Skip to main content
Log in

Increased alpha2-macroglobulin in diabetes: A hyperglycemia related phenomenon associated with reduced antithrombin III activity

  • Published:
Acta diabetologia latina Aims and scope Submit manuscript

Summary

Increased α2-macroglobulin (α2M) activity and concentration, and decreased antithrombin III (ATIII) plasma concentration are reported in diabetic subjects. In diabetes an inverse correlation between ATIII activity and blood glucose, HbA1. α2M activity and α2M concentration, and a direct correlation between both α2M concentration with blood glucose and HbA1 are found. Moreover, a direct correlation between α2M activity and α2M concentration fails. In both diabetic and normal subjects induced hyperglycemia increases α2M activity and α2M concentration reduces ATIII activity, while ATIII concentration is not affected. These data which show that hyperglycemia may increase α2M molecule levels while altering only the biological function of ATIII, provide evidence that hyperglycemia may decrease, directly, the biological function of some proteins and may condition the levels of some risk factors for the development of diabetic complications such as α2M.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Abildgaard U., Lie M., Odegard O. R.: Antithrombin III (heparin co-factor) assay with a ‘new’ chromogenic substrates (S-2238 and Chromozym TH) — Thrombos. Res.11, 549, 1977.

    Article  CAS  Google Scholar 

  2. Banerjee R. N., Sahni A. L., Kumar U., Arya M.: Antithrombin III deficiency in maturity onset diabetes mellitus and atherosclerosis — Thrombos. Diathes. Haemorrh. (Stuttg.)31, 339, 1974.

    CAS  Google Scholar 

  3. Brownlee M.: α2-macroglobulin and reduced basement membrane degradation in diabetes — Lanceti, 779, 1976.

    Article  Google Scholar 

  4. Brownlee M., Vlassara H., Cerami A.: Inhibition of heparin-catalyzed human antithrombin III activity by nonenzymatic glycosylation. Possible role in fibrin deposition in diabetes — Diabetes33, 532, 1984.

    Article  PubMed  CAS  Google Scholar 

  5. Ceriello A., Dello Russo P., Zuccotti C., Florio A., Nazzaro S., Pietrantuono C., Rosato G. B.: Decreased antithrombin III activity in diabetes may be due to non-enzymatic glycosylation. A preliminary report — Thrombos. Haemostas.50, 633, 1983.

    CAS  Google Scholar 

  6. Ceriello A., Giugliano D., Dello Russo P., Tirelli A., Passariello N., Sgambato S.: Metabolic control may alter antithrombin III activity but not its plasma concentration in insulin-dependent diabetes. A possible role for non-enzymatic glycosylation — Diabet. Care.9, 32, 1986.

    Article  CAS  Google Scholar 

  7. Ceriello A., Giugliano D., Quatraro A., Stante A., Consoli G., Dello Russo P., D’Onofrio F.: Daily rapid blood glucose variations may condition antithrombin III biological activity but not its plasma concentration in insulin-dependent diabetes. A possible role for labile non-enzymatic glycation — Diabète et Métabol.13, 16, 1987.

    CAS  Google Scholar 

  8. Ceriello A., Giugliano D., Quatraro A., Stante A., Consoli G., Dello Russo P., D’Onofrio F.: Heparin preserves antithrombin III biological activity from hyperglycemia-induced alterations in insulin-dependent diabetics — Haemostasis16, 458, 1986.

    PubMed  CAS  Google Scholar 

  9. Ceriello A., Curcio F., Dello Russo P., Giugliano D.: Non-enzymatic glycosylation reduces antithrombin III activity — Thrombos. Haemostas.52, 363, 1984.

    CAS  Google Scholar 

  10. Ceriello A., Giugliano D., Quatraro A., Stante A., Consoli G., Dello Russo P., D’Onofrio F.: Induced hyperglycemia alters antithrombin III activity but not its plasma concentration in healthy normal subjects — Diabetes36, 320, 1987.

    Article  PubMed  CAS  Google Scholar 

  11. Ganrot P. O.: Determination of α2-macroglobulin as trypsin-protein esterase — Clin. chim. Acta14, 493, 1966.

    Article  PubMed  CAS  Google Scholar 

  12. Harpel P. C., Rosemberg R. D.: α2-Macroglobulin and antithrombin heparin cofactor: modulators of hemostatic and inflammatory reactions. In:Spaet Th. H. (Ed.): Progress in hemostasis and thrombosis. Vol. 3. Grune & Stratton, New York-San Francisco-London, 1976; p. 145.

    Google Scholar 

  13. Jones R.: Fibrinopeptide A in diabetes mellitus: relation to blood glucose, fibrinogen disappearance and hemodynamic changes — Diabetes34, 836, 1985.

    Article  PubMed  CAS  Google Scholar 

  14. Juhan I., Vague Ph., Buonocore M., Moulin J. P., Jouve R., Vialettes B.: Abnormalities of erythrocyte deformability and platelet aggregation in insulin-dependent diabetics corrected by insulinin vivo andin vitro — Lanceti, 535, 1982.

    Article  Google Scholar 

  15. Mallia A. K., Herfmanson G. T., Krohn R. J., Fujimoto E. K., Smith P. K.: Preparation and use of a boronic acid affinity support for separation and quantification of glycosylated hemoglobin — Analyt. Letters.14, 649, 1981.

    CAS  Google Scholar 

  16. Mancini G., Carbonara A. O., Heremans J. F.: Immunochemical quantitation of antigens by single radial immunodiffusion — Immunochemistry2, 235, 1965.

    Article  PubMed  CAS  Google Scholar 

  17. McLaren E,H., Cullen D. R., Brown M. J.: Coagulation abnormalities in diabetic coma before and 24 hours after treatment — Diabetologia17, 345, 1979.

    Article  PubMed  CAS  Google Scholar 

  18. Ney K. A., Pasqua J. J., Colley K. J., Guthrow C. E., Pizzo S. V.:In vitro preparation of non-enzymatically glucosylated human transferrin, α2-macroglobulin and fibrinogen with preservation of function — Diabetes34, 462, 1985.

    Article  PubMed  CAS  Google Scholar 

  19. Tsianos E. B., Stathakis N. E.: Soluble fibrin complex and fibrinogen heterogeneity in diabetes mellitus — Thrombos. Haemostas.44, 130, 1980.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ceriello, A., Giugliano, D., Quatraro, A. et al. Increased alpha2-macroglobulin in diabetes: A hyperglycemia related phenomenon associated with reduced antithrombin III activity. Acta diabet. lat 26, 147–154 (1989). https://doi.org/10.1007/BF02581366

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02581366

Key-words

Navigation