Research Article

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/benazeprilValsartan/hydrochlorothiazide
Decreased BDNFIncreased BDNFDecreased BDNFIncreased 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)
 Baseline71.2 ± 14.1 65.8 ± 13.7 68.8 ± 11.5 72.1 ± 14.0 0.173
 End of trial70.8 ± 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)
 Baseline27.2 ± 4.2 25.5 ± 3.1 25.8 ± 3.4 27.2 ± 4.4 0.114
 End of trial27.1 ± 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)
 Baseline92.1 ± 10.4 88.6 ± 9.9 87.7 ± 9.2 92.3 ± 11.4 0.120
 End of trial91.7 ± 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)
 Baseline141 ± 13 142 ± 14 138 ± 10 141 ± 14 0.504
 End of trial126 ± 13***130 ± 16***118 ± 13***126 ± 13***
 Change from baseline−16 ± 11 −13 ± 14 −20 ± 11 −15 ± 12 0.104
Diastolic BP (mmHg)
 Baseline86 ± 8 86 ± 8 86 ± 7 89 ± 9 0.298
 End of trial78 ± 9***80 ± 6***77 ± 10***81 ± 10***
 Change from baseline−8 ± 7 −6 ± 7 −8 ± 9 −8 ± 10 0.633
Fasting glucose (mmol/L)
 Baseline8.4 ± 2.3 8.6 ± 2.4 8.6 ± 2.2 9.1 ± 2.1 0.484
 End of trial8.3 ± 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 (%)
 Baseline8.2 ± 1.0 7.9 ± 1.0 7.7 ± 0.8 8.0 ± 0.9 0.171
 End of trial7.9 ± 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 ± 0.6a0.4 ± 1.1ab0.002
Triglyceride (mmol/L)
 Baseline1.7 ± 0.9 1.6 ± 0.7 2.2 ± 1.6 2.1 ± 2.0 0.367
 End of trial1.6 ± 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 ± 1.2ab0.010
Total cholesterol (mmol/L)
 Baseline4.7 ± 0.7 5.0 ± 1.0 5.0 ± 0.9 4.7 ± 0.8 0.209
 End of trial4.7 ± 0.8 5.0 ± 1.0 4.7 ± 0.7 4.9 ± 0.9*
 Change from baseline0.1 ± 0.7 0.0 ± 0.7 −0.3 ± 0.9b0.2 ± 0.6c0.041
LDL cholesterol (mmol/L)
 Baseline2.8 ± 0.5 3.1 ± 0.8 2.9 ± 0.8 2.7 ± 0.7 0.143
 End of trial2.9 ± 0.6 3.1 ± 0.7 2.8 ± 0.7 2.8 ± 0.8
 Change from baseline0.1 ± 0.6 0.0 ± 0.6 −0.1 ± 0.5 0.0 ± 0.6 0.632
HDL cholesterol (mmol/L)
 Baseline1.0 ± 0.2 1.1 ± 0.3 1.1 ± 0.3 1.1 ± 0.3 0.908
 End of trial1.1 ± 0.3**1.1 ± 0.3 1.0 ± 0.3 1.1 ± 0.3
 Change from baseline0.1 ± 0.2 0.0 ± 0.2 −0.1 ± 0.2a0.0 ± 0.2 0.016
Serum creatinine (µmol/L)
 Baseline81.4 ± 20.7 91.9 ± 26.8 82.3 ± 25.5 83.8 ± 29.5 0.307
 End of trial80.6 ± 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 ± 17.3ab0.001
eGFR (mL/min/1.73 m2)
 Baseline85.4 ± 23.6 74.1 ± 24.4 87.7 ± 26.2 88.0 ± 27.1 0.071
 End of trial85.6 ± 22.7 74.6 ± 25.4 84.5 ± 26.4 79.2 ± 26.0***
 Change from baseline0.2 ± 11.6 0.5 ± 10.9 −3.2 ± 13.5 −8.8 ± 14.9ab0.003
Hemoglobin (g/L)
 Baseline13.6 ± 1.7 13.3 ± 2.1 13.9 ± 2.2 13.6 ± 1.8 0.586
 End of trial13.4 ± 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)
 Baseline243.4 ± 61.1 250.6 ± 72.2 256.7 ± 86.0 249.7 ± 66.4 0.882
 End of trial249.0 ± 59.7 262.7 ± 71.9 253.2 ± 62.8 261.6 ± 69.0*
 Change from baseline5.5 ± 25.4 12.1 ± 37.9 −3.5 ± 50.2 11.9 ± 37.4 0.282
UAE (mg/g)
 Baseline162 ± 208 188 ± 255 331 ± 85 332 ± 666 0.848
 End of trial214 ± 315 162 ± 235 194 ± 555*262 ± 605*
 Change from baseline52 ± 282 −25 ± 135 −137 ± 358a−70 ± 343 0.047
BDNF (ng/mL)
 Baseline9.3 ± 7.9 4.6 ± 3.1a6.4 ± 4.6 4.3 ± 4.0ac<0.001
 End of trial5.2 ± 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 ± 3.1b3.0 ± 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.