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Effect of pioglitazone therapy on high sensitive C-reactive protein and lipid profile in diabetic patients with renal transplantation; a randomize clinical trial.

Arashnia R, Roohi-Gilani K, Karimi-Sari H, Nikjoo N, Bahramifar A - J Nephropathol (2015)

Bottom Line: The mean total serum cholesterol was significantly decreased 34 mg/dL in group A and 18.07 mg/dL in group B (P = 0.027).The mean serum HDL-C was significantly increased 13.31 mg/dL in group A and 5.89 mg/dl in group B (P < 0.001).Long term effect of this drug could be evaluated in future studies.

View Article: PubMed Central - HTML - PubMed

Affiliation: Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid-Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT

Background: Inflammation has a major role in disease lead to renal failure and diabetes mellitus, controlling inflammation in diabetic kidney receivers could decrease morbidity and mortality.

Objectives: This study designed for evaluating the efficacy of pioglitazone on C-reactive protein and lipid profile in diabetic kidney transplant receivers.

Patients and methods: In this double blinded clinical trial, 58 diabetic renal transplant receivers, in first month after transplantation, randomized into two groups; receiving insulin and pioglitazone (15 mg tablet daily, group A); and insulin and placebo (group B). Blood pressure, weight, body mass index (BMI) and laboratory data compared in before and after 4-month treatment in two groups by SPSS.

Results: Fifty-eight patients with mean age of 44.15 ± 2 years included. There were no significant difference between groups in demographic data and other baseline measured variables (P > 0.05) .The mean weigh and BMI were slightly increased in group A and decreased in group B. The mean hs-CRP was decreased 4.82 mg/dL in group A and 1.93 mg/dL in group B (P = 0.007). The mean total serum cholesterol was significantly decreased 34 mg/dL in group A and 18.07 mg/dL in group B (P = 0.027). The mean serum HDL-C was significantly increased 13.31 mg/dL in group A and 5.89 mg/dl in group B (P < 0.001).

Conclusions: Pioglitazone seems to be a safe drug for reducing serum lipids and CRP in kidney transplant receivers with diabetes mellitus in short term. Long term effect of this drug could be evaluated in future studies.

No MeSH data available.


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Mentions: The mean triglyceride was decreased 48.59 ± 44.62 mg/dL in group A and 33.52 ± 31.57 mg/dL in group B (P = 0.143). Mean cholesterol was also decreased 34 ± 27.78 mg/dL in group A and 18.08 ± 25.59 mg/ dL in group B (P = 0.027). The mean LDL-C was decreased 25.41 ± 20.37 mg/dL in group A and 18.34 ± 18.18 mg/dL in group B (P = 0.169). The mean HDL-C was increased 13.13 ± 7.48 mg/dL in group A and 5.89 ± 6.26 mg/dL in group B (P < 0.001) (Figure 3 and 4).


Effect of pioglitazone therapy on high sensitive C-reactive protein and lipid profile in diabetic patients with renal transplantation; a randomize clinical trial.

Arashnia R, Roohi-Gilani K, Karimi-Sari H, Nikjoo N, Bahramifar A - J Nephropathol (2015)

© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4417670&req=5

Mentions: The mean triglyceride was decreased 48.59 ± 44.62 mg/dL in group A and 33.52 ± 31.57 mg/dL in group B (P = 0.143). Mean cholesterol was also decreased 34 ± 27.78 mg/dL in group A and 18.08 ± 25.59 mg/ dL in group B (P = 0.027). The mean LDL-C was decreased 25.41 ± 20.37 mg/dL in group A and 18.34 ± 18.18 mg/dL in group B (P = 0.169). The mean HDL-C was increased 13.13 ± 7.48 mg/dL in group A and 5.89 ± 6.26 mg/dL in group B (P < 0.001) (Figure 3 and 4).

Bottom Line: The mean total serum cholesterol was significantly decreased 34 mg/dL in group A and 18.07 mg/dL in group B (P = 0.027).The mean serum HDL-C was significantly increased 13.31 mg/dL in group A and 5.89 mg/dl in group B (P < 0.001).Long term effect of this drug could be evaluated in future studies.

View Article: PubMed Central - HTML - PubMed

Affiliation: Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid-Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT

Background: Inflammation has a major role in disease lead to renal failure and diabetes mellitus, controlling inflammation in diabetic kidney receivers could decrease morbidity and mortality.

Objectives: This study designed for evaluating the efficacy of pioglitazone on C-reactive protein and lipid profile in diabetic kidney transplant receivers.

Patients and methods: In this double blinded clinical trial, 58 diabetic renal transplant receivers, in first month after transplantation, randomized into two groups; receiving insulin and pioglitazone (15 mg tablet daily, group A); and insulin and placebo (group B). Blood pressure, weight, body mass index (BMI) and laboratory data compared in before and after 4-month treatment in two groups by SPSS.

Results: Fifty-eight patients with mean age of 44.15 ± 2 years included. There were no significant difference between groups in demographic data and other baseline measured variables (P > 0.05) .The mean weigh and BMI were slightly increased in group A and decreased in group B. The mean hs-CRP was decreased 4.82 mg/dL in group A and 1.93 mg/dL in group B (P = 0.007). The mean total serum cholesterol was significantly decreased 34 mg/dL in group A and 18.07 mg/dL in group B (P = 0.027). The mean serum HDL-C was significantly increased 13.31 mg/dL in group A and 5.89 mg/dl in group B (P < 0.001).

Conclusions: Pioglitazone seems to be a safe drug for reducing serum lipids and CRP in kidney transplant receivers with diabetes mellitus in short term. Long term effect of this drug could be evaluated in future studies.

No MeSH data available.


Related in: MedlinePlus