PMID- 38377067 OWN - NLM STAT- Publisher LR - 20240220 IS - 2501-062X (Electronic) IS - 1220-4749 (Linking) DP - 2024 Feb 20 TI - The importance of the enzyme Gamma-glutamyltransferase in the pathogenic cluster in type2 diabetic patient. LID - 10.2478/rjim-2024-0006 [doi] AB - Introduction. Gamma-glutamyltransferase (GGT) is a liver enzyme involved in inflammation and oxidative stress. It is already known that MCP-1 (Monocyte Chemoattractant Protein-1) and TNF-alpha (tumour necrosis factor) as inflammatory markers, ICAM-1 (Intercellular Adhesion Molecule-1) as an endothelial dysfunctional marker, and glutathione, as an antioxidant, have abnormal levels in type 2 diabetic patients. The aim of this study was to evaluate the specific biological picture of type 2 diabetic patients that also associate higher GGT activity. Methods. Eighty-five type 2 diabetes, aged 40-70 years with a duration of diabetes less than 6 years without infections, epilepsy, chronic liver or cardiac diseases, without alcohol consumption (>20 g/day) were divided in two subgroups, those with normal and those with high abnormal GGT. Results. The diabetic patients with high GGT (n=31) had dysglycaemia, dyslipidemia, higher inflammatory markers (CRP, TNF-alpha, MCP-1) and endothelial dysfunction (high leptin and sICAM). sICAM, serum MCP-1 and TNF-alpha levels had significant correlations with GGT activity (r= 0.38, r=0.30 and 0.26 respectively, p<0.05). Conclusion. This study underlines that in non-alcoholic diabetic patients, with a duration of the metabolic disease less than 6 years, sICAM, serum MCP-1 and TNF-alpha might play an important role in dysmetabolism, and higher level for GGT represents the "red flag" for this condition. CI - (c) 2024 Bogdana Virgolici et al., published by Sciendo. FAU - Virgolici, Bogdana AU - Virgolici B AD - 1"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. FAU - Dobre, Maria Zinaida AU - Dobre MZ AD - 1"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. FAU - Daniela, Lixandru AU - Daniela L AD - 1"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. FAU - Petcu, Laura AU - Petcu L AD - 2National Institute of Diabetes, Nutrition and Metabolic Diseases, Bucharest, Romania. FAU - Picu, Ariana AU - Picu A AD - 2National Institute of Diabetes, Nutrition and Metabolic Diseases, Bucharest, Romania. FAU - Ionescu-Targoviste, Constantin AU - Ionescu-Targoviste C AD - 2National Institute of Diabetes, Nutrition and Metabolic Diseases, Bucharest, Romania. FAU - Greabu, Maria AU - Greabu M AD - 1"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. FAU - Bacanu, Elena Violeta AU - Bacanu EV AD - 2National Institute of Diabetes, Nutrition and Metabolic Diseases, Bucharest, Romania. LA - eng PT - Journal Article DEP - 20240220 PL - Germany TA - Rom J Intern Med JT - Romanian journal of internal medicine = Revue roumaine de medecine interne JID - 9304507 SB - IM OTO - NOTNLM OT - Tumor Necrosis Factor-alpha OT - alanine aminotransferase OT - chemoattractant protein 1 OT - gamma glutamyl transpeptidase OT - insulin resistance OT - intercellular Adhesion Molecule-1 OT - monocyte OT - oxidative stress OT - type 2 diabetes mellitus EDAT- 2024/02/20 18:42 MHDA- 2024/02/20 18:42 CRDT- 2024/02/20 13:23 PHST- 2024/02/12 00:00 [received] PHST- 2024/02/20 18:42 [medline] PHST- 2024/02/20 18:42 [pubmed] PHST- 2024/02/20 13:23 [entrez] AID - rjim-2024-0006 [pii] AID - 10.2478/rjim-2024-0006 [doi] PST - aheadofprint SO - Rom J Intern Med. 2024 Feb 20. doi: 10.2478/rjim-2024-0006.