Pentosidine as a biomarker for microvascular complications in type 2 diabetic patients

被引:59
|
作者
Kerkeni, Mohsen [1 ]
Saidi, Amel [1 ]
Bouzidi, Hassan [2 ]
Letaief, Ahmed [3 ]
Ben Yahia, Salim [4 ]
Hammami, Mohamed [1 ]
机构
[1] Monastir Univ, Higher Inst Biotechnol, Monastir 5000, Tunisia
[2] CHU Tahar Sfar, Dept Biochem, Mahdia, Tunisia
[3] CHU Fattouma Bouguiba, Dept Neurol, Monastir, Tunisia
[4] CHU Fattouma Bouguiba, Dept Ophthalmol, Monastir, Tunisia
关键词
Advanced glycation end product; soluble receptor for advanced glycation end product; pentosidine; diabetic retinopathy; diabetic nephropathy; GLYCATION END-PRODUCTS; VASCULAR COMPLICATIONS; OXIDATIVE STRESS; PLASMA; AGES; ACCUMULATION; RECEPTOR; DISEASE; PATHOPHYSIOLOGY; INFLAMMATION;
D O I
10.1177/1479164112460253
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Serum soluble receptor for advanced glycation end product (sRAGE) may reflect the activity of the advanced glycation end product (AGE)-receptor for advanced glycation end product (RAGE) axis, which has been proposed as a potential mechanism linking hyperglycaemia to vascular complications in diabetes. We have investigated whether serum AGEs, sRAGE and pentosidine levels were increased and correlated with microvascular complications in type 2 diabetes mellitus (DM). We included 30 healthy control subjects, and 200 diabetic patients were divided into two subgroups: 100 patients with diabetic retinopathy and 100 patients with diabetic nephropathy. AGEs, sRAGE and pentosidine were measured in serum by enzyme-linked immunosorbent assay (ELISA). Serum AGEs, sRAGE and pentosidine levels were significantly increased in diabetic patients with retinopathy and in diabetic patients with nephropathy compared to control subjects (p < 0.001). Serum AGEs, sRAGE and pentosidine levels are positively associated with microvascular complications in type 2 DM. Multiple regression analysis reveals serum pentosidine as an independent determinant of the presence of diabetic retinopathy (p = 0.004) and the presence of hypertension (p = 0.018) and hyperlipidaemia (p = 0.036). Pentosidine levels may be a biomarker for microvascular complications in type 2 diabetic patients.
引用
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页码:239 / 245
页数:7
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