Clinical Study

Downregulation of the Proinflammatory State of Circulating Mononuclear Cells by Short-Term Treatment with Pioglitazone in Patients with Type 2 Diabetes Mellitus and Coronary Artery Disease

Table 2

Clinical and biochemical observation parameters at baseline and after 4 weeks in both treatment arms.

PioglitazonePlacebo
BaselineEndpointBaselineEndpoint

HbA1c [%] 7 . 0 ± 1 . 1 6 . 8 ± 0 . 9 6 . 7 ± 0 . 6 6 . 6 ± 0 . 7
BMI [kg/m²] 3 1 . 0 ± 4 . 3 3 1 . 4 ± 4 . 5 3 0 . 5 ± 4 . 1 3 0 . 4 ± 4 . 2
Systolic blood pressure [mmHg] 1 4 4 ± 1 5 1 3 7 ± 1 8 1 4 1 ± 1 9 1 3 9 ± 2 0
Diastolic blood pressure [mmHg] 8 3 ± 1 1 8 0 ± 1 1 7 8 ± 1 1 7 9 ± 9
Waist/hip ratio 1 . 0 0 ± 0 . 0 5 1 . 0 0 ± 0 . 0 7 1 . 0 0 ± 0 . 0 6 1 . 0 0 ± 0 . 0 6
Glucose [mg/dL] 1 4 2 ± 4 0 1 2 2 ± 3 5 1 2 8 ± 2 3 1 3 1 ± 2 9
Insulin [ 𝜇 U/mL] 1 7 ± 1 0 1 2 ± 7 1 8 ± 1 0 1 8 ± 1 1 +
HOMAIR 5 . 9 ± 4 . 4 3 . 9 ± 2 . 6 6 . 0 ± 3 . 5 6 . 4 ± 4 . 5 +
Adiponectin [mg/dL] 8 . 7 ± 3 . 5 2 2 . 1 ± 9 . 1 8 . 3 ± 4 . 7 8 . 2 ± 4 . 2 + + +
Intact proinsulin [pmol/L] 3 0 ± 3 7 1 9 ± 1 7 2 4 ± 1 9 2 4 ± 2 0
hsCRP [mg/L] 2 . 9 ± 1 . 7 1 . 9 ± 1 . 7 3 . 2 ± 2 . 6 3 . 2 ± 2 . 6 +
MMP-9 [ 𝜇 g/L] 3 4 4 ± 1 1 8 2 8 4 ± 1 0 1 3 8 8 ± 1 4 7 3 9 1 ± 1 2 1 + + +
MCP-1 [ 𝜇 g/L] 4 5 4 ± 1 3 0 4 0 6 ± 1 0 6 4 4 6 ± 1 2 9 4 6 8 ± 1 2 7 +
Total cholesterol [mmol/L] 4 . 6 3 ± 0 . 9 9 4 . 7 8 ± 1 . 0 9 4 . 6 0 ± 1 . 1 0 4 . 6 1 ± 1 . 0 0
LDL cholesterol [mmol/L] 2 . 4 6 ± 0 . 8 0 2 . 5 2 ± 0 . 7 6 2 . 2 1 ± 0 . 9 3 2 . 2 1 ± 0 . 9 0
HDL cholesterol [mmol/L] 1 . 1 8 ± 0 . 2 4 1 . 2 6 ± 0 . 2 6 1 . 1 2 ± 0 . 2 1 1 . 1 3 ± 0 . 1 9 +
Triglycerides [mmol/L] 1 . 8 4 ± 1 . 1 4 1 . 7 2 ± 0 . 9 9 2 . 4 1 ± 2 . 2 2 2 . 5 3 ± 1 . 7 3 +
sICAM [μg/L] 3 2 6 ± 9 0 3 1 9 ± 8 6 3 0 4 ± 5 6 3 1 0 ± 6 0
sVCAM [μg/L] 9 1 5 ± 4 0 9 9 4 3 ± 4 5 2 7 9 7 ± 1 9 3 8 0 7 ± 2 2 0
sCD40L [μg/L] 1 . 6 ± 1 . 8 1 . 1 ± 1 . 1 1 . 4 ± 1 . 2 1 . 0 ± 0 . 9
P-selectin [μg/L] 9 5 ± 2 0 9 3 ± 2 2 9 6 ± 2 6 9 8 ± 2 6
IL-6 [ng/L] 3 . 3 ± 0 . 5 3 . 2 ± 0 . 1 3 . 3 ± 0 . 3 3 . 3 ± 0 . 4
Angiotensin II [μg/L] 1 0 . 2 ± 9 . 2 8 . 0 ± 8 . 8 9 . 2 ± 8 . 2 1 0 . 1 ± 1 0 . 1
Complement factor C3 [g/L] 1 . 6 ± 0 . 4 1 . 5 ± 0 . 3 1 . 6 ± 0 . 4 1 . 7 ± 0 . 5
MIF [μg/L] 1 0 . 4 ± 5 . 3 9 . 6 ± 3 . 5 1 0 . 1 ± 4 . 1 1 0 . 3 ± 4 . 3

Within-group comparison: *: 𝑃 < 0 . 0 5 ; **: 𝑃 < 0 . 0 1 ; ***: 𝑃 < 0 . 0 0 1 versus baseline.
Between groups for changes from baseline: +: 𝑃 < 0 . 0 5 ; ++: 𝑃 < 0 . 0 1 ; +++: 𝑃 < 0 . 0 0 1 .