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.

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