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An Association of Herpes Simplex Virus Type 1 Infection With Type 2 Diabetes

  1. Yuhua Sun, PHD,
  2. Weidong Pei, PHD,
  3. Yongjian Wu, MD and
  4. Yuejin Yang, MD
  1. From the Cardiovascular Institute, Fu Wai Heart Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
  1. Address correspondence and reprint requests to Yuejin Yang, MD, Cardiovascular Institute, Fu Wai Heart Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beilishilu 167, Beijing 100037, China. E-mail: sunyh0903{at}yahoo.com

Although the primary cause of type 2 diabetes is unknown, two breakthroughs have been made regarding its development (1). First, insulin resistance in muscle is the earliest detectable defect in people in whom type 2 diabetes will later develop. Second, β-cell function has to be abnormal before hyperglycemia develops. One of the risk factors for diabetes development might be virus infection (2). Preexisting hepatitis C virus infection may increase the risk for type 2 diabetes (3,4).

Herpes simplex virus type 1 (HSV-1) has been recognized as a potential pathogen of cardiovascular diseases. The presence of antibodies to HSV-1 is reported to be associated with an increase in the risk of incident myocardial infarction and coronary heart death (5,6). Type 2 diabetes is a major risk factor for cardiovascular morbidity and mortality (7) and is recorded as a coronary artery disease risk equivalent (8). In this study, we attempted to investigate the potential relationship between HSV-1 infection and type 2 diabetes.

RESARCH DESIGN AND METHODS

All subjects were consecutive inpatients at Beijing Fu Wai Heart Hospital. Diabetes was diagnosed as follows (9): patients who had overnight fasting plasma glucose ≥7.0 mmol/l (126 mg/dl) …

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