Review Article

Diabetes, Endothelial Dysfunction, and Vascular Repair: What Should a Diabetologist Keep His Eye on?

Table 3


ReferenceStudy drugStudy population and designStudy durationStudy findings

Chen et al. [109]Gliclazide 30–90 g/day33 patients with newly diagnosed T2DM versus  
25 nondiabetic patients in the control group
12 weeks↑ EPC count  
↑ flow mediated dilatation  
↓ some markers of oxidative stress in study group

Chen et al. [108]Gliclazide (30–60 g/day) and metformin (250–1000 mg/day) versus metformin (500–2500 mg/day)47 patients with newly diagnosed T2DM, randomized trial16 weeksmore profound ↑ EPC count and function with combination treatment

Liao et al. [107]Metformin (1700–2550 mg/day) 46 patients with newly diagnosed T2DM versus 51 healthy controls16 weeks↑ EPC count in both groups  
T2DM patients had a lower EPC count throughout the study  
↑ FMD changed in both groups

Werner et al. [110]Pioglitazone 45 mg/day versus placebo54 patients without T2DM, with stable CAD, randomized trial30 days↑ EPC count  
↑ migratory activity of EPCs  
↑ clonogenic potential of EPCs after pioglitazone treatment

Wang et al. [111]Pioglitazone 30 mg/day24 patients with T2DM receiving pioglitazone versus 12 patients with T2DM receiving metformin, randomized trial8 weeks↑ EPC count and homing and decreased ↓ EPC apoptosis,  
↓ hsCRP, ↓ triglycerides, ↓ LDL, ↑ HDL cholesterol, and ↑ insulin sensitivity after pioglitazone treatment  
No change in FMD

Makino et al. [112]Pioglitazone (15–30 mg/day)34 patients with T2DM24 weeks↑ EPC count  
↑adiponectin  
↓ hsCRP

Esposito et al. [113]Pioglitazone (15–45 mg/day) versus metformin (1000–2000 mg/day)110 patients with newly diagnosed T2DM, randomized trial24 weeksMore profound ↑ EPC count  
↑ weight  
↑ HDL  
↑ adiponectin  
↓ CRP  
↓ triglycerides in patients receiving pioglitazone

Kampoli et al. [106]Pioglitazone (15 m/day) versus perindopril (4 mg/day)50 patients with T2DM, randomized trial1 monthNo effect on EPC count  
Improved markers of inflammation and oxidative stress

Fadini et al. [114]Sitagliptin 100 mg/day versus no additional treatment16 patients with T2DM receiving sitagliptin,  
16 patients with T2DM with no additional treatment, controlled, nonrandomized trial
4 weeks↑ EPC count  
↑ SDF-1α in the study group

Nakamura et al. [115]Sitagliptin (50 m/day) versus voglibose (0,6 mg/day)66 patients with T2DM,  
31 patients with T2DM, receiving sitagliptin,  
35 patients with T2DM receiving voglibose
12 weeks↑ EPC count with sitagliptin  
↑ FMD in both groups, no difference between groups

Fadini et al. [116]Insulin detemir versus insulin glargine42 patients with T2DM and macroangiopathy, randomized crossover study6 months↑ EPC count increased between month 3 and month 6 in both groups  
↑ weight gain and ↑ hypoglycemic events with glargine