Title : Increased fibrinolytic potential induced by gliclazide in types I and II diabetic patients.

Pub. Date : 1991 Jun 24

PMID : 1908183






6 Functional Relationships(s)
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1 This study examined the effect of gliclazide on tissue-type plasminogen activator (t-PA)-related fibrinolysis in 23 Type I diabetic patients without residual beta-cell function and 17 Type II diabetic patients initially treated with tolbutamide. Gliclazide plasminogen activator, tissue type Homo sapiens
2 This study examined the effect of gliclazide on tissue-type plasminogen activator (t-PA)-related fibrinolysis in 23 Type I diabetic patients without residual beta-cell function and 17 Type II diabetic patients initially treated with tolbutamide. Gliclazide plasminogen activator, tissue type Homo sapiens
3 In Type I diabetic patients, after 2-3 months of treatment with gliclazide, we observed a significant increase in plasma concentrations of total t-PA antigen that remained stable until discontinuation of the drug (p less than 0.0002), whereas the plasma concentrations of plasminogen activator inhibitor (PAI) did not change significantly during the study. Gliclazide plasminogen activator, tissue type Homo sapiens
4 Next, we investigated the possibility of gliclazide inducing t-PA-related fibrinolysis in a subset of Type II diabetics without detectable concentrations of t-PA during treatment with tolbutamide. Gliclazide plasminogen activator, tissue type Homo sapiens
5 The concentrations of active t-PA increased significantly 3 months after a change in treatment to gliclazide, and active t-PA again decreased in one patient to undetectable levels after 12 months with gliclazide. Gliclazide plasminogen activator, tissue type Homo sapiens
6 We conclude that gliclazide has the potential to exert extrametabolic non-insulin-mediated effects on t-PA-related fibrinolysis in diabetic patients. Gliclazide plasminogen activator, tissue type Homo sapiens