Type 2 Diabetes, Inflammation
Conditions
Brief summary
Lowering LDL cholesterol by statins has been proven to be associated with reduction of proinflammatory regulators e.g. activation of the transcription factor NF-ĸB. Up to now the effects of newer cholesterol lowering agents such as ezetemibe with respect to their anti-inflammatory potential are less intensively studied. Therefore the investigators analyzed whether equipotent LDL-lowering therapy with simvastatin alone and in combination with ezetimibe have comparable effects on NF-ĸB-activation in peripheral blood mononuclear cells (PBMCs) of patients with type 2 diabetes.
Interventions
treatment with 80 mg of simvastatin over a period of 8 weeks
treatment with combination of simvastatin 10 mg and ezetimibe 10 mg
treatment with placebo over 8 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* 35 to 80 years old * type 2 diabetes * HbA1c value between 6.0 % and 9.0 % * elevated LDL-c values \> 100 mg/dl with no lipid lowering treatment within the last six month
Exclusion criteria
* refused informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NF-kappa B binding activity | up to 5 years | The binding activity of nuclear transcription factor nuclear factor kappa B (NF-kappa B)will be measured in patients with type 2 diabetes before and after 8 weeks while under study treatment. Analysis will be done with electrophoretic mobility shift assay. Nuclear extract, which is necessary, will be generated from peripheral blood mononuclear cells. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Inflammatory markers | up to 5 years | Blood levels of high sensitivity CRP and interleukin-6 will be measured before study start and after 8 weeks while under study medication. |
Countries
Germany