Type 2 & other diabetes

In vivo molecular imaging of cardiac angiogenesis in persons with and without type 2 diabetes: A cross‐sectional 68 Ga‐RGD‐positron emission tomography (PET) study

Diabet MedPublished Cross-sectional study

Authors' conclusion

Cardiac angiogenesis, evaluated with 68 Ga-RGD PET, was similar in type 2 diabetes and CONs. Cardiac angiogenesis was not associated with kidney function or other risk markers in pooled analyses or in analyses restricted to type 2 diabetes.

Study context

Population
Persons with T2D (mean age 61 ± 9 years, 30% women, median diabetes duration 11 years, 15% history of CVD) and non-diabetic controls of comparable age and sex
Participants
20 vs 10
Exposure
T2D vs non-diabetic controls
  • T2Dn = 20
  • Controls (CONs)n = 10reference
Outcome
Difference in cardiac angiogenesis (cardiac 68Ga-RGD mean target-to-background ratio [TBRmean]) between T2D and CONs
Methodological details68Ga-RGD PET imaging
  • 68Ga-RGD PET imaging

Main finding

As reported in the abstract

Cardiac 68Ga-RGD TBRmean

T2D

0.89

mean · SD 0.09

CONs

0.89

mean · SD 0.10

P = 0.92

Observational data: associations, not effects.

Secondary outcomes

OutcomeT2DCONsP value
Myocardial flow reserveLower in T2D2.7 ± 0.63.4 ± 1.2P = 0.03
Coronary artery calcium scoreHigher in T2D562 (range in brackets 142–905)1 (range in brackets 0–150)P = 0.04

Associations of cardiac 68Ga-RGD TBRmean with risk factors

Not associated with eGFR, urine albumin creatinine ratio, CVD, coronary artery calcium score or baroreflex sensitivity, in pooled analyses or in T2D

Original publication

In vivo molecular imaging of cardiac angiogenesis in persons with and without type 2 diabetes: A cross‐sectional 68 Ga‐RGD‐PET study. Diabet Med. Published 6 October 2022. doi:10.1111/dme.14960

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