Skip to main content

Advertisement

Log in

Plasma MDA and antioxidant vitamins in diabetic retinopathy

  • Published:
Indian Journal of Clinical Biochemistry Aims and scope Submit manuscript

Abstract

Hyperglycemia and dyslipidemia in diabetes mellitus induce increased lipid peroxidation and peroxyl radical formation, an important mechanism in genesis of microangiopathy. We took up a study on oxidative stress, measured by plasma MDA and antioxidant vitamin status in type − 2 DM patients with and without retinopathy and compared them with a control non-diabetic group. Lipid peroxidation marker MDA was significantly elevated (p < 0.001) in both the diabetic groups whereas, serum vitamin E and vitamin C registered a significant fall (p<0.001) as compared to controls. Our correlation study revealed a significant positive association between plasma MDA with both fasting and 2hr post prandial plasma glucose (r=0.81, p < 0.001, r=0.92, p <0.001) suggesting the role of hyperglycemia in free radical production. Plasma MDA also depicted significant positive relation (p< 0.001) with all lipid parameters except serum HDLc pointing the role of dyslipidemia towards lipid peroxidation. Plasma MDA level was also found to be negatively correlated with both the vitamins (p<0.001, p<0.001) in the study group explaining their protective consumption in the oxidative process prevailing in diabetic retinopathy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Sulochana KN, Ramakrishnan S, Rajesh M, Coral K, Badrinath SS. Diabetic retinopathy: Molecular mechanisms, present regime of treatment and future perspectives. Current Science 2001;80(2):25.

    Google Scholar 

  2. Ohira A, de Juan E Jr. Characterisation of glial involvement in proliferative diabetic retinopathy. Opthalmologica 1990;201:187–195.

    Article  CAS  Google Scholar 

  3. Wolff SP, Dean RT. Glucose autooxidation and protein modification. Potential role of “auto-oxidative glycosylation”in diabetes.Biochem J1987;245:245–250.

  4. Ceriello A, Giugliano D, Quatraro A, Donzella C, Dipalo G, Lefebvre. Vitamin E reduction of protein glycosylation in diabetes. Diabetes Care 1991; 14(1):68–72.

    Article  PubMed  CAS  Google Scholar 

  5. Davie SJ, Gould BJ, Yudkin JS. Effect of vitamin C on glycosylation of proteins. Diabetes1992; 41:167–173.

    Article  PubMed  CAS  Google Scholar 

  6. Gupta MM, Chari S. Lipid peroxidation and antioxidant status in patients with diabetic retinopathy. Ind J Physiol Pharmacol 2005; 49(2):187–192.

    CAS  Google Scholar 

  7. Diabetes Mellitus reports of WHO study group. Tech Rep Ser 1985; 727:1–113.

    Google Scholar 

  8. Trinder P. Determination of glucose using glucose oxidase with an alternative oxygen acceptor. Ann Clin Biochem 1969;6:24–27.

    CAS  Google Scholar 

  9. Flegg HM. An investigaion of the determination of serum cholesterol by an enzymatic method. Ann Clin Biochem 1973;10:70–84.

    Google Scholar 

  10. Burstein M, Scholnick HR, Morfin R. Rapid method for isolation of lipoprotiens from human serum by precipitation with polyanion. J Lipid Res1970;11:583–595.

    PubMed  CAS  Google Scholar 

  11. Friedewald WT, Levy R, Fredrickson DS. Estimation of the concentration of low density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clin Chem 1972;18:499–502.

    PubMed  CAS  Google Scholar 

  12. Fossati P, Prenciple L. Serum triglycerides determined colorimetrically with an enzyme that produces hydrogen peroxide, Clin Chem 1982;28:2077–2080.

    PubMed  CAS  Google Scholar 

  13. Satoh K. Serum lipid Peroxide in cerebrovascular disorders determined by a new colorimetric method. Clin Chem Acta 1978;90: 37–43.

    Article  CAS  Google Scholar 

  14. Lowry OH, Lopez JA, Bessey OA. The determination of ascorbic acid in small amounts of blood serum. J Biol Chem 1945;160:609.

    CAS  Google Scholar 

  15. Baker H, Frank O. Clinical Vitaminology, 1968; New york; Wiley; 172.

    Google Scholar 

  16. Bakker SJ, Ijzerman RG, Teerclink T. Cytosolic TAG & oxidative stress in central obesity, the missing link between excessive atherosclerosis, endothelial dysfunction and beta cell failure? Atherosclerosis 2000; 148: 17–21.

    Article  PubMed  CAS  Google Scholar 

  17. Gotto AM Jr. Triglyceride as a risks factors for coronary artery disease. Am J Cardiol 1998; 82: 22–25.

    Google Scholar 

  18. Procter H, Reynolds ES. Free radicals and disease in man. Physiol Chem Phys 1984;16: 175–95.

    Google Scholar 

  19. Beatty S, Koh H, Phil M, Henson D, Boulton M. The role of oxidative stress in the pathogenesis of age related macular degeneration. Surv Ophthalmol 2000; 45(2): 115–134.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Kumari.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kumari, S., Panda, S., Mangaraj, M. et al. Plasma MDA and antioxidant vitamins in diabetic retinopathy. Indian J Clin Biochem 23, 158–162 (2008). https://doi.org/10.1007/s12291-008-0035-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12291-008-0035-1

Key Words

Navigation