PMID- 35898588 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220729 IS - 2296-875X (Print) IS - 2296-875X (Electronic) IS - 2296-875X (Linking) VI - 9 DP - 2022 TI - Correlation Between Serum beta2-GPI/oxLDL and the Risk of Cerebral Infarction in Patients with T2DM. PG - 930701 LID - 10.3389/fsurg.2022.930701 [doi] LID - 930701 AB - OBJECTIVE: This study aims to study the correlation between serum beta2-glycoprotein I (beta2-GPI)/oxidized low-density lipoprotein (oxLDL) and the risk of cerebral infarction in patients with type 2 diabetes (T2DM). METHODS: From January 2019 to March 2021, 56 patients with T2DM combined with cerebral infarction were chosen as a diabetic cerebral infarction (DCI) group, and 60 patients with simple T2DM were chosen as a T2DM group. In addition, 60 healthy volunteers were recruited as a control group. The essential information of each group was collected, and the serum beta2-GPI/oxLDL and inflammatory factor levels in each group were compared. The clinical factors that affect the risk of ischemic cerebral infarction in patients with T2DM were analyzed by a logistic model. RESULTS: Compared with the control group, the level of serum beta2-GPI/oxLDL in the T2DM and DCI groups increased significantly, P < 0.001. Compared with the T2DM group, the serum beta2-GPI/oxLDL level in the DCI group increased significantly, P < 0.05. The result of Pearson's correlation analysis showed that serum beta2-GPI/oxLDL was positively correlated with total cholesterol, triglycerides, fasting blood glucose, 2-h postprandial blood glucose, glycosylated hemoglobin, interleukin-6, and tumor necrosis factor (TNF)-alpha (all P's < 0.05). Serum TNF-alpha and beta2-GPI/oxLDL were independent risk variates for DCI (P < 0.05). Based on the receiver operating characteristic curve analysis, the values of the area under the curve for TNF-alpha, serum beta2-GPI/oxLDL, and the combined diagnosis of DCI were 0.653 (0.552-0.753), 0.680 (0.583-0.777), 0.739 (0.647-0.831), respectively. CONCLUSION: In DCI patients, the levels of serum oxLDL/beta2-GPI are significantly increased. Serum oxLDL/beta2-GPI is an independent risk factor that affects the occurrence of DCI. In addition, the serum beta2-GPI/oxLDL level implicates the lipid metabolism and inflammatory status of the internal environment of DCI patients to a certain extent. CI - Copyright (c) 2022 Kuang, Li, Liu, Zhang, Chen, Luo and Kuang. FAU - Kuang, Wending AU - Kuang W AD - The Second Affiliated Hospital, Department of Neurology, Hengyang Medical School, University of South China, Hengyang, China. FAU - Li, Yi AU - Li Y AD - Department of Diagnosis, Hengyang Medical School, University of South China, Hengyang, China. FAU - Liu, Gang AU - Liu G AD - The Second Affiliated Hospital, Department of Endocrinology, Hengyang Medical School, University of South China, Hengyang, China. FAU - Zhang, Yang AU - Zhang Y AD - The Second Affiliated Hospital, Department of Neurology, Hengyang Medical School, University of South China, Hengyang, China. FAU - Chen, Gang AU - Chen G AD - The Second Affiliated Hospital, Department of Neurology, Hengyang Medical School, University of South China, Hengyang, China. FAU - Luo, Bang AU - Luo B AD - The Second Affiliated Hospital, Department of Neurology, Hengyang Medical School, University of South China, Hengyang, China. FAU - Kuang, Shuangyu AU - Kuang S AD - The Second Affiliated Hospital, Department of GCP, Hengyang Medical School, University of South China, Hengyang, China. LA - eng PT - Journal Article DEP - 20220711 PL - Switzerland TA - Front Surg JT - Frontiers in surgery JID - 101645127 PMC - PMC9309478 OTO - NOTNLM OT - T2DM OT - cerebral infarction OT - oxLDL OT - type 2 diabetes OT - beta2-GPI COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/07/29 06:00 MHDA- 2022/07/29 06:01 PMCR- 2022/07/11 CRDT- 2022/07/28 02:11 PHST- 2022/04/28 00:00 [received] PHST- 2022/06/02 00:00 [accepted] PHST- 2022/07/28 02:11 [entrez] PHST- 2022/07/29 06:00 [pubmed] PHST- 2022/07/29 06:01 [medline] PHST- 2022/07/11 00:00 [pmc-release] AID - 10.3389/fsurg.2022.930701 [doi] PST - epublish SO - Front Surg. 2022 Jul 11;9:930701. doi: 10.3389/fsurg.2022.930701. eCollection 2022.