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Impaired Vascular Reactivity in Healthy First-Degree Relatives of Subjects With Type 2 Diabetes Is Related to Metabolic Factors

  1. Kelb Bousquet-Santos, PHD1,2,
  2. Fabricia J. Neves, MSC2,3,
  3. Eduardo Tibiriçá, MD, PHD4,
  4. Marcio Nogueira de Souza, DSC5,6 and
  5. Antonio C.L. Nóbrega, MD, PHD2,3
  1. 1University of Brasilia, Brasilia, Brazil;
  2. 2Department of Physiology and Pharmacology and Postgraduate Program in Cardiovascular Sciences, Federal Fluminense University, Niterói, Brazil;
  3. 3Postgraduate Program in Clinical and Experimental Pathophysiology, Rio de Janeiro State University, Rio de Janeiro, Brazil;
  4. 4Laboratory of Neuro-Cardiovascular Pharmacology, Oswaldo Cruz Institute, Rio de Janeiro, Brazil;
  5. 5Department of Biomedical Engineering, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;
  6. 6Department of Electronics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
  1. Corresponding author: Antonio C.L. Nóbrega, aclnobrega{at}gmail.com.

Several studies have suggested that vascular changes precede the development of metabolic disorders in first-degree relatives of subjects with type 2 diabetes, indicating that being a first-degree relative of a subject with type 2 diabetes is a risk per se for vascular dysfunction (13). However, these studies have failed to control for relevant metabolic and inflammatory variables that are usually altered in first-degree relatives of subjects with type 2 diabetes and are known to impair vascular reactivity (4).

To investigate the hypothesis that vascular reactivity in first-degree relatives of subjects with type 2 diabetes without metabolic disorders is similar to that in a control group without history of type 2 diabetes, 42 first-degree relatives of subjects with type 2 diabetes (79% women; mean ± SD age 33 ± 9 years) and 45 age- and sex-matched control subjects (78% women; age 34 ± 9 years) were recruited. Vascular reactivity was …

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