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Toll-like receptor 2 expression on monocytes and microvascular complications in type 2 diabetic patients
Rasha Emad Badr1, Mona Ibrahim Salama1, Asmaa Kamal Abd-Elmaogood2
1Lecturer of Clinical and Chemical Pathology Department, Faculty of Medicine, Portsaid University, Portsaid, Egypt.
Abstract:
Diabetes mellitus (DM) is a chronic debilitating illness, and atherosclerotic changes are inevitable and usually neglected during the follow-up of diabetic patients. Toll-like receptor 2 (TLR2) is under trial in many studies to hold responsibility for atherosclerosis process progression as they suggest a malfunction of these receptors expressed on monocytes in diabetic patients. This study aimed to assess the association between the TLR2 and type 2 diabetes mellitus (T2DM) in Egyptian diabetic patients and to investigate its relationship with some diabetic complications.
Methods:
This study included a 60 diabetic patients group 1 (diabetic complicated), group 2 (diabetic non-complicated) and 30 age-matched normal healthy blood donors.
Results:
Toll-like receptors (TLRs) expression was significantly associated with T2DM. In this study, the mean fluorescent intensity (MFI) of TLR2 was 596.9 ± 84.78 in group 1, 326.23 ± 62.98 in group 2 while in group 3 it was 208.47 ± 156.73. There was a significant correlation between MFI of TLR2 and random blood sugar (RBS) and glycated haemoglobin (HbA1c) (p < 0.05).
Conclusion:
TLR2 was overexpressed in diabetic patients with microvascular complications compared to diabetic non-complicated patients and normal healthy controls.
Insights
Toll-like receptor 2 (TLR2) is overexpressed in Egyptian patients with type 2 diabetes, particularly those with complications. This finding links TLR2 to diabetes progression and associated vascular issues.
Area of Science:
- Immunology
- Endocrinology
- Cardiovascular Research
Background:
- Diabetes mellitus (DM) is a chronic illness where atherosclerotic changes are often overlooked.
- Toll-like receptor 2 (TLR2) is implicated in atherosclerosis progression, with potential malfunctions in diabetic patients' monocytes.
Purpose of the Study:
- To assess the association between TLR2 and type 2 diabetes mellitus (T2DM) in Egyptian patients.
- To investigate the relationship between TLR2 and diabetic complications.
Main Methods:
- The study included 60 diabetic patients (complicated and non-complicated) and 30 healthy controls.
- Mean fluorescent intensity (MFI) of TLR2 was measured using flow cytometry.
Main Results:
- TLR2 expression was significantly associated with T2DM.
- Elevated TLR2 MFI was observed in complicated diabetic patients compared to non-complicated diabetics and healthy controls.
- A significant correlation was found between TLR2 MFI and random blood sugar (RBS) and glycated hemoglobin (HbA1c).
Conclusions:
- TLR2 is overexpressed in diabetic patients with microvascular complications.
- This overexpression suggests a role for TLR2 in the development or progression of diabetic complications.
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