Evaluation of the future atherosclerotic heart disease with oxidative stress and carotid artery intima media thickness in gestational diabetes mellitus
Endocrine Research, vol.37, no.3, pp.145-153, 2012 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 37 Issue: 3
- Publication Date: 2012
- Doi Number: 10.3109/07435800.2012.654556
- Journal Name: Endocrine Research
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Page Numbers: pp.145-153
- Keywords: Common carotid artery intima media thickness, Doppler ultrasonography, Free sulfhydryl groups, Gestational diabetes mellitus, Glucose tolerance test, Lipid hydroperoxide, Oxidative stress, Paraoxonase, Subclinical atherosclerosis
- Lokman Hekim University Affiliated: No
Abstract
Background and objective. In this study our aim was to evaluate paraoxonase (PON1) activity and free sulfhydryl groups (SH) as antioxidative parameters and lipid hydroperoxide (LOOH) as oxidative parameter in the serum of women with gestational diabetes mellitus (GDM) and determine their relation with the degree of subclinical atherosclerosis. Material and methods. Serum samples from 39 pregnant women complicated with GDM and 40 healthy pregnant women were collected for the analysis of oxidative markers. Common carotid artery intima media thickness (CIMT) was measured for both groups to assess future atherosclerotic heart disease risk. PON1 activity and SH were measured spectrophotometrically. LOOH levels were measured by ferrous oxidation with a xylenol orange assay. Results. CIMT and LOOH levels were significantly higher (p=0.01, p < 0.001, respectively) in GDM group compared to controls, whereas PON1 and SH levels were significantly lower (p < 0.001 for both). CIMT values were significantly correlated with body mass index (BMI), 50 g oral glucose tolerance test (OGTT), and mean arterial blood pressure (MABP) (p=0.003, p=0.02, and p=0.03, respectively). However, there was no correlation between CIMT and oxidative markers. Conclusions. Increased levels of LOOH and decreased levels of PON1 and SH showed disturbance of antioxidative mechanisms in GDM. These changes were associated with increased BMI and MABP which may be relevant to GDM pathophysiology. Furthermore, increased CIMT values in GDM compared to healthy controls designate increased risk of future atherosclerotic heart disease. © 2012 Informa Healthcare USA, Inc.