糖尿病患者氧化应激标志物丙二醛与血脂的关系

Reem M. Azeez, Wisam K. AL-Hashemi, Tawfeeq F. R. Al-Auqbi, Jamel Jebali
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摘要

2型糖尿病(T2DM)是一种伴有诱导氧化应激(OS)状况的疾病。抗氧化活性降低是OS条件的特征。抗氧化剂保护细胞成分免受活性氧(ROS)的有害影响。脂质成分被ROS氧化有可能产生丙二醛(MDA)。评估丙二醛(这是脂质过氧化的副产物)可以作为氧化损伤的标志。这可以阐明活性氧对脂质的影响。本研究旨在阐明2型糖尿病患者丙二醛氧化应激生物标志物与血脂的相关性。本研究分为糖尿病患者30例、肥胖患者30例和健康患者30例两组作为对照组。测定血浆标本中丙二醛的水平。评估这些组的血清葡萄糖、血脂和糖化血红蛋白(HbA1c)。分析了T2DM患者和非T2DM患者的年龄和BMI。糖尿病患者MDA浓度为[17.08±1.989 (nmol/ml)],肥胖患者为[16.08±2.049 (nmol/ml)],对照组为[12.12±1.508 (nmol/ml)]。T2DM患者的MDA水平升高,差异有统计学意义p <0.0001。与健康对照组相比,T2DM和肥胖患者之间无显著差异。由此可见,MDA可用于观察T2DM的氧化应激。数据表明,利用MDA可以帮助预测氧化环境。
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Relation of MDA as Oxidative Stress Marker with Lipid Profile in a Diabetic Patient
Type-2 diabetes mellitus (T2DM) is a disease accompanied by induced oxidative stress (OS) conditions. A reduction in antioxidant activity characterizes the OS conditions. Antioxidants protect cell components from the harmful effects of reactive oxygen species (ROS). The oxidation of the lipid components by ROS has the potential to generate malondialdehyde (MDA). The assessment of MDA (which is a byproduct of lipid peroxidation) may serve as a sign of oxidative damage. This can shed light on the impact of ROS on lipids. This study aims to elucidate the correlation between MDA oxidative stress biomarkers and lipids in individuals diagnosed with type-2 diabetes mellitus. The study comprises two case groups of 30 diabetic patients, 30 obese patients, and 30 healthy patients as the control group. The levels of MDA in the plasma specimens are measured. The serum glucose, serum lipid, and glycated haemoglobin (HbA1c) are evaluated for these groups. The results among patients with and without T2DM are analyzed with regard to age and BMI. The concentration of the MDA is [17.08 ± 1.989 (nmol/ml)] for diabetic patients, [16.08 ± 2.049 (nmol/ml)] for obese patients, and [12.12 ± 1.508 (nmol/ml)] for control patients. A statistically significant difference of p <0.0001 is observed in the elevated levels of MDA among T2DM patients. As compared to healthy control participants, there is no significant difference between T2DM and obese patients. It is concluded that the MDA can be utilized for observing the oxidative stress related to T2DM. The data indicate that utilising MDA could help predict the oxidative environment.
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