PMID- 30259578 OWN - NLM STAT- MEDLINE DCOM- 20190311 LR - 20210109 IS - 1098-2825 (Electronic) IS - 0887-8013 (Print) IS - 0887-8013 (Linking) VI - 33 IP - 2 DP - 2019 Feb TI - Elevation of serum oxLDL/beta2-GPI complexes was correlated with diabetic microvascular complications in Type 2 diabetes mellitus patients. PG - e22676 LID - 10.1002/jcla.22676 [doi] LID - e22676 AB - BACKGROUND: High levels of oxLDL/beta2-GPI complexes might be a consequence of LDL atherogenic modification mediated by oxidative stress. We aimed to determine whether the levels of serum oxLDL/beta2-GPI complexes were correlated with diabetic microvascular complications in type 2 diabetes mellitus (T2DM) patients. METHODS: Levels of oxLDL/beta2-GPI complexes, oxLDL, routine lipid/lipoprotein parameters were measured in 100 healthy controls, 128 T2DM patients without any microvascular complications, and 172 T2DM patients with microvascular complications. Spearman's correlation, multivariable linear regression logistic regression analysis, and receiver operating characteristic (ROC) curve were performed. RESULTS: Levels of serum oxLDL/beta2-GPI complexes and oxLDL were significantly higher in T2DM patients with microvascular complications (oxLDL/beta2-GPI complexes: 1.10 +/- 0.18 U/mL; oxLDL: 48.12 +/- 7.24 mmol/L) than those in T2DM patients without microvascular complications (oxLDL/beta2-GPI complexes: 0.98 +/- 0.16 U/mL; oxLDL: 41.45 +/- 6.81 mmol/L) and controls (oxLDL/beta2-GPI complexes: 0.79 +/- 0.15 U/mL; oxLDL: 27.85 +/- 5.32 mmol/L). Variables that remained significantly associated with oxLDL/beta2-GPI complexes were oxLDL (beta = 0.568, P < 0.001), TC (beta = 0.312, P = 0.013) and microvascular complications (beta = 0.205, P = 0.027), which accounted for 58.3% of the variation of the level of oxLDL/beta2-GPI complexes in T2DM patients (R(2) = 0.583). Logistic regression analysis demonstrated that elevation of oxLDL/beta2-GPI complexes (OR = 3.14, 95% CI: 1.04-9.46, P = 0.042) and oxLDL levels (OR = 3.02, 95% CI: 1.16-7.83, P = 0.023) were independently associated with occurrence of microvascular complications. Cutoff value of oxLDL/beta2-GPI for the presence of microvascular complications was 1.05 U/mL, and AUC area of ROC curve was 0.783 (95%CI: 0.713-0.853), yielding a sensitivity of 86.8% and specificity of 64.9%. CONCLUSIONS: Elevation of serum oxLDL/beta2-GPI complexes was associated with microvascular complications in T2DM patients. CI - (c) 2018 Wiley Periodicals, Inc. FAU - Xie, Lianzhi AU - Xie L AUID- ORCID: 0000-0001-9349-6022 AD - Laboratory Department, The First Affiliated Hospital of Xiamen University, Xiamen, China. FAU - Lin, Hui AU - Lin H AD - Laboratory Department, The First Affiliated Hospital of Xiamen University, Xiamen, China. FAU - Wang, Caihong AU - Wang C AD - Endocrinology Department, The First Affiliated Hospital of Xiamen University, Xiamen, China. LA - eng PT - Journal Article DEP - 20180926 PL - United States TA - J Clin Lab Anal JT - Journal of clinical laboratory analysis JID - 8801384 RN - 0 (Lipoproteins, LDL) RN - 0 (Multiprotein Complexes) RN - 0 (beta 2-Glycoprotein I) RN - 0 (oxidized low density lipoprotein) SB - IM MH - Case-Control Studies MH - *Diabetes Mellitus, Type 2/complications/epidemiology MH - *Diabetic Angiopathies/blood/epidemiology MH - Female MH - Humans MH - Lipoproteins, LDL/*blood/chemistry/metabolism MH - Male MH - Microvessels/*physiopathology MH - Middle Aged MH - Multiprotein Complexes/blood/chemistry/metabolism MH - ROC Curve MH - beta 2-Glycoprotein I/*blood/chemistry/metabolism PMC - PMC6818577 OTO - NOTNLM OT - microvascular complications OT - oxLDL/beta2-GPI complexes OT - type 2 diabetes mellitus EDAT- 2018/09/28 06:00 MHDA- 2019/03/12 06:00 PMCR- 2018/09/26 CRDT- 2018/09/28 06:00 PHST- 2018/07/06 00:00 [received] PHST- 2018/08/16 00:00 [revised] PHST- 2018/08/20 00:00 [accepted] PHST- 2018/09/28 06:00 [pubmed] PHST- 2019/03/12 06:00 [medline] PHST- 2018/09/28 06:00 [entrez] PHST- 2018/09/26 00:00 [pmc-release] AID - JCLA22676 [pii] AID - 10.1002/jcla.22676 [doi] PST - ppublish SO - J Clin Lab Anal. 2019 Feb;33(2):e22676. doi: 10.1002/jcla.22676. Epub 2018 Sep 26.