PMID- 30956269 OWN - NLM STAT- MEDLINE DCOM- 20190830 LR - 20190830 IS - 1881-7823 (Electronic) IS - 1881-7815 (Linking) VI - 13 IP - 2 DP - 2019 May 12 TI - Predictive value of some pro-oxidants in type 2 diabetes mellitus with vascular complications. PG - 168-175 LID - 10.5582/bst.2019.01020 [doi] AB - The study aims to analyze oxidative stress levels in circulation of some reactive molecules and products of biomolecular modification in type 2 diabetes mellitus (T2DM) with diabetes-specific vascular complications in order to determine their predictive value. Also, the alterations of their serum concentration with reference to disease characteristics were assessed. Reactive oxygen species (ROS), nitric oxide radicals (*NO), malondialdehyde (MDA), protein carbonyl (CO) and 8-hydroxydeoxyguanosin (8-OHdG) in serum were measured in 93 patients with T2DM with vascular complications, 94 control subjects and 16 diabetic patients who had no evidence of vascular disease. T2DM patients with clinically manifest vascular disease exhibit significantly elevated concentrations of all pro-oxidants in comparison to healthy subjects, with the highest degree of increase of *NO radicals. The levels of carbonylated proteins, ROS and 8-OHdG were significantly increased in insufficiently compensated diabetes as compared to good glycemic control state. Also, serum MDA, protein CO and 8-OHdG showed an association with glycemic control parameters. MDA, ROS and 8-OHdG correlated mostly with microvascular complications. Significant area under the curve (AUC) from plotted receiver operating characteristic (ROC) curves were obtained for all studied biomarkers, as for nitric oxide it was substantially bigger compared to those for the other pro-oxidants. Correspondingly, positive and negative predictive values related to the disease were in favor of the *NO radicals. The cutoff values of oxidative biomarkers may serve as an indicator of clinical reference for detecting T2DM with associated vascular complications, as nitric oxide radicals were the most reliable indicator. FAU - Goycheva, Petia AU - Goycheva P AD - Clinic of Endocrinology, University Hospital "Prof. Dr. Stoyan Kirkovich", Medical Faculty, Trakia University. FAU - Nikolova, Galina AU - Nikolova G AD - Department of Chemistry and Biochemistry, Medical Faculty, Trakia University. FAU - Ivanova, Mariana AU - Ivanova M AD - Clinic of Rheumatology, University Hospital "St. Ivan Rilski", Medical Faculty, Medical University. FAU - Kundurdzhiev, Todor AU - Kundurdzhiev T AD - Faculty of Public Health, Medical University. FAU - Gadjeva, Veselina AU - Gadjeva V AD - Department of Chemistry and Biochemistry, Medical Faculty, Trakia University. LA - eng PT - Journal Article DEP - 20190408 PL - Japan TA - Biosci Trends JT - Bioscience trends JID - 101502754 RN - 0 (Biomarkers) RN - 0 (Oxidants) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Case-Control Studies MH - Cohort Studies MH - Diabetes Mellitus, Type 2/*blood MH - Diabetic Angiopathies/*blood MH - Female MH - Humans MH - Male MH - Middle Aged MH - Oxidants/*blood MH - Predictive Value of Tests MH - ROC Curve OTO - NOTNLM OT - Type 2 diabetes mellitus OT - diabetes-specific vascular complications OT - oxidative stress OT - pro-oxidants EDAT- 2019/04/09 06:00 MHDA- 2019/08/31 06:00 CRDT- 2019/04/09 06:00 PHST- 2019/04/09 06:00 [pubmed] PHST- 2019/08/31 06:00 [medline] PHST- 2019/04/09 06:00 [entrez] AID - 10.5582/bst.2019.01020 [doi] PST - ppublish SO - Biosci Trends. 2019 May 12;13(2):168-175. doi: 10.5582/bst.2019.01020. Epub 2019 Apr 8.