PMID- 26725915 OWN - NLM STAT- MEDLINE DCOM- 20170111 LR - 20221207 IS - 1755-3768 (Electronic) IS - 1755-375X (Linking) VI - 94 IP - 5 DP - 2016 Aug TI - Heat shock protein-70 and hypoxia inducible factor-1alpha in type 2 diabetes mellitus patients complicated with retinopathy. PG - e361-6 LID - 10.1111/aos.12919 [doi] AB - PURPOSE: To elucidate the role of heat shock protein-70 (HSP70) and hypoxia inducible factor-1alpha (HIF-1alpha) in diabetic retinopathy (DR) patients. DESIGN AND METHODS: A comparative study was done on the serum level of both HSP70 and HIF-1alpha in 50 patients with type 2 diabetes mellitus (T2DM) without DR, 50 patients with T2DM and DR and 70 healthy control subjects. RESULTS: HSP70 and HIF-1alpha were significantly increased in T2DM patients compared to controls and increased in patients with T2DM & DR compared to T2DM patients without DR (p < 0.0001). HSP70 did not differ among the patients with different stages of DR, while HIF-1alpha increased significantly in grades 3 and 4 DR patients compared to grades 1 and 2 DR patients. A strong correlation was found between HIF-1alpha and the development of DR (r = 0.835, p = 0.00) but not with HSP70. HIF-1alpha can be used as a predictor for development of DR but not HSP70. CONCLUSIONS: Our study was the first that investigated both HSP70 and HIF-1alpha in humans and was the first that measured their levels in serum of patients with DR. The study suggested that HSP70 might have a protective function in T2DM patients rather than a therapeutic function. HIF-1alpha had an upper hand in the development and progression of DR. Induction of HSP70 and blockage of HIF-1alpha could lead to the development of novel prophylactic and therapeutic strategies for DR and potentially other diabetic complications. CI - (c) 2016 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd. FAU - Sayed, Khulood M AU - Sayed KM AD - The Department of Ophthalmology, Faculty of Medicine, Sohag University, Sohag, Egypt. FAU - Mahmoud, Aida A AU - Mahmoud AA AD - The Department of Biochemistry, Faculty of Medicine, Sohag University, Sohag, Egypt. LA - eng PT - Comparative Study PT - Journal Article DEP - 20160104 PL - England TA - Acta Ophthalmol JT - Acta ophthalmologica JID - 101468102 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (HIF1A protein, human) RN - 0 (HSP70 Heat-Shock Proteins) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Biomarkers/blood MH - Blood Glucose/metabolism MH - Diabetes Mellitus, Type 2/*blood/complications MH - Diabetic Retinopathy/*blood/etiology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Glucose Tolerance Test MH - Glycated Hemoglobin/metabolism MH - HSP70 Heat-Shock Proteins/*blood MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*blood MH - Male MH - Middle Aged MH - ROC Curve OTO - NOTNLM OT - Type 2 DM OT - diabetic retinopathy OT - heat shock protein OT - hypoxia inducible factor 1-alpha EDAT- 2016/01/05 06:00 MHDA- 2017/01/12 06:00 CRDT- 2016/01/05 06:00 PHST- 2015/07/23 00:00 [received] PHST- 2015/09/27 00:00 [accepted] PHST- 2016/01/05 06:00 [entrez] PHST- 2016/01/05 06:00 [pubmed] PHST- 2017/01/12 06:00 [medline] AID - 10.1111/aos.12919 [doi] PST - ppublish SO - Acta Ophthalmol. 2016 Aug;94(5):e361-6. doi: 10.1111/aos.12919. Epub 2016 Jan 4.