Platelet PAR-1 Activation in Health and Diabetes
Study Details
Study Description
Brief Summary
Platelet activation has been associated with bad events like heart attack and stroke. There are a variety of platelet activators that regulate how active a platelet is. We are interested in Protease-activated receptors (PAR)-1. We are currently studying PAR-1 activation in persons with severe peripheral artery disease. We seek, through this project, to understand PAR-1 activation in persons without peripheral artery disease. As many patients with peripheral artery disease have diabetes, we will also evaluate PAR-1 activation in persons with type 2 diabetes. In addition we will assess the impact of the glucagon-like peptide (GLP)-1 signaling pathway on platelet activation. Levels of platelet activation will be determined using platelet aggregation experiments and assessment of platelet-monocyte aggregates in peripheral blood.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Healthy Subjects Subjects will have a single visit where a short medical history/list of current medications and single blood draw will be performed. |
|
Type 2 Diabetic Subjects Subjects will have a single visit where a short medical history/list of current medications and single blood draw will be performed. |
Outcome Measures
Primary Outcome Measures
- Platelet Activation [One day]
Number of dilysyl-MDA cross-links formed in human platelets
- Protease Activated Receptor-1 Activation [One day]
Number of cleaved PAR-1 receptors in proportion to number of uncleared PAR-1 receptors
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Healthy men and women ≥60 years of age OR
-
Type 2 diabetic men and women ≥60 years of age
Exclusion Criteria:
-
Active cancer
-
Prior myocardial infarction, prior stroke, diagnosed peripheral artery disease
-
Severe liver (cirrhosis, cancer, or end-stage liver disease), kidney disease (eGFR <30 cc/min).
-
Pregnancy or lactation
-
Active vasculitis
-
Anticipated lifespan < 2 years
-
Current use of a DOAC
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Vanderbilt University Medical Center | Nashville | Tennessee | United States | 37232 |
Sponsors and Collaborators
- Vanderbilt University Medical Center
Investigators
- Principal Investigator: Joshua Beckman, MD, Vanderbilt University Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 192207