Exp Clin Endocrinol Diabetes 2010; 118(1): 64-67
DOI: 10.1055/s-0029-1225647
Short Communication

© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York

Increased Ceruloplasmin and Fibrinogen in Type 2 Diabetes Corresponds to Decreased Anti-oxidant Activity in a Preliminary Tertiary South Indian Hospital Study

S. K. Chacko1 , R. Cheluvappa2
  • 1MBBS Program, Father Muller Medical College, Kankanady, Mangalore, Karnataka, India
  • 2Department of Medicine, St. George Clinical School and Centre for Infection and Inflammation Research, School of Medical Sciences, University of New South Wales, Sydney, Australia
Further Information

Publication History

received 14.04.2009 first decision 20.05.2009

accepted 12.06.2009

Publication Date:
15 October 2009 (online)

Abstract

The relationship between type 2 diabetes, antioxidant-enzyme serum ceruloplasmin, pro-inflammatory blood fibrinogen and antioxidant activity (AOA) was investigated in 40 diabetics and 47 non-diabetics hailing from South India as a preliminary study aspiring to be a crucial stepping stone for a large study. Serum AOA was lower (p<0.01) in diabetics (0.68±0.03 mmol/L) than controls (0.92±0.07 mmol/L) and ceruloplasmin more (p<0.001) in diabetics (983.20±52.18 mg/L) than controls (470.79±39.20 mg/L). Plasma fibrinogen was higher (p<0.001) in diabetics (480.23±19.52 mg/dl) than controls (313.94±13.42 mg/dl). Males had more AOA. Fibrinogen increased with age. These significant findings point strongly to augmented oxidative stress and inflammatory states in South Indian diabetics.

References

  • 1 Marso SP. The handbook of Diabetes mellitus and cardiovascular disease. Marso, S. P. (editor) Remidica publishing house.: London, UK 2003
  • 2 Strain JJ. Disturbances of micronutrient and antioxidant status in diabetes.  Proc Nutr Soc. 1991;  50 591-604
  • 3 Oberley LW. Free radicals and diabetes.  Free Radic Biol Med. 1988;  5 113-124
  • 4 Grant PJ. Diabetes mellitus as a prothrombotic condition.  J Intern Med. 2007;  262 157-172
  • 5 Ford ES, Mokdad AH, Giles WH. et al . The metabolic syndrome and antioxidant concentrations: findings from the Third National Health and Nutrition Examination Survey.  Diabetes. 2003;  52 2346-2352
  • 6 Srivatsan R, Das S, Gadde R. et al . Antioxidants and Lipid Peroxidation Status in Diabetic Patients with and without Complications.  Arch Iran Med. 2009;  12 121-127
  • 7 Pasaoglu H, Sancak B, Bukan N. Lipid peroxidation and resistance to oxidation in patients with type 2 diabetes mellitus.  Tohoku J Exp Med. 2004;  203 211-218
  • 8 Stocks J, Gutteridge JM, Sharp RJ. et al . Assay using brain homogenate for measuring the antioxidant activity of biological fluids.  Clin Sci Mol Med. 1974;  47 215-222
  • 9 Koracevic D, Koracevic G, Djordjevic V. et al . Method for the measurement of antioxidant activity in human fluids.  J Clin Pathol. 2001;  54 356-361
  • 10 Hellman NE, Gitlin JD. Ceruloplasmin metabolism and function.  Annu Rev Nutr. 2002;  22 439-458
  • 11 Memisogullari R, Taysi S, Bakan E. et al . Antioxidant status and lipid peroxidation in type II diabetes mellitus.  Cell Biochem Funct. 2003;  21 291-296
  • 12 Memisogullari R, Bakan E. Levels of ceruloplasmin, transferrin, and lipid peroxidation in the serum of patients with Type 2 diabetes mellitus.  J Diabetes Complications. 2004;  18 193-197
  • 13 Ramakrishna V, Jailkhani R. Oxidative stress in non-insulin-dependent diabetes mellitus (NIDDM) patients.  Acta Diabetol. 2008;  45 41-46
  • 14 Tofler GH, Massaro J, Levy D. et al . Relation of the prothrombotic state to increasing age (from the Framingham Offspring Study).  Am J Cardiol. 2005;  96 1280-1283
  • 15 Nakag-Icindic E, Valjevac A, Lepara O. et al . Metabolic syndrome and plasma fibrinogen in type 2 diabetic patients.  Med Arh. 2007;  61 7-10
  • 16 Libby P. Vascular biology of atherosclerosis: overview and state of the art.  Am J Cardiol. 2003;  91 A3-A6
  • 17 Walter  Jr  RM, Uriu-Hare JY, Olin KL. et al . Copper, zinc, manganese, and magnesium status and complications of diabetes mellitus.  Diabetes Care. 1991;  14 1050-1056
  • 18 Sunderman  Jr  FW, Nomoto S. Measurement of human serum ceruloplasmin by its p-phenylenediamine oxidase activity.  Clin Chem. 1970;  16 903-910
  • 19 Patil N, Chavan V, Karnik ND. Antioxidant status in patients with acute myocardial infarction.  Indian Journal of Clinical Biochemistry. 2007;  22 45-51
  • 20 Williamson JR, Chang K, Frangos M. et al . Hyperglycemic pseudohypoxia and diabetic complications.  Diabetes. 1993;  42 801-813
  • 21 Kain K, Catto AJ, Grant PJ. Associations between insulin resistance and thrombotic risk factors in high-risk South Asian subjects.  Diabet Med. 2003;  20 651-655
  • 22 Maritim AC, Sanders RA, Watkins  JB. Diabetes, oxidative stress, and antioxidants: a review.  J Biochem Mol Toxicol. 2003;  17 24-38

Correspondence

Dr. R. CheluvappaMBBS, PhD 

Centre for Infection and Inflammation Research

School of Medical Sciences, Wallace Wurth Building

University of New South Wales, Gate 9 High Street

Sydney, NSW 2052

Australia

Phone: +61/0406/0406 20

Fax: +61/02/9385 13 89

Email: r.cheluvappa@unsw.edu.au

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