Comparison of Oxidant and Antioxidant Status in the Aqueous Humour of Cataract Patients with and without Type 2 Diabetes Mellitus.

IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Jcpsp-Journal of the College of Physicians and Surgeons Pakistan Pub Date : 2023-09-01 DOI:10.29271/jcpsp.2023.09.1019
Shoaib Bin Aleem, Amber Farooq, Teyyeb Azeem Janjua
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Abstract

Objectives: To compare the total oxidant status (TOS), total antioxidant capacity (TAC), and oxidative stress index (OSI) in the aqueous humour of cataract patients with and without type 2 diabetes mellitus (T2DM).

Study design: Cross-sectional analytical study. Place and Duration of the Study: Department of Physiology, Army Medical College, National University of Medical Sciences, Rawalpindi, Pakistan in collaboration with Armed Forces Institute of Ophthalmology, from 1st June 2022 to 31st January 2023.

Methodology: A total of 120 individuals were recruited and divided into 2 equal groups. Sample of aqueous humour was collected, and the total oxidant status, and total antioxidant status were measured by spectrophotometry. Blood samples were collected to measure the fasting glucose and glycosylated haemoglobin levels. Results were analysed by SPSS version 24 and p-value ≤0.05 was considered significant.

Results: Total oxidative stress and OSI were (55.57±5.46) vs. (33.75±4.28) = p (0.001), (32.79±9.23) vs. (13.28±3.02) = p (0.001) found significantly increased in aqueous humour of diabetic patients while TAC was reduced (1.86±0.41) vs. (2.62 ± 0.45) = p (0.001) compared to the non-diabetics. Fasting blood glucose (109.18±12.32 vs. 91.61±5.71 mg/dl, p=0.001) and glycosylated haemoglobin levels (6.46±0.85 vs.5.43±0.85, p=0.001) were also found significantly high in the diabetic group compared to the non-diabetics.

Conclusion: Increased levels of glucose and glycosylated haemoglobin increase oxidative stress in the blood of T2DM patients. This raises the total oxidative stress in the aqueous homor while lowering the TAC. This disturbed oxidant-antioxidant status in the aqueous humour of diabetic patients plays an important role in the development of cataract in T2DM patients compared to non-diabetics.

Key words: Cataract, Aqueous humour, Oxidative stress, Type 2 diabetes mellitus.

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合并和不合并2型糖尿病白内障患者房水中氧化剂和抗氧化状态的比较。
目的:比较合并和不合并2型糖尿病(T2DM)的白内障患者房水的总氧化状态(TOS)、总抗氧化能力(TAC)和氧化应激指数(OSI)。研究设计:横断面分析研究。研究地点和时间:巴基斯坦拉瓦尔品第国立医科大学陆军医学院生理学系与武装部队眼科研究所合作,研究时间为2022年6月1日至2023年1月31日。方法:共招募120人,分为两组。采集幽默水样品,用分光光度法测定其总氧化状态和总抗氧化状态。采集血样测量空腹血糖和糖化血红蛋白水平。结果采用SPSS version 24进行分析,p值≤0.05为差异有统计学意义。结果:总氧化应激和OSI分别为(55.57±5.46)比(33.75±4.28)= p(0.001),(32.79±9.23)比(13.28±3.02)= p(0.001),与非糖尿病患者相比,糖尿病患者房水中总氧化应激和OSI显著升高(1.86±0.41)比(2.62±0.45)= p(0.001)。糖尿病组空腹血糖(109.18±12.32 vs. 91.61±5.71 mg/dl, p=0.001)和糖化血红蛋白水平(6.46±0.85 vs.5.43±0.85,p=0.001)也明显高于非糖尿病组。结论:血糖和糖化血红蛋白水平升高会增加T2DM患者血液中的氧化应激。这增加了水溶液中的总氧化应激,同时降低了TAC。与非糖尿病患者相比,糖尿病患者房水中这种紊乱的氧化-抗氧化状态在T2DM患者白内障的发展中起着重要作用。关键词:白内障,房水,氧化应激,2型糖尿病
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
453
审稿时长
3-6 weeks
期刊介绍: Journal of College of Physicians and Surgeons Pakistan (JCPSP), is the prestigious, peer reviewed monthly biomedical journal of the country published regularly since 1991. Established with the primary aim of promotion and dissemination of medical research and contributed by scholars of biomedical sciences from Pakistan and abroad, it carries original research papers, , case reports, review articles, articles on medical education, commentaries, short communication, new technology, editorials and letters to the editor. It covers the core biomedical health science subjects, basic medical sciences and emerging community problems, prepared in accordance with the “Uniform requirements for submission to bio-medical journals” laid down by International Committee of Medical Journals Editors (ICMJE). All publications of JCPSP are peer reviewed by subject specialists from Pakistan and locally and abroad.
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