Assessment of Glomerular Filtration Rate Based on Alterations of Serum Brain-Derived Neurotrophic Factor in Type 2 Diabetic Subjects Treated with Amlodipine/Benazepril or Valsartan/Hydrochlorothiazide
Table 1
Characteristics of the subjects grouped by drug treatment and changes in the serum BDNF levels prior to and after the study.
Amlodipine/benazepril
Valsartan/hydrochlorothiazide
Decreased BDNF
Increased BDNF
Decreased BDNF
Increased BDNF
()
()
()
()
Age (years)
60 ± 10
61 ± 11
60 ± 10
57 ± 11
0.329
Gender (male)
26 (59.1%)
16 (48.5%)
20 (64.5%)
30 (66.7%)
0.401
Body weight (kg)
Baseline
71.2 ± 14.1
65.8 ± 13.7
68.8 ± 11.5
72.1 ± 14.0
0.173
End of trial
70.8 ± 13.6
65.6 ± 13.3
68.2 ± 11.3
72.0 ± 14.0
Change from baseline
−0.4 ± 1.7
−0.2 ± 1.3
−0.6 ± 2.0
−0.2 ± 1.4
0.653
BMI (kg/m2)
Baseline
27.2 ± 4.2
25.5 ± 3.1
25.8 ± 3.4
27.2 ± 4.4
0.114
End of trial
27.1 ± 4.0
25.5 ± 3.0
25.6 ± 3.6
27.1 ± 4.4
Change from baseline
−0.1 ± 0.7
−0.1 ± 0.5
−0.2 ± 0.7
−0.1 ± 0.5
0.796
Waist circumference (cm)
Baseline
92.1 ± 10.4
88.6 ± 9.9
87.7 ± 9.2
92.3 ± 11.4
0.120
End of trial
91.7 ± 10.0
89.2 ± 9.8*
88.0 ± 9.3
92.7 ± 11.7
Change from baseline
−0.4 ± 2.4
0.6 ± 1.8
0.4 ± 2.5
0.3 ± 2.8
0.243
Systolic BP (mmHg)
Baseline
141 ± 13
142 ± 14
138 ± 10
141 ± 14
0.504
End of trial
126 ± 13***
130 ± 16***
118 ± 13***
126 ± 13***
Change from baseline
−16 ± 11
−13 ± 14
−20 ± 11
−15 ± 12
0.104
Diastolic BP (mmHg)
Baseline
86 ± 8
86 ± 8
86 ± 7
89 ± 9
0.298
End of trial
78 ± 9***
80 ± 6***
77 ± 10***
81 ± 10***
Change from baseline
−8 ± 7
−6 ± 7
−8 ± 9
−8 ± 10
0.633
Fasting glucose (mmol/L)
Baseline
8.4 ± 2.3
8.6 ± 2.4
8.6 ± 2.2
9.1 ± 2.1
0.484
End of trial
8.3 ± 2.2
8.0 ± 2.2
8.9 ± 2.8
8.8 ± 2.2
Change from baseline
−0.1 ± 2.4
−0.6 ± 3.0
0.4 ± 2.7
−0.3 ± 2.3
0.502
HbA1c (%)
Baseline
8.2 ± 1.0
7.9 ± 1.0
7.7 ± 0.8
8.0 ± 0.9
0.171
End of trial
7.9 ± 1.1
7.9 ± 1.3
7.9 ± 1.2
8.4 ± 1.3*
Change from baseline
−0.3 ± 0.7
0.0 ± 0.8
0.2 ± 0.6a
0.4 ± 1.1ab
0.002
Triglyceride (mmol/L)
Baseline
1.7 ± 0.9
1.6 ± 0.7
2.2 ± 1.6
2.1 ± 2.0
0.367
End of trial
1.6 ± 0.9
1.5 ± 0.6
2.3 ± 1.6
2.6 ± 2.2*
Change from baseline
−0.1 ± 0.7
−0.1 ± 0.5
0.1 ± 0.8
0.5 ± 1.2ab
0.010
Total cholesterol (mmol/L)
Baseline
4.7 ± 0.7
5.0 ± 1.0
5.0 ± 0.9
4.7 ± 0.8
0.209
End of trial
4.7 ± 0.8
5.0 ± 1.0
4.7 ± 0.7
4.9 ± 0.9*
Change from baseline
0.1 ± 0.7
0.0 ± 0.7
−0.3 ± 0.9b
0.2 ± 0.6c
0.041
LDL cholesterol (mmol/L)
Baseline
2.8 ± 0.5
3.1 ± 0.8
2.9 ± 0.8
2.7 ± 0.7
0.143
End of trial
2.9 ± 0.6
3.1 ± 0.7
2.8 ± 0.7
2.8 ± 0.8
Change from baseline
0.1 ± 0.6
0.0 ± 0.6
−0.1 ± 0.5
0.0 ± 0.6
0.632
HDL cholesterol (mmol/L)
Baseline
1.0 ± 0.2
1.1 ± 0.3
1.1 ± 0.3
1.1 ± 0.3
0.908
End of trial
1.1 ± 0.3**
1.1 ± 0.3
1.0 ± 0.3
1.1 ± 0.3
Change from baseline
0.1 ± 0.2
0.0 ± 0.2
−0.1 ± 0.2a
0.0 ± 0.2
0.016
Serum creatinine (µmol/L)
Baseline
81.4 ± 20.7
91.9 ± 26.8
82.3 ± 25.5
83.8 ± 29.5
0.307
End of trial
80.6 ± 19.7
91.4 ± 26.7
86.7 ± 31.5*
92.8 ± 35.1*
Change from baseline
−0.8 ± 9.3
−0.4 ± 10.1
4.4 ± 11.4
9.0 ± 17.3ab
0.001
eGFR (mL/min/1.73 m2)
Baseline
85.4 ± 23.6
74.1 ± 24.4
87.7 ± 26.2
88.0 ± 27.1
0.071
End of trial
85.6 ± 22.7
74.6 ± 25.4
84.5 ± 26.4
79.2 ± 26.0***
Change from baseline
0.2 ± 11.6
0.5 ± 10.9
−3.2 ± 13.5
−8.8 ± 14.9ab
0.003
Hemoglobin (g/L)
Baseline
13.6 ± 1.7
13.3 ± 2.1
13.9 ± 2.2
13.6 ± 1.8
0.586
End of trial
13.4 ± 1.5*
12.8 ± 1.9**
13.7 ± 1.9
13.4 ± 1.8
Change from baseline
−0.3 ± 0.7
−0.4 ± 0.8
−0.2 ± 0.9
−0.2 ± 1.0
0.587
Platelets (109/L)
Baseline
243.4 ± 61.1
250.6 ± 72.2
256.7 ± 86.0
249.7 ± 66.4
0.882
End of trial
249.0 ± 59.7
262.7 ± 71.9
253.2 ± 62.8
261.6 ± 69.0*
Change from baseline
5.5 ± 25.4
12.1 ± 37.9
−3.5 ± 50.2
11.9 ± 37.4
0.282
UAE (mg/g)
Baseline
162 ± 208
188 ± 255
331 ± 85
332 ± 666
0.848
End of trial
214 ± 315
162 ± 235
194 ± 555*
262 ± 605*
Change from baseline
52 ± 282
−25 ± 135
−137 ± 358a
−70 ± 343
0.047
BDNF (ng/mL)
Baseline
9.3 ± 7.9
4.6 ± 3.1a
6.4 ± 4.6
4.3 ± 4.0ac
<0.001
End of trial
5.2 ± 4.2***
7.9 ± 5.4***
3.9 ± 2.9***
7.3 ± 5.4***
Change from baseline
−4.1 ± 5.3
3.3 ± 4.6a
−2.6 ± 3.1b
3.0 ± 3.0ac
<0.001
BDNF, brain-derived neurotrophic factor; BMI, body mass index; BP, blood pressure; eGFR, estimated glomerular filtration rate; HbA1c, glycated hemoglobin; HDL, high-density lipoprotein; LDL, low-density lipoprotein; UAE, urinary albumin excretion. Due to their skewed distributions, BDNF, triglyceride, and UAE were logarithmically transformed (log) in the analyses. # values among the four groups. *, **, and *** compared to the baseline. asignificantly different from the group with decreased BDNF after amlodipine/benazepril treatment. bsignificantly different from the group with increased BDNF after amlodipine/benazepril treatment. csignificantly different from the group with decreased BDNF after valsartan/hydrochlorothiazide treatment.