PMID- 25043705 OWN - NLM STAT- MEDLINE DCOM- 20141205 LR - 20181202 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 105 IP - 3 DP - 2014 Sep TI - One-week intervention period led to improvements in glycemic control and reduction in DNA damage levels in patients with type 2 diabetes mellitus. PG - 356-63 LID - S0168-8227(14)00272-1 [pii] LID - 10.1016/j.diabres.2014.06.004 [doi] AB - AIMS: Hyperglycemia leads to increased production of reactive oxygen species (ROS), which reduces cellular antioxidant defenses and induces several DNA lesions. We investigated the effects on DNA damage of a seven-day hospitalization period in patients with type 2 diabetes mellitus (T2DM) to achieve adequate blood glucose levels through dietary intervention and medication treatment, compared with non-diabetic individuals. METHODS: DNA damage levels were evaluated by the alkaline comet assay (with modified and without conventional use of hOGG1 enzyme, which detects oxidized DNA bases) for 10 patients and 16 controls. Real time PCR array method was performed to analyze the transcriptional expression of a set of 84 genes implicated in antioxidant defense and response to oxidative stress in blood samples from T2DM patients (n=6) collected before and after the hospitalization period. RESULTS: The seven-day period was sufficient to improve glycemic control and to significantly decrease (p<0.05) DNA damage levels in T2DM patients, although those levels were slightly higher than those in control subjects. We also found a tendency towards a decrease in the levels of oxidative DNA damage in T2DM patients after the hospitalization period. However, for all genes analyzed, a statistically significant difference in the transcriptional expression levels was not observed. CONCLUSIONS: The study demonstrated that although the transcriptional expression of the genes studied did not show significant alterations, one-week of glycemic control in hospital resulted in a significant reduction in DNA damage levels detected in T2DM patients, highlighting the importance of an adequate glycemic control. CI - Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved. FAU - Xavier, Danilo J AU - Xavier DJ AD - Department of Genetics, Faculty of Medicine of Ribeirao Preto (FMRP), University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil. FAU - Takahashi, Paula AU - Takahashi P AD - Department of Genetics, Faculty of Medicine of Ribeirao Preto (FMRP), University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil. FAU - Manoel-Caetano, Fernanda S AU - Manoel-Caetano FS AD - Department of Genetics, Faculty of Medicine of Ribeirao Preto (FMRP), University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil; Department of Biology, Faculty of Philosophy, Sciences and Letters of Ribeirao Preto (FFCLRP), University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil. FAU - Foss-Freitas, Maria C AU - Foss-Freitas MC AD - Department of Internal Medicine, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil. FAU - Foss, Milton C AU - Foss MC AD - Department of Internal Medicine, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil. FAU - Donadi, Eduardo A AU - Donadi EA AD - Department of Genetics, Faculty of Medicine of Ribeirao Preto (FMRP), University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil; Division of Clinical Immunology, Department of Medicine, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil. FAU - Passos, Geraldo A AU - Passos GA AD - Department of Genetics, Faculty of Medicine of Ribeirao Preto (FMRP), University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil; Disciplines of Genetics and Molecular Biology, Department of Morphology, Faculty of Dentistry of Ribeirao Preto, University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil. FAU - Sakamoto-Hojo, Elza T AU - Sakamoto-Hojo ET AD - Department of Genetics, Faculty of Medicine of Ribeirao Preto (FMRP), University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil; Department of Biology, Faculty of Philosophy, Sciences and Letters of Ribeirao Preto (FFCLRP), University of Sao Paulo-USP, Ribeirao Preto, SP, Brazil. Electronic address: etshojo@usp.br. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140621 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Blood Glucose) RN - 0 (Reactive Oxygen Species) SB - IM MH - Adult MH - Blood Glucose/*analysis MH - *DNA Damage MH - Diabetes Mellitus, Type 2/*blood/*therapy MH - Female MH - Gene Expression Profiling MH - Hospitalization MH - Humans MH - Hyperglycemia/*therapy MH - Male MH - Middle Aged MH - Oxidative Stress/*genetics MH - Reactive Oxygen Species/blood OTO - NOTNLM OT - Comet assay OT - Hyperglycemia OT - Oxidative stress OT - PCR array OT - Type 2 diabetes mellitus EDAT- 2014/07/22 06:00 MHDA- 2014/12/15 06:00 CRDT- 2014/07/22 06:00 PHST- 2013/09/11 00:00 [received] PHST- 2014/02/01 00:00 [revised] PHST- 2014/06/13 00:00 [accepted] PHST- 2014/07/22 06:00 [entrez] PHST- 2014/07/22 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - S0168-8227(14)00272-1 [pii] AID - 10.1016/j.diabres.2014.06.004 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2014 Sep;105(3):356-63. doi: 10.1016/j.diabres.2014.06.004. Epub 2014 Jun 21.