PMID- 24384240 OWN - NLM STAT- MEDLINE DCOM- 20140915 LR - 20140203 IS - 1873-2941 (Electronic) IS - 0009-3084 (Linking) VI - 178 DP - 2014 Feb TI - Comparison of plasma and erythrocyte membrane fatty acid compositions in patients with end-stage renal disease and type 2 diabetes mellitus. PG - 11-7 LID - S0009-3084(13)00183-7 [pii] LID - 10.1016/j.chemphyslip.2013.12.011 [doi] AB - BACKGROUND: In this study, we aimed to compare the serum lipid profile and fatty acid (FA) compositions of erythrocyte membrane (EM) and plasma in three different patient groups (group 1: type 2 diabetes mellitus (T2DM)+end-stage renal disease (ESRD), group 2: ESRD, group 4: T2DM) and healthy controls (group 3) simultaneously. METHODS: 40 ESRD patients treated with hemodialysis (HD) in Gulhane School of Medicine (20 with T2DM) and 32 controls (17 with T2DM, 15 healthy controls) were included in the study. Plasma and EM FA concentrations were measured by gas chromatography-flame ionization detector (GC-FID). RESULTS: Plasma and EM palmitic acid (PA) and stearic acid (SA) levels were significantly higher in T2DM patients compared to controls (p=0.040 and p=0.002 for plasma, p=0.001 and p=0.010 for EM, respectively). EM docosahexaenoic acid (DHA) levels were also significantly lower in patients with ESRD+T2DM and ESRD compared to controls (p=0.004 and p=0.037, respectively). CONCLUSIONS: Patients with insulin resistance display a pattern of high long chain saturated FAs (PA, SA and arachidic acids). However, while there are no recognized standards for normal EM DHA content, decreased levels of EM DHA in ESRD patient groups (groups 1 and 2) suggest that there may be reduced endogenous synthesis of DHA in HD subjects, due to the decreased functionality of desaturase and elongase enzymes. Because membrane PUFA content affects membrane fluidity and cell signaling, these findings are worthy of further investigation. CI - Copyright (c) 2013 Elsevier Ireland Ltd. All rights reserved. FAU - Sertoglu, Erdim AU - Sertoglu E AD - Ankara Mevki Military Hospital, Anittepe Dispensary, Ankara, Turkey. Electronic address: erdimsertoglu@gmail.com. FAU - Kurt, Ismail AU - Kurt I AD - Gulhane School of Medicine, Department of Medical Biochemistry, Ankara, Turkey. FAU - Tapan, Serkan AU - Tapan S AD - Gulhane School of Medicine, Department of Medical Biochemistry, Ankara, Turkey. FAU - Uyanik, Metin AU - Uyanik M AD - Gulhane School of Medicine, Department of Medical Biochemistry, Ankara, Turkey. FAU - Serdar, Muhittin A AU - Serdar MA AD - Acibadem University School of Medicine, Department of Medical Biochemistry, Istanbul, Turkey. FAU - Kayadibi, Huseyin AU - Kayadibi H AD - Adana Military Hospital, Department of Medical Biochemistry, Adana, Turkey. FAU - El-Fawaeir, Saad AU - El-Fawaeir S AD - Gulhane School of Medicine, Department of Medical Biochemistry, Ankara, Turkey. LA - eng PT - Comparative Study PT - Journal Article DEP - 20131231 PL - Ireland TA - Chem Phys Lipids JT - Chemistry and physics of lipids JID - 0067206 RN - 0 (Fatty Acids) RN - 0 (Stearic Acids) RN - 25167-62-8 (Docosahexaenoic Acids) RN - 2V16EO95H1 (Palmitic Acid) RN - 4ELV7Z65AP (stearic acid) SB - IM MH - Adult MH - Cell Membrane/*chemistry MH - Diabetes Mellitus, Type 2/*metabolism/pathology MH - Docosahexaenoic Acids/metabolism MH - Erythrocyte Membrane/*chemistry MH - Fatty Acids/*metabolism MH - Female MH - Humans MH - Kidney Failure, Chronic/*metabolism/pathology MH - Male MH - Middle Aged MH - Palmitic Acid/metabolism MH - Stearic Acids/metabolism OTO - NOTNLM OT - End-stage renal disease OT - Erythrocyte membrane OT - Fatty acids OT - Plasma OT - Type 2 diabetes mellitus EDAT- 2014/01/05 06:00 MHDA- 2014/09/16 06:00 CRDT- 2014/01/04 06:00 PHST- 2013/11/14 00:00 [received] PHST- 2013/12/22 00:00 [revised] PHST- 2013/12/23 00:00 [accepted] PHST- 2014/01/04 06:00 [entrez] PHST- 2014/01/05 06:00 [pubmed] PHST- 2014/09/16 06:00 [medline] AID - S0009-3084(13)00183-7 [pii] AID - 10.1016/j.chemphyslip.2013.12.011 [doi] PST - ppublish SO - Chem Phys Lipids. 2014 Feb;178:11-7. doi: 10.1016/j.chemphyslip.2013.12.011. Epub 2013 Dec 31.