5
th
Annual Meeting of the Diabetes & Cardiovascular Disease EASD Study group / Diabetes & Metabolism 38 (2012) S89-S116 S101
while the expression CDKN1a at mRNA level is increased (NG vs
HG P=0.01). In both cases, GLP-1 does not exert its effects after
chronic exposure to high glucose concentration (NG vs NG+GLP-1
P=0.02 and P=0.06, BCL-2 and CDKN1A, respectively. And HG vs
HG+GLP-1 P=0.30 and P=0.74, BCL-2 and CDKN1A, respectively).
Conclusion: Our preliminary fndings suggest that endothelial
cells, after a long of exposure to high glucose, lose their ability to
respond normally to the GLP-1 action, in terms of increasing their
antioxidant capacity and regulating ER function and UPR response.
This effect is probably due to the development of resistance to GLP-1
during high glucose chronic exposure.
Grant : FIS PI10/01256 from Instituto Carlos III
OP8: Early atherosclerosis in Familial Partial
Lipodystrophy of the Dunnigan-type: Endothelial
cell dysfunction induced by p.R482W lamin-A
G. Bidault
1,2
, M. Garcia
1,2
, M.C. Vantyghem
3
, P.H. Ducluzeau
4
,
R. Morichon
5
, K. Thiyagarajah
1,2
, S. Moritz
2
, J. Capeau
1,2,6
,
C. Vigouroux
1,2,6
, V. Béréziat
1,2
1
UPMC Univ Paris 06, UMR_S938, F-75005, Paris, France;
2
INSERM
UMR_S938, Centre de Recherche Saint-Antoine, Faculté de Médecine
Pierre et Marie Curie, Site Saint-Antoine, F-75012, Paris, France;
3
Service d’Endocrinologie et Maladies Métaboliques, INSERM U 859,
Centre Hospitalier Régional et 3 Universitaire (CHRU) de Lille, Lille,
France;
4
Centre de Recherche en Nutrition Humaine, Hospices Civils,
Lyon, France;
5
Institut Fédératif de Recherche en Santé Saint-Antoine
IFR-65, Paris, France; 6 AP-HP, Hôpital Tenon, Service de Biochimie et
Hormonologie, F-75020, Paris, France
Background: Some mutations in LMNA, encoding A-type
lamins, are responsible for lipodystrophic syndromes, which present
features of severe metabolic syndrome. p.R482 substitutions lead
to the Dunnigan familial partial lipodystrophy (FPLD2) while the
p.L92F mutation gives a phenotype of metabolic laminopathy (ML).
FPLD2 has been associated with precocious atherosclerosis.
Methods and Results: We analyzed the cardiovascular phenotype
of nineteen patients with FPLD2 and a patient with ML (LMNA
p.L92F). Despite similar metabolic alterations, FPLD2 patients, but
not the ML patient, presented early atherosclerosis.
We then studied the effects of wild-type or mutated p.R482W
and p.L92F-prelamin-A overexpression on primary cultured human
coronary endothelial cells (HCAECs).
Although both mutations led to defects in prelamin-A matu-
ration, only p.R482W-prelamin-A was predominantly distributed
to the nuclear envelope, in favor of its persistent farnesylation.
p.R482W but not wild-type or p.L92F-prelamin-A overexpression
led to endothelial dysfunction, with decreased expression of
endothelial nitric oxide synthase, increased infammation, and
increased endothelial adhesion of peripheral blood mononuclear
cells. p.R482W-prelamin-A also induced oxidative stress, increased
DNA double-strand breaks and cellular senescence. In vitro pravas-
tatin treatment, which inhibits prelamin-A farnesylation, decreased
p.R482W-prelamin-A association to the nuclear envelope, oxidative
stress and infammation. In addition, anti-oxidants decreased
infammation and DNA double-strand breaks occurrence, suggesting
that farnesylated p.R482W-prelamin-A induced oxidative stress
which resulted in endothelial dysfunction.
Conclusions: FPLD2-associated p.R482W but not
ML-associated p.L92F lamin-A mutation resulted in farnesylated-
prelamin-A accumulation that induced endothelial dysfunction in
vitro. These observations suggest that LMNA p.R482 mutations have
a direct pro-atherogenic role, contributing to the early occurrence
of atherosclerosis in FPLD2.
Grant: Funding sources were from INSERM, the Programme
National de Recherche sur le Diabète (PNRD/ARD), the EU FP6
Eurolaminopathies project, and the Société Francophone du Diabète.
GB is a recipient of a fellowship from the Ministère Français de
l’Enseignement Supérieur et de la Recherche.
OP9: Diet modulates endogenous thrombin
generation, a biological estimate of thrombosis
risk, independently of the metabolic status
C. Sanchez
1,2,3
, M. Poggi
1,2,3
, P.E. Morange
1,2,3
, C. Defoort
1,2,3
,
J.C. Martin
1,2,3
, S. Tanguy
4
, A. Dutour
1,2,3
, M. Grino
1,2,3
, M.C. Alessi
1,2,3
1
Inserm, UMR1062, « Nutrition, Obesity and Risk of Thrombosis », F-13385,
Marseille, France;
2
INRA, UMR1260, F-13385, Marseille, France;
3
Aix-
Marseille Univ, Faculté de Médecine, F-13385, Marseille, France ;
4
CNRS,
TIMC-IMAG UMR 5525, équipe PRETA, F-38706, La Tronche, France
Background and aims: The association between obesity and
thrombosis might be explained by a hypercoagulable state. In
addition, it is still discussed controversially whether obesity, fat
diet or metabolic disturbances are the main infuence factors of the
changes in the coagulation system.
Methods and Results: In this study, we investigated the effect of
postnatal overfeeding and high fat diet (HFD) on thrombin generation.
Endogenous Thrombin potential (ETP) was measured using the
Calibrated Automated Thrombogram. Weaning rats exhibited high
ETP values that decreased under low-fat diet (LFD) and remained
elevated upon HFD. In adult rats, HFD-induced ETP increase was
independent of coagulation factors, obesity and insulin resistance and
negatively associated with polyunsaturated fatty acid (PUFA) levels.
Switching from HFD to LFD reversed the procoagulant phenotype
with a slower kinetic than the normalization of hyperinsulinemia. In
humans, ETP was independent of body weight while it was negatively
associated with nutritional markers such as the percentage of energy
provided by proteins, the protein/fat ratio, and circulating phenolic
compounds and omega-3 PUFA. A recommended 3-month healthy
diet with reduced energy density, including lipids, decreased ETP
(- 21%; P<0.0001). ETP changes were not associated with body
weight, insulin sensitivity or coagulation factor variations, but
correlated negatively with plasma docosahexaenoic acid, a nutritional
status sensitive fatty acid, and compounds refecting vegetable intake.
Conclusion: Diet plays a pivotal role in regulating ETP,
independently of obesity and insulin resistance. Global nutritional
recommendations could be useful in primary prevention of thrombosis.
OP10: Analysis of the relationship between the
presence of metabolic syndrome with the level of
oxidized LDL and impaired fbrinolysis in patients
with patients with type 2 diabetes
S. Singh, K. Lalic, N. Rajkovic, L.J. Popovic, D. Draskovic,
L.J. Stošic, M. Zamaklar
Clinic for Endocrinology, Diabetes and Metabolic disease, Clinical centre
of Serbia, Belgrade
Background and aims: It is known that in patients with type 2
diabetes (T2D) and the metabolic syndrome (MS) there is a higher
risk for atherosclerosis. The aim of this study was to investigate
the relationship of non-traditional risk factors for atherosclerosis,
biomarkers of lipid peroxidation measured by oxidized LDL levels
(oxLDL) and markers of fnbrinolisis measured by plasminogen
activator inhibitor 1 (PAI-1) in patients with T2D and the MS.
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