50 g糖耐量试验对妊娠糖尿病前期氧化应激及白细胞介素-8参数的影响

Z. Özmen, C. Mertoğlu, L. Aydoğan, M. Nacar, K. Deveci, M. Katar, Zeki Özsoy
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摘要

背景:本研究旨在探讨50g口服糖耐量试验(OGTT)对糖尿病前期孕妇氧化应激和白细胞介素-8 (IL-8)参数的影响。材料与方法:采集79例接受50克OGTT治疗的孕妇的空腹和1小时血样。1小时血糖水平在140-200 mg/dl的患者被认为是糖尿病前期组。随后,测定空腹及1 h时血清常规生化指标及超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPx)、丙二醛(MDA)、白细胞介素-8 (IL-8)水平。结果:糖尿病前期组血清GPx、SOD水平显著低于对照组(p<0.05)。而糖尿病前期组血清IL-8水平显著高于对照组(p<0.05)。对比OGTT期间空腹和1小时参数水平,SOD水平显著降低(p<0.001), IL-8水平显著升高(p<0.001)。结论:糖尿病前期孕妇血清GPX、SOD水平降低,血清IL-8水平升高;然而,当给予这些患者50 g OGTT时,SOD水平降低,IL-8水平升高。我们获得的这些结果表明,50 g OGTT可能会触发糖尿病前期孕妇已经存在的氧化应激和全身炎症,对孕妇构成负面危险因素。
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Evaluation the Effect of 50 g Glucose Tolerance Test on Oxidative Stress and Interleukin-8 Parameters in Prediabetic Pregnancy
Background: The aim of this study is to evaluate the effect of 50 g oral glucose tolerance test (OGTT) on oxidative stress and interleukin-8 (IL-8) parameters in prediabetic pregnant women. Materials and Methods: Fasting and 1 hour blood samples were collected from 79 pregnant women who were administered 50 gr OGTT. Patients with a 1 hour blood glucose level of 140–200 mg/dl were considered as the prediabetic group. Thereafter, routine biochemical parameters and the levels of superoxide dismutase (SOD), glutathione peroxidase (GPx), malondialdehyde (MDA) and interleukin-8 (IL-8) parameters were measured from the serum samples taken during fasting and at 1 hour. Results: The serum GPx and SOD levels of the prediabetic group were remarkably lower than that of the control group (p<0.05). Whereas the serum IL-8 levels of the prediabetic group were significantly higher than that of the control group (p<0.05). When the fasting and 1 hour levels of the parameters were compared during OGTT, SOD levels were significantly decreased (p<0.001) and IL-8 levels were significantly higher (p<0.001). Conclusions: In conclusion, it was found that serum GPX and SOD levels decreased, while serum IL-8 levels increased in prediabetic pregnant women; however, when 50 g OGTT was administered to these patients, SOD levels decreased and IL-8 levels increased. These results we obtained suggest that oxidative stress and systemic inflammation that are already present in prediabetic pregnant women may be triggered by 50 g OGTT, posing negative risk factors for pregnant women.
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