A. Aydin et al., Oxidative stress and nitric oxide related parameters in type II diabetes mellitus: effects of glycemic control, CLIN BIOCH, 34(1), 2001, pp. 65-70
Objectives: The aim of this study is to investigate the status of oxidative
stress and nitric oxide related parameters in type II diabetes mellitus (D
M) patients in which heart disease, atherosclerosis, retinopathy, and nephr
opathy commonly occur, and also to determine the effect of glycemic control
on these parameters.
Design and methods: Erythrocyte copper zinc-superoxide dismutase (CuZn-SOD)
, erythrocyte and plasma selenium dependent glutathione peroxidase (Se-GPx)
, erythrocyte catalase (CAT) activities, erythrocyte and plasma thiobarbitu
ric acid reactive substances (TBARS) levels; nitrite/nitrate (NO2-/NO3-), c
yclic guanosine monophosphate (cGMP) and nitrotyrosine levels in plasma of
type II DM patients were measured.
Results: Erythrocyte CuZn-SOD activities in type II DM were significantly h
igher than those of the control subjects (p < 0.05). TEARS levels in type I
I DM were significantly higher than the control subjects (p < 0.001). Plasm
a NO2-/NO3- levels in type II DM patients both during poor glycemic control
and after three months of oral antidiabetic treatment were significantly h
igher than those of the control subjects (p < 0.001). Plasma cGMP levels in
type II DM patients during poor glycemic control were significantly lower
than those of control subjects (p < 0.001).
Conclusion: These results indicate that oxidative status and nitric oxide m
etabolism are affected in type II DM patients. We found high CnZn-SOD activ
ity in type II DM patients. This increased activity could not protect the p
atients against the reactive oxygen species (ROS), since lipid peroxidation
(defined by erythrocyte and plasma TEARS levels) still occurs in DM patien
ts. After the therapy with oral antidiabetic agents for three months, eryth
rocyte SE-GPx and CAT activities were found to be decreased below the contr
ol values. Our results suggested that the low cGMP levels in the study may
be a good marker of endothelium dysfunction in DM. (C) 2001 The Canadian So
ciety of Clinical Chemists. All rights reserved.