INCREASED CONTENT OF EPIDERMAL GROWTH-FACTOR IN PLATELET LYSATES IN NON-INSULIN-DEPENDENT DIABETES-MELLITUS

We evaluated the content of EGF in platelet lysates obtained from 49 patients with non-insulin-dependent diabetes mellitus (NIDDM)(18 males, 31 females, age 58 +/- 13 years) and from 23 clinically healthy control subjects (11 males, 12 females, age 53 +/- 18 years). Platelets were collected from platelet-rich plasma and lysed. EGF was determined by radioimmunoassay. The immunoreactive EGF content in the platelet lysates in diabetic patients significantly exceeded that of control subjects (44.9 +/- 18.5 pg/mm3 platelet vs. 34.2 +/- 7.8 pg/mm3 platelet, mean +/- SD p < 0.008). In performing multiple regression analysis with ten clinical parameters, urinary albumin excretion (F=16.1, r=0.551, p<0.001), duration of diabetes (F=13.0, r=0.511, p<0.001) and the presence of diabetic proliferative retinopathy (F=8.8, p<0.01) were significantly associated with irEGF content in platelet lysates. These observations suggest that the amount of EGF in platelets may increase with the progression of diabetic complications. The mechanism for the increase of EGF in platelets remains to be clarified.