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Thiols as markers of redox status in type 1 diabetes mellitus

Introduction: Type 1 diabetes mellitus (T1DM) is associated with inflammation and the production of reactive oxygen species (ROS). Systemically, free thiols (R-SH) can be oxidized by ROS and circulating R-SH concentrations may directly reflect the systemic redox status. In this study the association...

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Published in:Therapeutic advances in endocrinology and metabolism 2020, Vol.11, p.2042018820903641-2042018820903641
Main Authors: van Dijk, Peter R., Pasch, Andreas, van Ockenburg-Brunet, Sonja L., Waanders, Femke, Eman Abdulle, A., Muis, Marian J., Hillebrands, J. L., Bilo, Henk J. G., van Goor, Harry
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container_title Therapeutic advances in endocrinology and metabolism
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creator van Dijk, Peter R.
Pasch, Andreas
van Ockenburg-Brunet, Sonja L.
Waanders, Femke
Eman Abdulle, A.
Muis, Marian J.
Hillebrands, J. L.
Bilo, Henk J. G.
van Goor, Harry
description Introduction: Type 1 diabetes mellitus (T1DM) is associated with inflammation and the production of reactive oxygen species (ROS). Systemically, free thiols (R-SH) can be oxidized by ROS and circulating R-SH concentrations may directly reflect the systemic redox status. In this study the association between R-SH and clinical parameters of T1DM, including glycated haemoglobin A1c (HbA1c), was investigated. This is of particular interest since thiols are amendable to therapeutic intervention. Methods: As part of a prospective cohort study, data from 216 patients with a mean age of 45 (12) years, 57% male, diabetes duration 22 (16, 30) years and HbA1c of 60 (11) mmol/mol were examined. Baseline data were collected in 2002 and follow-up data in 2018. Cox proportional hazards regression analysis, with age, sex, HbA1c and R-SH, was used to assess prognostic factors for the development of complications. Results: At baseline, the plasma concentration of R-SH was 281.8 ± 34.0 μM. In addition to a lower concentration of NT-proBNP in the highest R-SH quartile (305–379 µM) there were no differences in baseline characteristics between the quartiles of R-SH. The Pearson correlation coefficient for R-SH and NT-proBNP was −0.290 (p 
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L. ; Bilo, Henk J. G. ; van Goor, Harry</creator><creatorcontrib>van Dijk, Peter R. ; Pasch, Andreas ; van Ockenburg-Brunet, Sonja L. ; Waanders, Femke ; Eman Abdulle, A. ; Muis, Marian J. ; Hillebrands, J. L. ; Bilo, Henk J. G. ; van Goor, Harry</creatorcontrib><description>Introduction: Type 1 diabetes mellitus (T1DM) is associated with inflammation and the production of reactive oxygen species (ROS). Systemically, free thiols (R-SH) can be oxidized by ROS and circulating R-SH concentrations may directly reflect the systemic redox status. In this study the association between R-SH and clinical parameters of T1DM, including glycated haemoglobin A1c (HbA1c), was investigated. This is of particular interest since thiols are amendable to therapeutic intervention. Methods: As part of a prospective cohort study, data from 216 patients with a mean age of 45 (12) years, 57% male, diabetes duration 22 (16, 30) years and HbA1c of 60 (11) mmol/mol were examined. Baseline data were collected in 2002 and follow-up data in 2018. Cox proportional hazards regression analysis, with age, sex, HbA1c and R-SH, was used to assess prognostic factors for the development of complications. Results: At baseline, the plasma concentration of R-SH was 281.8 ± 34.0 μM. In addition to a lower concentration of NT-proBNP in the highest R-SH quartile (305–379 µM) there were no differences in baseline characteristics between the quartiles of R-SH. The Pearson correlation coefficient for R-SH and NT-proBNP was −0.290 (p &lt; 0.001). No significant correlation between R-SH and baseline HbA1c (r = −0.024, p = 0.726) was present. During follow-up, 42 macrovascular and 92 microvascular complications occurred. In Cox regression, R-SH was not a prognostic factor for the development of microvascular [hazard ratio (HR) 0.999 (95% confidence interval (CI) 0.993, 1.005)] and macrovascular [HR 0.993 (95% CI 0.984, 1.002)] complications. Conclusions: In addition to a negative association with NT-proBNP, no relevant relationships between R-SH and parameters of T1DM, including HbA1c, were present in this study.</description><identifier>ISSN: 2042-0188</identifier><identifier>EISSN: 2042-0196</identifier><identifier>DOI: 10.1177/2042018820903641</identifier><identifier>PMID: 32095228</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Complications ; Confidence intervals ; Correlation coefficient ; Correlation coefficients ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (insulin dependent) ; Hemoglobin ; Microvasculature ; Original Research ; Oxidative stress ; Parameters ; Quartiles ; Reactive oxygen species ; Regression analysis ; Statistical analysis ; Thiols</subject><ispartof>Therapeutic advances in endocrinology and metabolism, 2020, Vol.11, p.2042018820903641-2042018820903641</ispartof><rights>The Author(s), 2020</rights><rights>The Author(s), 2020.</rights><rights>The Author(s), 2020. 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L.</creatorcontrib><creatorcontrib>Bilo, Henk J. G.</creatorcontrib><creatorcontrib>van Goor, Harry</creatorcontrib><title>Thiols as markers of redox status in type 1 diabetes mellitus</title><title>Therapeutic advances in endocrinology and metabolism</title><addtitle>Ther Adv Endocrinol Metab</addtitle><description>Introduction: Type 1 diabetes mellitus (T1DM) is associated with inflammation and the production of reactive oxygen species (ROS). Systemically, free thiols (R-SH) can be oxidized by ROS and circulating R-SH concentrations may directly reflect the systemic redox status. In this study the association between R-SH and clinical parameters of T1DM, including glycated haemoglobin A1c (HbA1c), was investigated. This is of particular interest since thiols are amendable to therapeutic intervention. Methods: As part of a prospective cohort study, data from 216 patients with a mean age of 45 (12) years, 57% male, diabetes duration 22 (16, 30) years and HbA1c of 60 (11) mmol/mol were examined. Baseline data were collected in 2002 and follow-up data in 2018. Cox proportional hazards regression analysis, with age, sex, HbA1c and R-SH, was used to assess prognostic factors for the development of complications. Results: At baseline, the plasma concentration of R-SH was 281.8 ± 34.0 μM. In addition to a lower concentration of NT-proBNP in the highest R-SH quartile (305–379 µM) there were no differences in baseline characteristics between the quartiles of R-SH. The Pearson correlation coefficient for R-SH and NT-proBNP was −0.290 (p &lt; 0.001). No significant correlation between R-SH and baseline HbA1c (r = −0.024, p = 0.726) was present. During follow-up, 42 macrovascular and 92 microvascular complications occurred. In Cox regression, R-SH was not a prognostic factor for the development of microvascular [hazard ratio (HR) 0.999 (95% confidence interval (CI) 0.993, 1.005)] and macrovascular [HR 0.993 (95% CI 0.984, 1.002)] complications. 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L.</au><au>Bilo, Henk J. G.</au><au>van Goor, Harry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thiols as markers of redox status in type 1 diabetes mellitus</atitle><jtitle>Therapeutic advances in endocrinology and metabolism</jtitle><addtitle>Ther Adv Endocrinol Metab</addtitle><date>2020</date><risdate>2020</risdate><volume>11</volume><spage>2042018820903641</spage><epage>2042018820903641</epage><pages>2042018820903641-2042018820903641</pages><issn>2042-0188</issn><eissn>2042-0196</eissn><abstract>Introduction: Type 1 diabetes mellitus (T1DM) is associated with inflammation and the production of reactive oxygen species (ROS). Systemically, free thiols (R-SH) can be oxidized by ROS and circulating R-SH concentrations may directly reflect the systemic redox status. In this study the association between R-SH and clinical parameters of T1DM, including glycated haemoglobin A1c (HbA1c), was investigated. This is of particular interest since thiols are amendable to therapeutic intervention. Methods: As part of a prospective cohort study, data from 216 patients with a mean age of 45 (12) years, 57% male, diabetes duration 22 (16, 30) years and HbA1c of 60 (11) mmol/mol were examined. Baseline data were collected in 2002 and follow-up data in 2018. Cox proportional hazards regression analysis, with age, sex, HbA1c and R-SH, was used to assess prognostic factors for the development of complications. Results: At baseline, the plasma concentration of R-SH was 281.8 ± 34.0 μM. In addition to a lower concentration of NT-proBNP in the highest R-SH quartile (305–379 µM) there were no differences in baseline characteristics between the quartiles of R-SH. The Pearson correlation coefficient for R-SH and NT-proBNP was −0.290 (p &lt; 0.001). No significant correlation between R-SH and baseline HbA1c (r = −0.024, p = 0.726) was present. During follow-up, 42 macrovascular and 92 microvascular complications occurred. In Cox regression, R-SH was not a prognostic factor for the development of microvascular [hazard ratio (HR) 0.999 (95% confidence interval (CI) 0.993, 1.005)] and macrovascular [HR 0.993 (95% CI 0.984, 1.002)] complications. Conclusions: In addition to a negative association with NT-proBNP, no relevant relationships between R-SH and parameters of T1DM, including HbA1c, were present in this study.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>32095228</pmid><doi>10.1177/2042018820903641</doi><orcidid>https://orcid.org/0000-0002-9702-6551</orcidid><oa>free_for_read</oa></addata></record>
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subjects Complications
Confidence intervals
Correlation coefficient
Correlation coefficients
Diabetes
Diabetes mellitus
Diabetes mellitus (insulin dependent)
Hemoglobin
Microvasculature
Original Research
Oxidative stress
Parameters
Quartiles
Reactive oxygen species
Regression analysis
Statistical analysis
Thiols
title Thiols as markers of redox status in type 1 diabetes mellitus
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