef
24.
Zurück zum Zitat Williams DR, Wareham NJ, Brown DC et al (1995) Undiagnosed glucose intolerance in the community: the Isle of Ely Diabetes Project. Diabet Med 12:30–35PubMedCrossRef Williams DR, Wareham NJ, Brown DC et al (1995) Undiagnosed glucose intolerance in the community: the Isle of Ely Diabetes Project. Diabet Med 12:30–35PubMedCrossRef
25.
Zurück zum Zitat Paolisso G, Tataranni PA, Foley JE, Bogardus C, Howard BV, Ravussin E (1995) A high concentration of fasting plasma non-esterified fatty acids is a risk factor for the development of NIDDM. Diabetologia 38:1213–1217PubMedCrossRef Paolisso G, Tataranni PA, Foley JE, Bogardus C, Howard BV, Ravussin E (1995) A high concentration of fasting plasma non-esterified fatty acids is a risk factor for the development of NIDDM. Diabetologia 38:1213–1217PubMedCrossRef
26.
Zurück zum Zitat Charles MA, Eschwege E, Thibult N et al (1997) The role of non-esterified fatty acids in the deterioration of glucose tolerance in Caucasian subjects: results of the Paris Prospective Study. Diabetologia 40:1101–1106PubMedCrossRef Charles MA, Eschwege E, Thibult N et al (1997) The role of non-esterified fatty acids in the deterioration of glucose tolerance in Caucasian subjects: results of the Paris Prospective Study. Diabetologia 40:1101–1106PubMedCrossRef
27.
Zurück zum Zitat Pankow JS, Duncan BB, Schmidt MI et al (2004) Fasting plasma free fatty acids and risk of type 2 diabetes: the Atherosclerosis Risk in Communities Study. Diabetes Care 27:77–82PubMedCrossRef Pankow JS, Duncan BB, Schmidt MI et al (2004) Fasting plasma free fatty acids and risk of type 2 diabetes: the Atherosclerosis Risk in Communities Study. Diabetes Care 27:77–82PubMedCrossRef
28.
Zurück zum Zitat Stumvoll M, Wahl HG, Loblein K et al (2001) Pro12Ala polymorphism in the peroxisome proliferator-activated receptor-gamma2 gene is associated with increased antilipolytic insulin sensitivity. Diabetes 50:876–881PubMedCrossRef Stumvoll M, Wahl HG, Loblein K et al (2001) Pro12Ala polymorphism in the peroxisome proliferator-activated receptor-gamma2 gene is associated with increased antilipolytic insulin sensitivity. Diabetes 50:876–881PubMedCrossRef
29.
Zurück zum Zitat Temelkova-Kurktschiev T, Hanefeld M, Chinetti G et al (2004) Ala12Ala genotype of the peroxisome proliferator-activated receptor gamma2 protects against atherosclerosis. J Clin Endocrinol Metab 89:4238–4242PubMedCrossRef Temelkova-Kurktschiev T, Hanefeld M, Chinetti G et al (2004) Ala12Ala genotype of the peroxisome proliferator-activated receptor gamma2 protects against atherosclerosis. J Clin Endocrinol Metab 89:4238–4242PubMedCrossRef
30.
Zurück zum Zitat Karpe F, Fielding BA, Ilic V, Macdonald IA, Summers LK, Frayn KN (2002) Impaired postprandial adipose tissue blood flow response is related to aspects of insulin sensitivity. Diabetes 51:2467–2473PubMedCrossRef Karpe F, Fielding BA, Ilic V, Macdonald IA, Summers LK, Frayn KN (2002) Impaired postprandial adipose tissue blood flow response is related to aspects of insulin sensitivity. Diabetes 51:2467–2473PubMedCrossRef
31.
Zurück zum Zitat Avena R, Mitchell ME, Nylen ES, Curry KM, Sidawy AN (1998) Insulin action enhancement normalizes brachial artery vasoactivity in patients with peripheral vascular disease and occult diabetes. J Vasc Surg 28:1024–1031PubMedCrossRef Avena R, Mitchell ME, Nylen ES, Curry KM, Sidawy AN (1998) Insulin action enhancement normalizes brachial artery vasoactivity in patients with peripheral vascular disease and occult diabetes. J Vasc Surg 28:1024–1031PubMedCrossRef
32.
Zurück zum Zitat Murakami T, Mizuno S, Ohsato K et al (1999) Effects of troglitazone on frequency of coronary vasospastic-induced angina pectoris in patients with diabetes mellitus. Am J Cardiol 84:92–94, A8PubMedCrossRef Murakami T, Mizuno S, Ohsato K et al (1999) Effects of troglitazone on frequency of coronary vasospastic-induced angina pectoris in patients with diabetes mellitus. Am J Cardiol 84:92–94, A8PubMedCrossRef
33.
Zurück zum Zitat Sidhu JS, Cowan D, Kaski JC (2004) Effects of rosiglitazone on endothelial function in men with coronary artery disease without diabetes mellitus. Am J Cardiol 94:151–156PubMedCrossRef Sidhu JS, Cowan D, Kaski JC (2004) Effects of rosiglitazone on endothelial function in men with coronary artery disease without diabetes mellitus. Am J Cardiol 94:151–156PubMedCrossRef
34.
Zurück zum Zitat Arima S, Kohagura K, Takeuchi K et al (2002) Biphasic vasodilator action of troglitazone on the renal microcirculation. J Am Soc Nephrol 13:342–349PubMed Arima S, Kohagura K, Takeuchi K et al (2002) Biphasic vasodilator action of troglitazone on the renal microcirculation. J Am Soc Nephrol 13:342–349PubMed
35.
Zurück zum Zitat Song J, Walsh MF, Igwe R et al (1997) Troglitazone reduces contraction by inhibition of vascular smooth muscle cell Ca2+ currents and not endothelial nitric oxide production. Diabetes 46:659–664PubMedCrossRef Song J, Walsh MF, Igwe R et al (1997) Troglitazone reduces contraction by inhibition of vascular smooth muscle cell Ca2+ currents and not endothelial nitric oxide production. Diabetes 46:659–664PubMedCrossRef
36.
Zurück zum Zitat Peuler JD, Warfield RK, Phelps LE (2004) Attenuation by 4–aminopyridine of delayed vasorelaxation by troglitazone. Metabolism 53:147–152PubMedCrossRef Peuler JD, Warfield RK, Phelps LE (2004) Attenuation by 4–aminopyridine of delayed vasorelaxation by troglitazone. Metabolism 53:147–152PubMedCrossRef
37.
Zurück zum Zitat Clark MG, Colquhoun EQ, Rattigan S et al (1995) Vascular and endocrine control of muscle metabolism. Am J Physiol 268:E797–E812PubMed Clark MG, Colquhoun EQ, Rattigan S et al (1995) Vascular and endocrine control of muscle metabolism. Am J Physiol 268:E797–E812PubMed
38.
Zurück zum Zitat Baron AD, Clark MG (1997) Role of blood flow in the regulation of muscle glucose uptake. Annu Rev Nutr 17:487–499PubMedCrossRef Baron AD, Clark MG (1997) Role of blood flow in the regulation of muscle glucose uptake. Annu Rev Nutr 17:487–499PubMedCrossRef
39.
Zurück zum Zitat Gonzalez Sanchez JL, Serrano Rios M, Fernandez Perez C, Laakso M, Martinez Larrad MT (2002) Effect of the Pro12Ala polymorphism of the peroxisome proliferator-activated receptor gamma-2 gene on adiposity, insulin sensitivity and lipid profile in the Spanish population. Eur J Endocrinol 147:495–501PubMedCrossRef Gonzalez Sanchez JL, Serrano Rios M, Fernandez Perez C, Laakso M, Martinez Larrad MT (2002) Effect of the Pro12Ala polymorphism of the peroxisome proliferator-activated receptor gamma-2 gene on adiposity, insulin sensitivity and lipid profile in the Spanish population. Eur J Endocrinol 147:495–501PubMedCrossRef
40.
Zurück zum Zitat Kim KS, Choi SM, Shin SU, Yang HS, Yoon Y (2004) Effects of peroxisome proliferator-activated receptor-gamma 2 Pro12Ala polymorphism on body fat distribution in female Korean subjects. Metabolism 53:1538–1543PubMedCrossRef Kim KS, Choi SM, Shin SU, Yang HS, Yoon Y (2004) Effects of peroxisome proliferator-activated receptor-gamma 2 Pro12Ala polymorphism on body fat distribution in female Korean subjects. Metabolism 53:1538–1543PubMedCrossRef
41.
42.
43.
Zurück zum Zitat Kelley DE (2002) Skeletal muscle triglycerides: an aspect of regional adiposity and insulin resistance. Ann N Y Acad Sci 967:135–145PubMedCrossRef Kelley DE (2002) Skeletal muscle triglycerides: an aspect of regional adiposity and insulin resistance. Ann N Y Acad Sci 967:135–145PubMedCrossRef
44.
Zurück zum Zitat Yamamoto Y, Hirose H, Miyashita K et al (2002) PPAR(gamma)2 gene Pro12Ala polymorphism may influence serum level of an adipocyte-derived protein, adiponectin, in the Japanese population. Metabolism 51:1407–1409PubMedCrossRef Yamamoto Y, Hirose H, Miyashita K et al (2002) PPAR(gamma)2 gene Pro12Ala polymorphism may influence serum level of an adipocyte-derived protein, adiponectin, in the Japanese population. Metabolism 51:1407–1409PubMedCrossRef
45.
Zurück zum Zitat Takata N, Awata T, Inukai K et al (2004) Pro12Ala substitution in peroxisome proliferator-activated receptor gamma 2 is associated with low adiponectin concentrations in young Japanese men. Metabolism 53:1548–1551PubMedCrossRef Takata N, Awata T, Inukai K et al (2004) Pro12Ala substitution in peroxisome proliferator-activated receptor gamma 2 is associated with low adiponectin concentrations in young Japanese men. Metabolism 53:1548–1551PubMedCrossRef
46.
Zurück zum Zitat Thamer C, Machicao F, Fritsche A, Stumvoll M, Häring H (2003) No influence of the PPARgamma2 Pro12Ala genotype on serum adiponectin concentrations in healthy Europeans. Metabolism 52:798; author reply 798–799PubMedCrossRef Thamer C, Machicao F, Fritsche A, Stumvoll M, Häring H (2003) No influence of the PPARgamma2 Pro12Ala genotype on serum adiponectin concentrations in healthy Europeans. Metabolism 52:798; author reply 798–799PubMedCrossRef
Metadaten
Titel
The in vivo effects of the Pro12Ala PPARγ2 polymorphism on adipose tissue NEFA metabolism: the first use of the Oxford Biobank
verfasst von
G. D. Tan
M. J. Neville
E. Liverani
S. M. Humphreys
J. M. Currie
L. Dennis
B. A. Fielding
F. Karpe
Publikationsdatum
01.01.2006
Verlag
Springer-Verlag
Erschienen in
Diabetologia / Ausgabe 1/2006
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-005-0044-z

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