Characterization of Brachial Arterial t-PA Release, Endothelial Function, Obesity and Inflammation



Status:Terminated
Conditions:Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:18 - Any
Updated:7/15/2017
Start Date:January 2007
End Date:May 2011

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Characterization of Brachial Arterial t-PA Release, Vasodilator Function, and Vascular Compliance and Correlation With Fibrinolytic Balance, Oxidative Stress, and Inflammation Measures (SCCOR Project 1 Aim 3B)

T-PA release is impaired in obese subjects. In order to have a better mechanistic
understanding of t-PA release, we will compare t-PA release to Flow Mediated Vasodilation,
Radial Artery Tonometry, and other markers of endothelial function and oxidative stress.


Inclusion criteria:

1. Adults 18 years and greater

2. Healthy

Exclusion criteria:

1. PVC < 30

2. Hypertensive subjects on ACE inhibitors

3. Pregnant or nursing mothers

4. Diabetic with HbA1C > 7.5 or stigmata of end organ damage (neuropathy, retinopathy,
nephropathy, cardiomyopathy)

5. Cholesterol > 30 mg/dL above NCEP accepted level based on cardiac risk.

6. Triglycerides > 200

7. Previously diagnosed obstructive coronary artery disease, myocardial infarction or
left ventricular dysfunction (with or without a history of congestive heart failure)

8. Renal insufficiency (Creatinine ≥ 1.5 mg/dl)

9. History of cerebrovascular disease

10. Any chronic inflammatory disease (rheumatologic, inflammatory bowel disease, etc)

11. Uncontrolled Stage 2 Hypertension (160/100 mmHg), or end organ damage due to
hypertension (left ventricular hypertrophy, atrial fibrillation, hematuria, renal
insufficiency, prior cerebrovascular disease).

12. Angiotensin converting enzyme inhibitor use

13. Coagulopathy (INR ≥ 1.5, PTT ≥ 1.5 x control)

14. Other chronic medical illnesses at the discretion of the investigators
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