PMID- 24988089 OWN - NLM STAT- MEDLINE DCOM- 20140822 LR - 20220311 IS - 1827-1669 (Electronic) IS - 0026-4806 (Linking) VI - 105 IP - 3 DP - 2014 Jun TI - Paraoxonase, oxidized low density lipoprotein, monocyte chemoattractant protein-1 and adhesion molecules are associated with macrovascular complications in patients with type 2 diabetes mellitus. PG - 237-44 AB - AIM: The aim of this paper was to evaluate the association between blood glucose, oxidative stress, inflammation, endothelial dysfunction and paraoxonase activity as contributors to the accelerated atherosclerosis seen in type 2 diabetic patients. METHODS: Plasma malondialdehyde (MDA), oxidized LDL (oxLDL), monocyte chemoattractant protein-1 (MCP-1), intercellular adhesion molecule-1 (ICAM-1), and vascular cellular adhesion molecule-1 (VCAM-1) levels and paraoxonase-1 (PON1) activity were measured in sixty type 2 diabetic patients, 30 of whom had macrovascular complications, and 30 controls. RESULTS: Diabetics with macrovascular complications had higher levels of MDA, oxLDL, MCP-1, ICAM-1, VCAM-1 than those without, and the difference was significant for all molecules except for ICAM-1. PON1 activity and ApoA1 levels of the controls were significantly higher than that of the patients, while PON1 activity and ApoA1 levels in the patients with macrovascular complications were significantly lower than that in patients without. Ambient plasma glucose concentration showed a significant positive association with plasma MDA, oxLDL, MCP-1, and VCAM, and a significant inverse association with PON1 and ApoA1 in diabetic patients. A significant positive correlation between oxLDL and MDA, a negative correlation between oxLDL and PON1; a significant inverse association between MDA and PON1; a positive correlation between MDA and MCP-1 and VCAM while a negative correlation between PON1 and MCP-1 and VCAM were detected in patients. CONCLUSION: Hyperglycemia might play a significant role in generating increased oxidative stress, and decreased PON1 activity, resulting in elevated oxLDL, MCP-1 and VCAM levels. This might be one of the causal pathogenic factors initiating accelerated atherosclerosis in patients with type 2 diabetes mellitus. The implication of these findings are unclear and therefore further studies are required. FAU - Sozer, V AU - Sozer V AD - Department of Biochemistry Yildiz Technical University, Istanbul, Turkey - huzun59@hotmail.com. FAU - Himmetoglu, S AU - Himmetoglu S FAU - Korkmaz, G G AU - Korkmaz GG FAU - Kaya, S AU - Kaya S FAU - Aydin, S AU - Aydin S FAU - Yumuk, V AU - Yumuk V FAU - Hatemi, H AU - Hatemi H FAU - Uzun, H AU - Uzun H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Minerva Med JT - Minerva medica JID - 0400732 RN - 0 (APOA1 protein, human) RN - 0 (Apolipoprotein A-I) RN - 0 (Blood Glucose) RN - 0 (CCL2 protein, human) RN - 0 (Cell Adhesion Molecules) RN - 0 (Chemokine CCL2) RN - 0 (ICAM1 protein, human) RN - 0 (Lipoproteins, LDL) RN - 0 (oxidized low density lipoprotein) RN - 126547-89-5 (Intercellular Adhesion Molecule-1) RN - 4Y8F71G49Q (Malondialdehyde) RN - EC 3.1.8.1 (Aryldialkylphosphatase) RN - EC 3.1.8.1 (PON1 protein, human) SB - IM MH - Adult MH - Aged MH - Apolipoprotein A-I/blood MH - Aryldialkylphosphatase/*blood MH - Atherosclerosis/blood/enzymology/*etiology/physiopathology MH - Blood Glucose/*metabolism MH - Cell Adhesion Molecules MH - Chemokine CCL2/*blood MH - Diabetes Mellitus, Type 2/*blood/complications/enzymology/physiopathology MH - Diabetic Angiopathies/*blood/complications/enzymology/physiopathology MH - Endothelium, Vascular/physiopathology MH - Female MH - Humans MH - Inflammation/blood/physiopathology MH - Intercellular Adhesion Molecule-1/*blood MH - Lipoproteins, LDL/*blood MH - Male MH - Malondialdehyde/*blood MH - Middle Aged EDAT- 2014/07/06 06:00 MHDA- 2014/08/26 06:00 CRDT- 2014/07/03 06:00 PHST- 2014/07/03 06:00 [entrez] PHST- 2014/07/06 06:00 [pubmed] PHST- 2014/08/26 06:00 [medline] AID - R10Y2014N03A0237 [pii] PST - ppublish SO - Minerva Med. 2014 Jun;105(3):237-44.