Are Thiol/Disulfide and 8-OHdG Levels in the Blood of Patients with Diabetic Foot a Risk Factor for Amputation?

Objective As diabetic patients live longer and there are more effective treatments available, the incidence of diabetes and its complications is increasing. The effects of oxidative stress and antioxidant processes on diabetes behavior, especially diabetic foot, are really direct. The goal of this r...

Full description

Saved in:
Bibliographic Details
Published in:International journal of lower extremity wounds 2023-05, p.15347346231177858-15347346231177858
Main Authors: İnce, Kamil, Güner, Savaş, Büyükbebeci, Ayşegül, İnce, Nursima
Format: Article
Language:English
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c292t-455854b85e5e6504a73293d3166222ee53c2da71a630c255881e0f7c8e0c8f503
container_end_page 15347346231177858
container_issue
container_start_page 15347346231177858
container_title International journal of lower extremity wounds
container_volume
creator İnce, Kamil
Güner, Savaş
Büyükbebeci, Ayşegül
İnce, Nursima
description Objective As diabetic patients live longer and there are more effective treatments available, the incidence of diabetes and its complications is increasing. The effects of oxidative stress and antioxidant processes on diabetes behavior, especially diabetic foot, are really direct. The goal of this research is to investigate the effects of oxidative stress and antioxidant mechanism on the outcome of amputation by examining the levels of 8-hydroxy-2′-deoxyguanosine (8-OHdG) and thiol/disulfide in the blood of patients diagnosed with diabetic foot. Methods The research consisted of 76 patients with type 2 diabetes with associated diabetic foot, ages 40–65 (51 men, 25 women). Patients with diabetic foot wounds and accompanying peripheral artery disease were not included in the study. After a mean follow-up of 9.6 months, 28 patients resulted in amputation. Between patients who required amputation and those who did not, the levels of 8-OHdG, native thiol, total thiol, disulfide, native thiol/total thiol ratio, disulfide/native thiol ratio, and disulfide/total thiol ratio were compared. Additionally, the age, sex, Wagner stage, and amputation outcome of these 2 patient groups were compared. Results The outcomes of amputation in diabetic foot patients were not related to the levels of native thiol, total thiol, disulfide, native thiol/total thiol ratio, disulfide/native thiol ratio, total thiol/disulfide ratio, or 8-OHdG (P > .05). However, patients with diabetic foot who were male, older, and at a more advanced Wagner stage had a higher rate of amputations (P 
doi_str_mv 10.1177/15347346231177858
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2820031428</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_15347346231177858</sage_id><sourcerecordid>2820031428</sourcerecordid><originalsourceid>FETCH-LOGICAL-c292t-455854b85e5e6504a73293d3166222ee53c2da71a630c255881e0f7c8e0c8f503</originalsourceid><addsrcrecordid>eNp9kE9Lw0AQxRdRbK1-AC-yRy9p90822ZyktrYVChWp57DdTOzWJFuzG8Vvb0KrF8HDMDPwew_eQ-iakiGlcTyigocxDyPGu1cKeYL6VAgWRElIT7ubh0EH9NCFcztCGCVJfI56PGYsiSLaR3ZcA15vjS1GU-OaIjcZYFVlWAarRTbHS_iAwmFTYb8FfF9Ym2Gb4yflDVTe4U_jt3hq1Aa80XhmrccKPxv3hmdKe1vjvJ1xuW98q7DV3SU6y1Xh4Oq4B-hl9rCeLILlav44GS8DzRLmg1AIKcKNFCAgEiRUMWcJzziNIsYYgOCaZSqmKuJEsxaWFEgeawlEy1wQPkC3B999bd8bcD4tjdNQFKoC27iUSUYIpyGTLUoPqK6tczXk6b42paq_UkrSrtj0T8-t5uZo32xKyH4VP8W2wPAAOPUK6c42ddXG_cfxG4BwgoQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2820031428</pqid></control><display><type>article</type><title>Are Thiol/Disulfide and 8-OHdG Levels in the Blood of Patients with Diabetic Foot a Risk Factor for Amputation?</title><source>Sage Journals Online</source><creator>İnce, Kamil ; Güner, Savaş ; Büyükbebeci, Ayşegül ; İnce, Nursima</creator><creatorcontrib>İnce, Kamil ; Güner, Savaş ; Büyükbebeci, Ayşegül ; İnce, Nursima</creatorcontrib><description>Objective As diabetic patients live longer and there are more effective treatments available, the incidence of diabetes and its complications is increasing. The effects of oxidative stress and antioxidant processes on diabetes behavior, especially diabetic foot, are really direct. The goal of this research is to investigate the effects of oxidative stress and antioxidant mechanism on the outcome of amputation by examining the levels of 8-hydroxy-2′-deoxyguanosine (8-OHdG) and thiol/disulfide in the blood of patients diagnosed with diabetic foot. Methods The research consisted of 76 patients with type 2 diabetes with associated diabetic foot, ages 40–65 (51 men, 25 women). Patients with diabetic foot wounds and accompanying peripheral artery disease were not included in the study. After a mean follow-up of 9.6 months, 28 patients resulted in amputation. Between patients who required amputation and those who did not, the levels of 8-OHdG, native thiol, total thiol, disulfide, native thiol/total thiol ratio, disulfide/native thiol ratio, and disulfide/total thiol ratio were compared. Additionally, the age, sex, Wagner stage, and amputation outcome of these 2 patient groups were compared. Results The outcomes of amputation in diabetic foot patients were not related to the levels of native thiol, total thiol, disulfide, native thiol/total thiol ratio, disulfide/native thiol ratio, total thiol/disulfide ratio, or 8-OHdG (P &gt; .05). However, patients with diabetic foot who were male, older, and at a more advanced Wagner stage had a higher rate of amputations (P &lt; .05). Conclusion Oxidative stress and antioxidant mechanism are effective on diabetes complications. However, since there are many factors affecting the outcome of amputation, they are not directly effective in terms of resulting amputation in patients with diabetic foot ulcer.</description><identifier>ISSN: 1534-7346</identifier><identifier>EISSN: 1552-6941</identifier><identifier>DOI: 10.1177/15347346231177858</identifier><identifier>PMID: 37229661</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><ispartof>International journal of lower extremity wounds, 2023-05, p.15347346231177858-15347346231177858</ispartof><rights>The Author(s) 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c292t-455854b85e5e6504a73293d3166222ee53c2da71a630c255881e0f7c8e0c8f503</cites><orcidid>0000-0001-8832-5077</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37229661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>İnce, Kamil</creatorcontrib><creatorcontrib>Güner, Savaş</creatorcontrib><creatorcontrib>Büyükbebeci, Ayşegül</creatorcontrib><creatorcontrib>İnce, Nursima</creatorcontrib><title>Are Thiol/Disulfide and 8-OHdG Levels in the Blood of Patients with Diabetic Foot a Risk Factor for Amputation?</title><title>International journal of lower extremity wounds</title><addtitle>Int J Low Extrem Wounds</addtitle><description>Objective As diabetic patients live longer and there are more effective treatments available, the incidence of diabetes and its complications is increasing. The effects of oxidative stress and antioxidant processes on diabetes behavior, especially diabetic foot, are really direct. The goal of this research is to investigate the effects of oxidative stress and antioxidant mechanism on the outcome of amputation by examining the levels of 8-hydroxy-2′-deoxyguanosine (8-OHdG) and thiol/disulfide in the blood of patients diagnosed with diabetic foot. Methods The research consisted of 76 patients with type 2 diabetes with associated diabetic foot, ages 40–65 (51 men, 25 women). Patients with diabetic foot wounds and accompanying peripheral artery disease were not included in the study. After a mean follow-up of 9.6 months, 28 patients resulted in amputation. Between patients who required amputation and those who did not, the levels of 8-OHdG, native thiol, total thiol, disulfide, native thiol/total thiol ratio, disulfide/native thiol ratio, and disulfide/total thiol ratio were compared. Additionally, the age, sex, Wagner stage, and amputation outcome of these 2 patient groups were compared. Results The outcomes of amputation in diabetic foot patients were not related to the levels of native thiol, total thiol, disulfide, native thiol/total thiol ratio, disulfide/native thiol ratio, total thiol/disulfide ratio, or 8-OHdG (P &gt; .05). However, patients with diabetic foot who were male, older, and at a more advanced Wagner stage had a higher rate of amputations (P &lt; .05). Conclusion Oxidative stress and antioxidant mechanism are effective on diabetes complications. However, since there are many factors affecting the outcome of amputation, they are not directly effective in terms of resulting amputation in patients with diabetic foot ulcer.</description><issn>1534-7346</issn><issn>1552-6941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kE9Lw0AQxRdRbK1-AC-yRy9p90822ZyktrYVChWp57DdTOzWJFuzG8Vvb0KrF8HDMDPwew_eQ-iakiGlcTyigocxDyPGu1cKeYL6VAgWRElIT7ubh0EH9NCFcztCGCVJfI56PGYsiSLaR3ZcA15vjS1GU-OaIjcZYFVlWAarRTbHS_iAwmFTYb8FfF9Ym2Gb4yflDVTe4U_jt3hq1Aa80XhmrccKPxv3hmdKe1vjvJ1xuW98q7DV3SU6y1Xh4Oq4B-hl9rCeLILlav44GS8DzRLmg1AIKcKNFCAgEiRUMWcJzziNIsYYgOCaZSqmKuJEsxaWFEgeawlEy1wQPkC3B999bd8bcD4tjdNQFKoC27iUSUYIpyGTLUoPqK6tczXk6b42paq_UkrSrtj0T8-t5uZo32xKyH4VP8W2wPAAOPUK6c42ddXG_cfxG4BwgoQ</recordid><startdate>20230525</startdate><enddate>20230525</enddate><creator>İnce, Kamil</creator><creator>Güner, Savaş</creator><creator>Büyükbebeci, Ayşegül</creator><creator>İnce, Nursima</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8832-5077</orcidid></search><sort><creationdate>20230525</creationdate><title>Are Thiol/Disulfide and 8-OHdG Levels in the Blood of Patients with Diabetic Foot a Risk Factor for Amputation?</title><author>İnce, Kamil ; Güner, Savaş ; Büyükbebeci, Ayşegül ; İnce, Nursima</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c292t-455854b85e5e6504a73293d3166222ee53c2da71a630c255881e0f7c8e0c8f503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>İnce, Kamil</creatorcontrib><creatorcontrib>Güner, Savaş</creatorcontrib><creatorcontrib>Büyükbebeci, Ayşegül</creatorcontrib><creatorcontrib>İnce, Nursima</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of lower extremity wounds</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>İnce, Kamil</au><au>Güner, Savaş</au><au>Büyükbebeci, Ayşegül</au><au>İnce, Nursima</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Are Thiol/Disulfide and 8-OHdG Levels in the Blood of Patients with Diabetic Foot a Risk Factor for Amputation?</atitle><jtitle>International journal of lower extremity wounds</jtitle><addtitle>Int J Low Extrem Wounds</addtitle><date>2023-05-25</date><risdate>2023</risdate><spage>15347346231177858</spage><epage>15347346231177858</epage><pages>15347346231177858-15347346231177858</pages><issn>1534-7346</issn><eissn>1552-6941</eissn><abstract>Objective As diabetic patients live longer and there are more effective treatments available, the incidence of diabetes and its complications is increasing. The effects of oxidative stress and antioxidant processes on diabetes behavior, especially diabetic foot, are really direct. The goal of this research is to investigate the effects of oxidative stress and antioxidant mechanism on the outcome of amputation by examining the levels of 8-hydroxy-2′-deoxyguanosine (8-OHdG) and thiol/disulfide in the blood of patients diagnosed with diabetic foot. Methods The research consisted of 76 patients with type 2 diabetes with associated diabetic foot, ages 40–65 (51 men, 25 women). Patients with diabetic foot wounds and accompanying peripheral artery disease were not included in the study. After a mean follow-up of 9.6 months, 28 patients resulted in amputation. Between patients who required amputation and those who did not, the levels of 8-OHdG, native thiol, total thiol, disulfide, native thiol/total thiol ratio, disulfide/native thiol ratio, and disulfide/total thiol ratio were compared. Additionally, the age, sex, Wagner stage, and amputation outcome of these 2 patient groups were compared. Results The outcomes of amputation in diabetic foot patients were not related to the levels of native thiol, total thiol, disulfide, native thiol/total thiol ratio, disulfide/native thiol ratio, total thiol/disulfide ratio, or 8-OHdG (P &gt; .05). However, patients with diabetic foot who were male, older, and at a more advanced Wagner stage had a higher rate of amputations (P &lt; .05). Conclusion Oxidative stress and antioxidant mechanism are effective on diabetes complications. However, since there are many factors affecting the outcome of amputation, they are not directly effective in terms of resulting amputation in patients with diabetic foot ulcer.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>37229661</pmid><doi>10.1177/15347346231177858</doi><orcidid>https://orcid.org/0000-0001-8832-5077</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1534-7346
ispartof International journal of lower extremity wounds, 2023-05, p.15347346231177858-15347346231177858
issn 1534-7346
1552-6941
language eng
recordid cdi_proquest_miscellaneous_2820031428
source Sage Journals Online
title Are Thiol/Disulfide and 8-OHdG Levels in the Blood of Patients with Diabetic Foot a Risk Factor for Amputation?
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T19%3A54%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Are%20Thiol/Disulfide%20and%208-OHdG%20Levels%20in%20the%20Blood%20of%20Patients%20with%20Diabetic%20Foot%20a%20Risk%20Factor%20for%20Amputation?&rft.jtitle=International%20journal%20of%20lower%20extremity%20wounds&rft.au=%C4%B0nce,%20Kamil&rft.date=2023-05-25&rft.spage=15347346231177858&rft.epage=15347346231177858&rft.pages=15347346231177858-15347346231177858&rft.issn=1534-7346&rft.eissn=1552-6941&rft_id=info:doi/10.1177/15347346231177858&rft_dat=%3Cproquest_cross%3E2820031428%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c292t-455854b85e5e6504a73293d3166222ee53c2da71a630c255881e0f7c8e0c8f503%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2820031428&rft_id=info:pmid/37229661&rft_sage_id=10.1177_15347346231177858&rfr_iscdi=true