PMID- 35067142 OWN - NLM STAT- MEDLINE DCOM- 20220401 LR - 20220519 IS - 1473-4877 (Electronic) IS - 0300-7995 (Linking) VI - 38 IP - 4 DP - 2022 Apr TI - Interleukins and redox impairment in type 2 diabetes mellitus: mini-review and pilot study. PG - 511-522 LID - 10.1080/03007995.2022.2033049 [doi] AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) represents a leading cause of morbidity and premature mortality, low-grade inflammation being acknowledged as a key contributor to its development and progression. A tailored therapeutic approach, based on sensitive and specific biomarkers, could allow a more accurate analysis of disease susceptibility/prognostic and of the response to treatment. OBJECTIVES: This mini-review and pilot study had two main goals: (1) reviewing the most recent literature encompassing the use of interleukins as inflammatory markers influenced by the redox imbalances in T2DM and (2) assessing parameters that conjunctly evaluate the redox impairment and inflammatory burden of T2DM patients, taking into consideration smoking status, as such group-specific biomarkers are scarcely reported in literature. METHODS: Firstly, PubMed database was surveyed to select and review the relevant studies employing interleukins as T2DM biomarkers and to assess if studies using combined inflammatory-redox indices were reported. Then, routine biochemical parameters were assessed in a pilot study -T2DM patients with 3 subgroups: non-smokers, smokers and ex-smokers, were compared to a control group of non-diabetic, apparently healthy non-smokers. Protein (AOPPs, AGEs), lipid/HDL (Amplex Red-based method) oxidative damage and inflammatory status (CRP, IL-1beta, IL-6, IL-10) biomarkers were assessed. Cytokine ratios and 2 oxidative-inflammatory status indices were developed (IH1 and IH2) and evaluated. RESULTS: We observed significant differences in terms of serum redox and inflammatory status (AOPPs, AGEs, CRP, CRP/HDL, CRP/IL-6, IL-10/IL-6, IH1) between T2DM patients compared to control and, moreover, between the subgroups formed considering smoking status (CRP, CRP/HDL, IH1). Glycemic control strongly influenced inflammatory status biomarkers: glycemia was positively correlated with the inflammatory parameters (CRP/IL-10) and inversely with the anti-inflammatory ones (IL-10, IL-10/IL-1beta ratio). CONCLUSIONS: Several of the assessed parameters may possess prognostic value for diabetics, especially when comparing subgroups with a different smoking history and could prove useful in clinical practice for assessing disease progress and therapeutic efficacy. FAU - Ungurianu, Anca AU - Ungurianu A AUID- ORCID: 0000-0002-6887-1035 AD - Department of Biochemistry, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. FAU - Zanfirescu, Anca AU - Zanfirescu A AUID- ORCID: 0000-0001-7658-5082 AD - Department of Pharmacology, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. FAU - Gradinaru, Daniela AU - Gradinaru D AUID- ORCID: 0000-0001-7666-3108 AD - Department of Biochemistry, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. FAU - Ionescu-Tirgoviste, Constantin AU - Ionescu-Tirgoviste C AUID- ORCID: 0000-0002-7816-3032 AD - N. Paulescu National Institute of Diabetes, Nutrition and Metabolic Diseases, Bucharest, Romania. FAU - Danciulescu Miulescu, Rucsandra AU - Danciulescu Miulescu R AD - N. Paulescu National Institute of Diabetes, Nutrition and Metabolic Diseases, Bucharest, Romania. AD - Department of Department of Endocrinology, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. FAU - Margina, Denisa AU - Margina D AUID- ORCID: 0000-0003-3289-147X AD - Department of Biochemistry, Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. LA - eng PT - Journal Article PT - Review DEP - 20220206 PL - England TA - Curr Med Res Opin JT - Current medical research and opinion JID - 0351014 RN - 0 (Biomarkers) RN - 0 (Interleukins) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Biomarkers MH - C-Reactive Protein/analysis MH - *Diabetes Mellitus, Type 2/complications MH - Humans MH - Interleukins MH - Oxidation-Reduction MH - Pilot Projects OTO - NOTNLM OT - Redox impairment OT - biomarkers OT - inflammation OT - type 2 diabetes mellitus EDAT- 2022/01/25 06:00 MHDA- 2022/04/02 06:00 CRDT- 2022/01/24 05:31 PHST- 2022/01/25 06:00 [pubmed] PHST- 2022/04/02 06:00 [medline] PHST- 2022/01/24 05:31 [entrez] AID - 10.1080/03007995.2022.2033049 [doi] PST - ppublish SO - Curr Med Res Opin. 2022 Apr;38(4):511-522. doi: 10.1080/03007995.2022.2033049. Epub 2022 Feb 6.