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Parameters of oxidative stress in children with Type 1 diabetes mellitus and their relatives
Jana Varvarovská1, Jaroslav Racek, Frantisek Stozický
1Pediatric Clinic, Charles University Hospital, E. Benese 13, 305 99, Plzen, Czech Republic. varvarovska@fnplzen.cz
Insights
Diabetic children show decreased antioxidant protection and increased oxidative stress markers. Siblings exhibit a similar tendency, suggesting a need to reduce oxidative stress to potentially delay Type 1 diabetes onset.
Area of Science:
- Endocrinology
- Pediatrics
- Biochemistry
Background:
- Oxidative stress (OS) is implicated in the pathogenesis of Type 1 diabetes mellitus (DM).
- Assessing OS parameters in diabetic children and their relatives is crucial for understanding disease progression and susceptibility.
Purpose of the Study:
- To compare oxidative stress parameters in children with Type 1 DM and their first-degree relatives.
- To evaluate antioxidant status and free radical production in this cohort.
Main Methods:
- Examined 50 diabetic children, 32 siblings, and 65 parents.
- Included healthy children and adult volunteers as controls.
- Measured oxidative stress markers: superoxide dismutase (SOD), glutathione peroxidase (GSHPx), plasma antioxidant capacity (AOC), reduced glutathione (GSH), malondialdehyde (MDA), and Type 1 DM-associated antibodies (ICA, GADA).
Main Results:
- Diabetic children had significantly lower GSHPx and AOC, and increased MDA compared to healthy controls.
- Siblings showed similar trends in OS parameters, though not statistically significant.
- Evidence of decreased antioxidative protection and increased free radical (FR) overproduction in diabetic children.
Conclusions:
- Diabetic children exhibit compromised antioxidant defenses and elevated oxidative stress.
- A similar, albeit non-significant, tendency exists in their siblings.
- Interventions to reduce OS may be beneficial for diabetic children and potentially delay disease onset in susceptible relatives.
Abstract:
Oxidative stress (OS) plays an important role in the pathogenesis of Type 1 diabetes mellitus (DM). The aim of the study was to compare OS parameters in diabetic children and their first-degree relatives. Fifty diabetic children from the West Bohemian Region were examined as well as their 32 siblings (12 Boys and 20 girls) and 65 of their parents during a period of 6 months. Thirty healthy sex- and age-matched children studied before planned surgeries were normal controls for children, 40 healthy adult volunteers were controls for parents. OS parameters were evaluated in all participants of the study (superoxide dismutase, SOD; glutathione peroxidase, GSHPx; plasma antioxidant capacity, AOC; reduced glutathione, GSH; and malondialdehyde, MDA) and also Type 1 DM-associated antibodies (ICA and GADA). The results in diabetic children showed significantly lower GSHPx and AOC and increased MDA when compared with healthy children. Similar findings were found in their siblings but without statistical significance. It is consequently evident that decreased antioxidative protection and simultaneous free radical (FR) overproduction occur in diabetic children and that there is a similar, but not significant, tendency in their siblings. The findings warrant reducing OS in diabetic children and postponing disease onset in susceptible relatives.
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