Glycaemic control in relation to xanthine oxidase and antioxidant indices in Malaysian Type 2 diabetes patients

Aims  Increased oxidative stress and oxidative damage are present in Type 2 diabetes mellitus (DM). The aim of this study was to assess the oxidative stress levels in the three major ethnic groups in Malaysia and to study the association between glycaemic control and oxidant–antioxidant levels in th...

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Veröffentlicht in:Diabetic medicine 2005-10, Vol.22 (10), p.1343-1346
Hauptverfasser: Kuppusamy, U. R., Indran, M., Rokiah, P.
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container_title Diabetic medicine
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creator Kuppusamy, U. R.
Indran, M.
Rokiah, P.
description Aims  Increased oxidative stress and oxidative damage are present in Type 2 diabetes mellitus (DM). The aim of this study was to assess the oxidative stress levels in the three major ethnic groups in Malaysia and to study the association between glycaemic control and oxidant–antioxidant levels in these patients. Methods  Oxidative indices and glycaemic control were assessed in 650 Type 2 DM patients and 280 healthy age‐matched controls by known established methods. Results  Type 2 DM patients had significantly lower levels of antioxidant enzymes and non‐enzymatic antioxidant (FRAP) and increased levels of HbA1c, fasting blood glucose (FBG), malondialdehyde (MDA) and xanthine oxidase (XO) when compared with control subjects. Markers of oxidative stress were more apparent in Indian patients compared with Malay and Chinese patients. Correlation analysis of oxidant–antioxidant parameters as a function of HbA1c in each ethnic group revealed a strong association of HbA1c with oxidative indices. Conclusions  The present study provides evidence for the possible contribution of XO to oxidative stress and the pathophysiology of diabetes. HbA1c remains an important marker of glycaemic control for the management of Type 2 DM, but other confounding factors that predispose or lead to oxidative stress should also be taken into consideration.
doi_str_mv 10.1111/j.1464-5491.2005.01630.x
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R. ; Indran, M. ; Rokiah, P.</creator><creatorcontrib>Kuppusamy, U. R. ; Indran, M. ; Rokiah, P.</creatorcontrib><description>Aims  Increased oxidative stress and oxidative damage are present in Type 2 diabetes mellitus (DM). The aim of this study was to assess the oxidative stress levels in the three major ethnic groups in Malaysia and to study the association between glycaemic control and oxidant–antioxidant levels in these patients. Methods  Oxidative indices and glycaemic control were assessed in 650 Type 2 DM patients and 280 healthy age‐matched controls by known established methods. Results  Type 2 DM patients had significantly lower levels of antioxidant enzymes and non‐enzymatic antioxidant (FRAP) and increased levels of HbA1c, fasting blood glucose (FBG), malondialdehyde (MDA) and xanthine oxidase (XO) when compared with control subjects. Markers of oxidative stress were more apparent in Indian patients compared with Malay and Chinese patients. Correlation analysis of oxidant–antioxidant parameters as a function of HbA1c in each ethnic group revealed a strong association of HbA1c with oxidative indices. Conclusions  The present study provides evidence for the possible contribution of XO to oxidative stress and the pathophysiology of diabetes. HbA1c remains an important marker of glycaemic control for the management of Type 2 DM, but other confounding factors that predispose or lead to oxidative stress should also be taken into consideration.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2005.01630.x</identifier><identifier>PMID: 16176194</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Antioxidants - analysis ; Biological and medical sciences ; Biomarkers - blood ; Blood Glucose - analysis ; China - ethnology ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - ethnology ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; ethnicity ; Etiopathogenesis. Screening. Investigations. 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R.</creatorcontrib><creatorcontrib>Indran, M.</creatorcontrib><creatorcontrib>Rokiah, P.</creatorcontrib><title>Glycaemic control in relation to xanthine oxidase and antioxidant indices in Malaysian Type 2 diabetes patients</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims  Increased oxidative stress and oxidative damage are present in Type 2 diabetes mellitus (DM). The aim of this study was to assess the oxidative stress levels in the three major ethnic groups in Malaysia and to study the association between glycaemic control and oxidant–antioxidant levels in these patients. Methods  Oxidative indices and glycaemic control were assessed in 650 Type 2 DM patients and 280 healthy age‐matched controls by known established methods. Results  Type 2 DM patients had significantly lower levels of antioxidant enzymes and non‐enzymatic antioxidant (FRAP) and increased levels of HbA1c, fasting blood glucose (FBG), malondialdehyde (MDA) and xanthine oxidase (XO) when compared with control subjects. Markers of oxidative stress were more apparent in Indian patients compared with Malay and Chinese patients. Correlation analysis of oxidant–antioxidant parameters as a function of HbA1c in each ethnic group revealed a strong association of HbA1c with oxidative indices. Conclusions  The present study provides evidence for the possible contribution of XO to oxidative stress and the pathophysiology of diabetes. HbA1c remains an important marker of glycaemic control for the management of Type 2 DM, but other confounding factors that predispose or lead to oxidative stress should also be taken into consideration.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antioxidants - analysis</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Blood Glucose - analysis</subject><subject>China - ethnology</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - ethnology</subject><subject>Diabetes Mellitus, Type 2 - metabolism</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>ethnicity</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>glycaemic control</subject><subject>Glycated Hemoglobin A - analysis</subject><subject>Humans</subject><subject>India - ethnology</subject><subject>Malaysia - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>oxidant-antioxidant indices</subject><subject>Oxidative Stress - physiology</subject><subject>Xanthine Oxidase - blood</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMGO0zAQhi0EYrsLr4B8gVuCJ3bs5MABlSWL1IU9FHG0po4jXFynxKlI3h6HVrtXLI1sa75vbP2EUGA5pPV-n4OQIitFDXnBWJkzkJzl0zOyemw8JyumRJFxpuCKXMe4ZwyKmtcvyRVIUBJqsSJ942eD9uAMNX0Yh95TF-hgPY6uD3Ts6YRh_OmCpf3kWoyWYmhTpfZyD2PiW2dsXLx79DhHh4Fu56OlBW0d7uyYmsc0z4YxviIvOvTRvr7sN-T759vt-i7bfGu-rD9uMlMyYFnHJUDdFaJVqlWFUcLIQgleGux2shIKBUApDUduESpueVUrKEEyyTnbFfyGvDvPPQ7975ONoz64aKz3GGx_ilpWklWpElidQTP0MQ6208fBHXCYNTC9hK33eslUL5nqJWz9L2w9JfXN5Y3T7mDbJ_GSbgLeXgCMBn03YDAuPnGK1QksE_fhzP1x3s7__QH96f52OSU_O_sujnZ69HH4paXiqtQ_vjZ6_QDbh03T6JL_Bfj9qTY</recordid><startdate>200510</startdate><enddate>200510</enddate><creator>Kuppusamy, U. 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R.</creatorcontrib><creatorcontrib>Indran, M.</creatorcontrib><creatorcontrib>Rokiah, P.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuppusamy, U. R.</au><au>Indran, M.</au><au>Rokiah, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Glycaemic control in relation to xanthine oxidase and antioxidant indices in Malaysian Type 2 diabetes patients</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2005-10</date><risdate>2005</risdate><volume>22</volume><issue>10</issue><spage>1343</spage><epage>1346</epage><pages>1343-1346</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims  Increased oxidative stress and oxidative damage are present in Type 2 diabetes mellitus (DM). The aim of this study was to assess the oxidative stress levels in the three major ethnic groups in Malaysia and to study the association between glycaemic control and oxidant–antioxidant levels in these patients. Methods  Oxidative indices and glycaemic control were assessed in 650 Type 2 DM patients and 280 healthy age‐matched controls by known established methods. Results  Type 2 DM patients had significantly lower levels of antioxidant enzymes and non‐enzymatic antioxidant (FRAP) and increased levels of HbA1c, fasting blood glucose (FBG), malondialdehyde (MDA) and xanthine oxidase (XO) when compared with control subjects. Markers of oxidative stress were more apparent in Indian patients compared with Malay and Chinese patients. Correlation analysis of oxidant–antioxidant parameters as a function of HbA1c in each ethnic group revealed a strong association of HbA1c with oxidative indices. Conclusions  The present study provides evidence for the possible contribution of XO to oxidative stress and the pathophysiology of diabetes. HbA1c remains an important marker of glycaemic control for the management of Type 2 DM, but other confounding factors that predispose or lead to oxidative stress should also be taken into consideration.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>16176194</pmid><doi>10.1111/j.1464-5491.2005.01630.x</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Aged, 80 and over
Antioxidants - analysis
Biological and medical sciences
Biomarkers - blood
Blood Glucose - analysis
China - ethnology
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - ethnology
Diabetes Mellitus, Type 2 - metabolism
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
ethnicity
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
glycaemic control
Glycated Hemoglobin A - analysis
Humans
India - ethnology
Malaysia - epidemiology
Male
Medical sciences
Middle Aged
oxidant-antioxidant indices
Oxidative Stress - physiology
Xanthine Oxidase - blood
title Glycaemic control in relation to xanthine oxidase and antioxidant indices in Malaysian Type 2 diabetes patients
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