4.7 Article

Effect of Linagliptin on Cognitive Performance in Patients With Type 2 Diabetes and Cardiorenal Comorbidities: The CARMELINA Randomized Trial

期刊

DIABETES CARE
卷 42, 期 10, 页码 1930-1938

出版社

AMER DIABETES ASSOC
DOI: 10.2337/dc19-0783

关键词

-

资金

  1. Boehringer Ingelheim

向作者/读者索取更多资源

OBJECTIVE Type 2 diabetes is associated with cognitive dysfunction and an increased dementia risk, particularly in individuals with concomitant cardiovascular and/or kidney disease. Incretin therapies may modulate this risk via glycemic and nonglycemic pathways. We explored if the dipeptidyl peptidase 4 inhibitor linagliptin could prevent cognitive decline in people with type 2 diabetes with cardiorenal disease. RESEARCH DESIGN AND METHODS The CArdiovascular and Renal Microvascular outcomE study with LINAgliptin (CARMELINA)-COG substudy was an integral part of CARMELINA (NCT01897532) that randomized participants with cardiorenal disease to linagliptin 5 mg or placebo once daily (1:1), in addition to standard of care. The primary cognitive outcome was the occurrence of accelerated cognitive decline at the end of treatment, defined as a regression-based index score <= 16th percentile on the Mini-Mental State Examination (MMSE) or a composite measure of attention and executive functioning and analyzed in participants with a baseline MMSE >= 24. Effects across subgroups by baseline factors, as well as absolute cognitive changes, were also assessed. RESULTS Of the 6,979 participants in CARMELINA, CARMELINA-COG included 1,545 (mean +/- SD age, 68 +/- 8 years; MMSE, 28.3 +/- 1.7; estimated glomerular filtration rate, 52 +/- 23 mL/min/1.73 m(2); and HbA(1c), 7.8 +/- 0.9% [61.4 +/- 10.1 mmol/mol]). Over a median treatment duration of 2.5 years, accelerated cognitive decline occurred in 28.4% (linagliptin) vs. 29.3% (placebo) (odds ratio 0.96 [95% CI 0.77, 1.19]). Consistent effects were observed across subgroups by baseline characteristics. Absolute cognitive performance changes were also similar between treatment groups. CONCLUSIONS In a large international cardiovascular outcome trial in people with type 2 diabetes and cardiorenal disease, linagliptin did not modulate cognitive decline over 2.5 years.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Geriatrics & Gerontology

Residential aged care staff perceptions and responses towards neuropsychiatric symptoms: a mixed methods analysis of electronic healthcare records

Willem S. Eikelboom, Jana Koch, Elizabeth Beattie, Nicola T. Lautenschlager, Colleen Doyle, Esther van den Berg, Janne M. Papma, Kaarin J. Anstey, Moyra E. Mortby

Summary: This study analyzed electronic care notes from residential aged care facilities to investigate the reporting and management of neuropsychiatric symptoms (NPS) by staff. The findings suggest that staff primarily focus on and respond to NPS they perceive as distressing, potentially leading to under-recognition of specific NPS types and a lack of routine assessment and management of underlying causes.

AGING & MENTAL HEALTH (2023)

Article Clinical Neurology

The Naming Assessment in Multicultural Europe (NAME): Development and Validation in a Multicultural Memory Clinic

S. Franzen, E. van den Berg, Y. Ayhan, D. D. Satoer, O. Turkoglu, G. E. Genc Akpulat, E. G. Visch-Brink, E. A. Scheffers, J. Kranenburg, L. C. Jiskoot, J. van Hemmen, J. M. Papma

Summary: The study aimed to develop and validate a new naming impairment assessment test (NAME) for culturally, educationally, and linguistically diverse individuals. Through a multistage pilot study, a 60-item test with excellent reliability and robust correlations with other language tests was obtained. The study found that patients with AD/mixed dementia obtained lower scores on most items of the NAME test.

JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY (2023)

Article Psychology, Clinical

Neuropsychological assessment in the multicultural memory clinic: Development and feasibility of the TULIPA battery

Sanne Franzen, Esther van den Berg, Willemijn Bossenbroek, Judi Kranenburg, Esther A. Scheffers, Moniek van Hout, Lotte van de Wiel, Miriam Goudsmit, Rozemarijn L. Van Bruchem-Visser, Judy van Hemmen, Lize C. Jiskoot, Janne M. Papma

Summary: This study aimed to develop a new neuropsychological test battery for culturally diverse populations and investigate its feasibility. The results showed that the completion rates of the test battery were generally high, but supplementary tests were administered less frequently. Complicating factors such as suboptimal effort, fatigue, and depression were frequently observed.

CLINICAL NEUROPSYCHOLOGIST (2023)

Article Clinical Neurology

Social cognition deficits and biometric signatures in the behavioural variant of Alzheimer's disease

Ellen H. Singleton, Jay L. P. Fieldhouse, Jochum J. van 't Hooft, Marta Scarioni, Marie-Paule E. van Engelen, Sietske A. M. Sikkes, Casper de Boer, Diana Bocancea, Esther van den Berg, Philip Scheltens, Wiesje M. van der Flier, Janne M. Papma, Yolande A. L. Pijnenburg, Rik Ossenkoppele

Summary: The study examines the social cognition impairments in patients with behavioural variant of Alzheimer's disease (bvAD) and compares them with patients with behavioural variant frontotemporal dementia (bvFTD) and typical Alzheimer's disease. The findings suggest that patients with bvAD exhibit similar but milder social cognition impairments compared to bvFTD, and greater impairments compared to typical Alzheimer's disease.
Review Cell Biology

The detrimental consequences of two consecutive disasters impacting cytopathology in Ukraine: COVID followed by the war

Oksana Sulaieva, Oleksandr Dudin, Pavlina Botsun, Svitlana Pischanska, Valentina Karpachova, Iryna Omelianenko, Mariia Burkatska, Ihor Panko, Tetyana Meged, Yaroslava Solodka, Olena Haidamak, Tetiana Prokopenko, Bogdan Morozov, Taras Rybalchenko, Mykola Dzerzhinsky, Tetyana Falalyeyeva, Nazarii Kobyliak

Summary: The Covid-19 pandemic and ongoing war in Ukraine had a significant impact on cytopathology activities. A retrospective study revealed a decline in testing volumes and a geographic redistribution of cytopathological testing during the war. Despite the challenges, cytopathology practice in Ukraine demonstrated resilience in maintaining healthcare services during the war.

CYTOPATHOLOGY (2023)

Article Neurosciences

Effects of the DICE Method to Improve Timely Recognition and Treatment of Neuropsychiatric Symptoms in Early Alzheimer's Disease at the Memory Clinic: The BEAT-IT Study

Willem S. Eikelboom, Esther van den Berg, Michiel Coesmans, Jeannette A. Goudzwaard, Marc Koopmanschap, Najoua Lazaar, Rozemarijn L. van Bruchem-Visser, Jan J. M. Driesen, Tom den Heijer, Susanne Hoogers, Frank Jan de Jong, Francesco Mattace-Raso, Elsbeth C. Thomeer, Suzanne Vrenken, Lilian J. H. M. Vroegindeweij, Sytse U. Zuidema, Ellen H. Singleton, John C. van Swieten, Rik Ossenkoppele, Janne M. Papma

Summary: This study evaluated the effectiveness of the Describe, Investigate, Create, Evaluate (DICE) method in improving neuropsychiatric symptoms (NPS) in Alzheimer's disease (AD) at the memory clinic. The results showed that the method did not provide significant benefits at the group level, but individuals with high levels of NPS and NPS-related distress may benefit from this intervention.

JOURNAL OF ALZHEIMERS DISEASE (2023)

Article Clinical Neurology

Addition of the FTD Module to the Neuropsychiatric Inventory improves classification of frontotemporal dementia spectrum disorders

Lize C. Jiskoot, Lucy L. Russell, Caroline V. Greaves, Esther van Schaik, Esther van den Berg, Jackie M. Poos, Liset de Boer, Laura Donker Kaat, Harro Seelaar, Yolande A. L. Pijnenburg, John C. van Swieten, Jonathan D. Rohrer

Summary: This study developed and validated an FTD Module to be used in conjunction with the Neuropsychiatric Inventory (NPI) for the assessment of neuropsychiatric symptoms (NPS) in frontotemporal dementia (FTD). The FTD Module improved the diagnostic accuracy of the NPI and has potential for research and therapeutic trials in FTD.

JOURNAL OF NEUROLOGY (2023)

Article Nutrition & Dietetics

Oligomalt, a New Slowly Digestible Carbohydrate, Is Well Tolerated in Healthy Young Men and Women at Intakes Up to 180 Gram per Day: A Randomized, Double-Blind, Crossover Trial

Odd Erik Johansen, Delphine Curti, Maximilian von Eynatten, Andreas Rytz, Anirban Lahiry, Frederik Delodder, Gerhard Ufheil, Carmine D'Urzo, Audrey Orengo, Kate Thorne, Jaclyn S. Lerea-Antes

Summary: This study aimed to assess the digestive tolerance and safety of a novel slowly digestible carbohydrate (SDC), oligomalt, in healthy adults. The results showed a dose-dependent effect of high-dose oligomalt compared to maltodextrin on gastrointestinal symptom rating score (GSRS), although the clinical relevance was limited. In conclusion, oligomalt has good safety and tolerance in healthy, normal weight young adults.

NUTRIENTS (2023)

Article Immunology

Gut microbiota in patients with COVID-19 and type 2 diabetes: A culture-based method

Pavlo Petakh, Nazarii Kobyliak, Aleksandr Kamyshnyi

Summary: This study analyzed the changes in gut microbiota in COVID-19 patients with Type 2 Diabetes (T2D) using a culture-based method. The results showed differences in gut microbiota composition in T2D patients compared to non-T2D individuals, potentially related to inflammatory dysfunction. This study is important as it provides insights into the role of gut microbiota in COVID-19 patients and may inform future research and treatment strategies.

FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY (2023)

Article Geriatrics & Gerontology

New horizons in cognitive and functional impairment as a consequence of cerebral small vessel disease

Lisanne Tap, Meike W. Vernooij, Frank Wolters, Esther van den Berg, Francesco U. S. Mattace-Raso

Summary: Cerebral small vessel disease (cSVD) is commonly seen in brain imaging of older adults, especially those with cardiovascular disease risk factors. The link between cSVD and cognitive impairment is established, but how and when these vascular changes lead to cognitive decline is still uncertain. Technological advances allow for more accurate identification and quantification of cSVD, which can aid in diagnosing vascular cognitive impairment and identifying individuals at higher risk of cognitive and functional deterioration. This study explores how improved assessment of cSVD through neuropsychological testing, comprehensive geriatric assessment, and modern imaging techniques can enhance diagnosis and prognosis of cognitive impairment. The study also discusses new treatment approaches for cSVD and how these insights can optimize screening and treatment strategies for older adults with cognitive impairment and multiple morbidities.

AGE AND AGEING (2023)

Article Medicine, Research & Experimental

Protective effect of vaginal resveratrol administration on joint tissues in ovariectomized rats: Targeting mTOR and caspase 3

Ganna Zaychenko, Igor Belenichev, Valeriia Hnatiuk, Andrii Doroshenko, Oksana Sinitsyna, Oksana Sulaieva, Tetyana Falalyeyeva, Nazarii Kobyliak

Summary: The aim of this study was to determine the effect of resveratrol on joint tissue and its therapeutic mechanism in ovariectomized rats. The results showed that resveratrol prevented weight gain and improved the structure and signaling of cartilage and bone in ovariectomized rats by activating BCL-2 and inhibiting Casp-3 expression.

BIOMEDICINE & PHARMACOTHERAPY (2023)

Review Microbiology

Probiotics for pancreatic β-cell function: from possible mechanism of action to assessment of effectiveness

Nazarii Kobyliak, Maria Khomenko, Tetyana Falalyeyeva, Alexandra Fedchenko, Oleksii Savchuk, Yuliya Tseyslyer, Liudmyla Ostapchenko

Summary: Type 2 diabetes is a metabolic disease characterized by insulin resistance and beta-cell dysfunction. The gut microbiota has a direct impact on metabolism and metabolic diseases. There is current focus on the effects of probiotics on insulin resistance, glycemic control, and related factors, but there is a lack of evidence for their efficacy on beta-cell function.

CRITICAL REVIEWS IN MICROBIOLOGY (2023)

Article Clinical Neurology

Longitudinal changes in qualitative aspects of semantic fluency in presymptomatic and prodromal genetic frontotemporal dementia

Lize C. C. Jiskoot, Esther van den Berg, Sascha A. A. M. Laenen, Jackie M. M. Poos, Lucia A. A. Giannini, Djaina D. D. Satoer, Judy van Hemmen, Yolande A. L. Pijnenburg, Jet M. J. Vonk, Harro Seelaar

Summary: Research suggests that qualitative measures of semantic fluency can provide valuable insights into the progression of different genetic mutations associated with Frontotemporal Dementia (FTD). Specifically, GRN mutation carriers show a decrease in clustering and an increase in cluster size, which is associated with decline in executive function. On the other hand, MAPT mutation carriers display an increase in lexical frequency and a decline in age of acquisition, which is associated with decline in semantic processing. These qualitative measures have the potential to serve as sensitive cognitive biomarkers for the diagnosis and monitoring of FTD.

JOURNAL OF NEUROLOGY (2023)

Article Immunology

Antimicrobial activity of dietary supplements based on bacterial lysate of Lactobacillus rhamnosus DV

Yurii Penchuk, Maryana Savytska, Nazarii Kobyliak, Danylo Ostapchenko, Igor Kolodiy, Svitlana Onysenko, Olena Tsyryuk, Oleksandr Korotkyi, Fedir Grygoriev, Tetyana Falalyeyeva

Summary: The bacterial lysate of Lactobacillus rhamnosus DV demonstrates antibacterial and antifungal properties when in direct contact with pathogenic agents.

FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY (2023)

Article Endocrinology & Metabolism

Probiotic for Pancreatic β-Cell Function in Type 2 Diabetes: A Randomized, Double-Blinded, PlaceboControlled Clinical Trial

Maryana Savytska, Dmytro Kyriienko, Iuliia Komisarenko, Oleksandr Kovalchuk, Tetyana Falalyeyeva, Nazarii Kobyliak

Summary: This study assessed the impact of probiotic therapy on pancreatic beta-cell function in patients with type 2 diabetes through a double-blind, randomized, placebo-controlled trial. The results showed that probiotic supplementation slightly improved beta-cell function and reduced fasting glucose levels and HbA1c levels. Additionally, probiotic therapy was found to reduce systemic inflammation in patients with type 2 diabetes by lowering pro-inflammatory cytokine levels.

DIABETES THERAPY (2023)

暂无数据