PMID- 23424997 OWN - NLM STAT- MEDLINE DCOM- 20130910 LR - 20220310 IS - 1502-7732 (Electronic) IS - 0300-9742 (Linking) VI - 42 IP - 4 DP - 2013 TI - Relationship between iron metabolism, oxidative stress, and insulin resistance in patients with systemic lupus erythematosus. PG - 303-10 LID - 10.3109/03009742.2012.754942 [doi] AB - OBJECTIVE: The aim of the present study was to assess oxidative stress and iron metabolism in systemic lupus erythematosus (SLE) patients with and without insulin resistance (IR). METHOD: This study included 236 subjects (125 controls and 111 SLE patients). Patients with SLE were divided in two groups: with (n = 72) or without (n = 39) IR. RESULTS: SLE patients with IR showed higher advanced oxidation protein product (AOPP) levels (p = 0.030) and gamma-glutamyltransferase (GGT) levels (p = 0.001) and lower sulfhydryl groups of proteins (p = 0.0002) and total radical-trapping antioxidant parameter (TRAP) corrected by uric acid (UA) levels (p = 0.04) when compared to SLE patients without IR. However, SLE patients with IR presented lower serum 8-isoprostane (p = 0.05) and carbonyl protein levels (p = 0.04) when compared to SLE patients without IR. Serum ferritin levels were significantly higher in SLE patients (p = 0.0006) than in controls, and SLE patients with IR presented higher serum ferritin levels (p = 0.01) than SLE patients without IR. Patients with SLE showed that IR was inversely correlated to TRAP/UA (r = -0.2724, p = 0.0008) and serum ferritin was positively correlated to AOPP (r = 0.2870, p = 0.004). CONCLUSIONS: This study found that oxidative stress was higher in the group of SLE patients with IR, and increased ferritin, whether caused by the inflammatory process per se or hyperinsulinaemia, can favour the redox process. In addition, the preset data reinforce the need to measure oxidative stress with several methodologies with different assumptions. FAU - Lozovoy, M A B AU - Lozovoy MA AD - Department of Clinical Analysis, University North of Parana (UNOPAR), Parana, Brazil. FAU - Simao, A N C AU - Simao AN FAU - Oliveira, S R AU - Oliveira SR FAU - Iryioda, T M V AU - Iryioda TM FAU - Panis, C AU - Panis C FAU - Cecchini, R AU - Cecchini R FAU - Dichi, I AU - Dichi I LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130220 PL - England TA - Scand J Rheumatol JT - Scandinavian journal of rheumatology JID - 0321213 RN - 0 (Biomarkers) RN - 27415-26-5 (8-epi-prostaglandin F2alpha) RN - 9007-73-2 (Ferritins) RN - B7IN85G1HY (Dinoprost) RN - EC 2.3.2.2 (gamma-Glutamyltransferase) SB - IM MH - Adult MH - Age Factors MH - Anthropometry MH - Biomarkers/metabolism MH - Case-Control Studies MH - Dinoprost/analogs & derivatives/metabolism MH - Disease Progression MH - Female MH - Ferritins/*metabolism MH - Follow-Up Studies MH - Humans MH - Insulin Resistance/*physiology MH - Lupus Erythematosus, Systemic/*metabolism/*physiopathology MH - Male MH - Middle Aged MH - Oxidative Stress/*physiology MH - Sex Factors MH - Statistics, Nonparametric MH - gamma-Glutamyltransferase/metabolism EDAT- 2013/02/22 06:00 MHDA- 2013/09/11 06:00 CRDT- 2013/02/22 06:00 PHST- 2013/02/22 06:00 [entrez] PHST- 2013/02/22 06:00 [pubmed] PHST- 2013/09/11 06:00 [medline] AID - 10.3109/03009742.2012.754942 [doi] PST - ppublish SO - Scand J Rheumatol. 2013;42(4):303-10. doi: 10.3109/03009742.2012.754942. Epub 2013 Feb 20.