High leukotriene B4 serum levels increase risk of painful diabetic neuropathy among type 2 diabetes mellitus patients

Background Painful diabetic neuropathy is one of the most common complications of type 2 diabetes mellitus, with approximately 30–50% of people will experience diabetic neuropathy. Chronic hyperglycemia will cause an inflammatory process that will trigger an immune response included leukotrienes. Le...

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Veröffentlicht in:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Psychiatry and Neurosurgery, 2021-09, Vol.57 (1), p.1-5, Article 125
Hauptverfasser: Yuwanda, Kelvin, Widyadharma, I Putu Eka, Samatra, Dewa Putu Gde Purwa, Adnyana, I Made Oka, Gelgel, Anna Marita, Arimbawa, I Komang
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container_issue 1
container_start_page 1
container_title The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
container_volume 57
creator Yuwanda, Kelvin
Widyadharma, I Putu Eka
Samatra, Dewa Putu Gde Purwa
Adnyana, I Made Oka
Gelgel, Anna Marita
Arimbawa, I Komang
description Background Painful diabetic neuropathy is one of the most common complications of type 2 diabetes mellitus, with approximately 30–50% of people will experience diabetic neuropathy. Chronic hyperglycemia will cause an inflammatory process that will trigger an immune response included leukotrienes. Leukotriene B4 is associated with hemoglobin glycation levels. This study aimed to determine high serum leukotriene B4 levels and other factors as a risk factor for painful diabetic neuropathy in type 2 diabetes mellitus patient. Results Forty-two subjects with 22 cases (median age 56.5 ± 4.9 years) and 20 controls (median age 56.5 ± 5.2 years) group were collected. In bivariate analysis, significant factor for high risk PDN was high leukotriene B4 serum level (OR 5.10; 95% CI 1.34–19.4, p 0.014). Meanwhile, insignificant factors were anti-diabetic drugs (OR 2.139; 0.62–7.37; p  = 0.226), and duration of diabetes mellitus (OR 2.282; 0.56–9.25; p  = 0.315). Independent risk factor was serum leukotriene B4 levels (OR 5.10; 95% CI 1.336–19.470; p  = 0.017). Conclusions In this study, high leukotriene B4 serum levels increase the risk of painful diabetic neuropathy among type 2 diabetes mellitus. The leukotriene B4 may consider as a potential biomarker for early detection in high risk for PDN and early treatment.
doi_str_mv 10.1186/s41983-021-00375-4
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Chronic hyperglycemia will cause an inflammatory process that will trigger an immune response included leukotrienes. Leukotriene B4 is associated with hemoglobin glycation levels. This study aimed to determine high serum leukotriene B4 levels and other factors as a risk factor for painful diabetic neuropathy in type 2 diabetes mellitus patient. Results Forty-two subjects with 22 cases (median age 56.5 ± 4.9 years) and 20 controls (median age 56.5 ± 5.2 years) group were collected. In bivariate analysis, significant factor for high risk PDN was high leukotriene B4 serum level (OR 5.10; 95% CI 1.34–19.4, p 0.014). Meanwhile, insignificant factors were anti-diabetic drugs (OR 2.139; 0.62–7.37; p  = 0.226), and duration of diabetes mellitus (OR 2.282; 0.56–9.25; p  = 0.315). Independent risk factor was serum leukotriene B4 levels (OR 5.10; 95% CI 1.336–19.470; p  = 0.017). Conclusions In this study, high leukotriene B4 serum levels increase the risk of painful diabetic neuropathy among type 2 diabetes mellitus. The leukotriene B4 may consider as a potential biomarker for early detection in high risk for PDN and early treatment.</description><identifier>ISSN: 1687-8329</identifier><identifier>ISSN: 1110-1083</identifier><identifier>EISSN: 1687-8329</identifier><identifier>DOI: 10.1186/s41983-021-00375-4</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Biomarkers ; Diabetes ; Diabetes mellitus ; Diabetic neuropathy ; Disease ; Drugs ; Hospitals ; Hyperglycemia ; Insulin ; Leukotriene B4 levels ; Medicine ; Medicine &amp; Public Health ; Neurology ; Neurosurgery ; Pain ; Painful diabetic neuropathy ; Patients ; Psychiatry ; Risk factors</subject><ispartof>The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 2021-09, Vol.57 (1), p.1-5, Article 125</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Chronic hyperglycemia will cause an inflammatory process that will trigger an immune response included leukotrienes. Leukotriene B4 is associated with hemoglobin glycation levels. This study aimed to determine high serum leukotriene B4 levels and other factors as a risk factor for painful diabetic neuropathy in type 2 diabetes mellitus patient. Results Forty-two subjects with 22 cases (median age 56.5 ± 4.9 years) and 20 controls (median age 56.5 ± 5.2 years) group were collected. In bivariate analysis, significant factor for high risk PDN was high leukotriene B4 serum level (OR 5.10; 95% CI 1.34–19.4, p 0.014). Meanwhile, insignificant factors were anti-diabetic drugs (OR 2.139; 0.62–7.37; p  = 0.226), and duration of diabetes mellitus (OR 2.282; 0.56–9.25; p  = 0.315). Independent risk factor was serum leukotriene B4 levels (OR 5.10; 95% CI 1.336–19.470; p  = 0.017). 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Chronic hyperglycemia will cause an inflammatory process that will trigger an immune response included leukotrienes. Leukotriene B4 is associated with hemoglobin glycation levels. This study aimed to determine high serum leukotriene B4 levels and other factors as a risk factor for painful diabetic neuropathy in type 2 diabetes mellitus patient. Results Forty-two subjects with 22 cases (median age 56.5 ± 4.9 years) and 20 controls (median age 56.5 ± 5.2 years) group were collected. In bivariate analysis, significant factor for high risk PDN was high leukotriene B4 serum level (OR 5.10; 95% CI 1.34–19.4, p 0.014). Meanwhile, insignificant factors were anti-diabetic drugs (OR 2.139; 0.62–7.37; p  = 0.226), and duration of diabetes mellitus (OR 2.282; 0.56–9.25; p  = 0.315). Independent risk factor was serum leukotriene B4 levels (OR 5.10; 95% CI 1.336–19.470; p  = 0.017). Conclusions In this study, high leukotriene B4 serum levels increase the risk of painful diabetic neuropathy among type 2 diabetes mellitus. The leukotriene B4 may consider as a potential biomarker for early detection in high risk for PDN and early treatment.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1186/s41983-021-00375-4</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-4554-0348</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Biomarkers
Diabetes
Diabetes mellitus
Diabetic neuropathy
Disease
Drugs
Hospitals
Hyperglycemia
Insulin
Leukotriene B4 levels
Medicine
Medicine & Public Health
Neurology
Neurosurgery
Pain
Painful diabetic neuropathy
Patients
Psychiatry
Risk factors
title High leukotriene B4 serum levels increase risk of painful diabetic neuropathy among type 2 diabetes mellitus patients
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