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Insulin-induced hypoglycemia and stress oxidative state in healthy people
Gholamreza Yousefzade1, Akram Nakhaee
1Kerman Physiology Research Center, Kerman University of Medical Sciences and Health Services, Kerman, Iran. ghyousefzadeh@yahoo.com
Abstract:
The purpose of this study is to assess the immediate effects of insulin-induced hypoglycemia on the natural antioxidant superoxide dismutase activity, malondialdehyde concentration, total antioxidative capacity and total thiol group concentration in young healthy subjects. In this clinical trial, 16 healthy men with the mean age of 29.3 ± 5.3 years (range 21-39 years) became volunteers to participate the study. Hypoglycemia was induced by intravenous administration of regular insulin 0.1 U/kg. Before and after inducing hypoglycemia, SOD activity was determined in red blood cells, whereas the MDA concentration was determined by thiobarbituric acid reactive substance method, total thiol groups by high-performance liquid chromatography method and total antioxidant capacity by ferric reducing/antioxidant power. A significant increase was seen in the TBARS levels following insulin-induced hypoglycemia (0.19 ± 0.07 vs. 0.38 ± 0.16 nmol/g, P < 0.001), while a significant decrement occurred in the antioxidant power (FRAP value) (321.4 ± 63.4 vs. 231.4 ± 57.5, P < 0.001), total thiol concentration (2.3 ± 0.8 vs. 1.3 ± 0.5, P = 0.001) and SOD enzyme activity (29.4 ± 8.2 vs. 23.1 ± 6.1, P < 0.001) subsequent the hypoglycemia with insulin.
Insights
Insulin-induced hypoglycemia significantly increases oxidative stress markers like malondialdehyde and decreases antioxidant capacity, total thiol groups, and superoxide dismutase activity in healthy young men.
Area of Science:
- Biochemistry
- Human Physiology
- Oxidative Stress Research
Background:
- Oxidative stress plays a role in various physiological and pathological processes.
- Understanding the impact of acute metabolic changes on antioxidant systems is crucial.
Purpose of the Study:
- To investigate the immediate effects of insulin-induced hypoglycemia on key oxidative stress biomarkers.
- To assess changes in superoxide dismutase activity, malondialdehyde, total antioxidant capacity, and thiol groups.
Main Methods:
- A clinical trial involving 16 healthy adult males.
- Hypoglycemia was induced via intravenous insulin administration (0.1 U/kg).
- Measurements included superoxide dismutase (SOD) activity, malondialdehyde (MDA) via TBARS assay, total thiol concentration (HPLC), and ferric reducing/antioxidant power (FRAP).
Main Results:
- Insulin-induced hypoglycemia significantly increased TBARS levels (MDA).
- A significant decrease was observed in antioxidant power (FRAP value), total thiol concentration, and SOD enzyme activity.
- P-values < 0.001 for TBARS, FRAP, and SOD; P = 0.001 for total thiol concentration.
Conclusions:
- Acute hypoglycemia acutely impairs the body's antioxidant defense mechanisms.
- These findings highlight the pro-oxidative state induced by rapid glucose reduction.
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