Institute of Molecular BioMedicine, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Institute of Medical Physics, Biophysics, Informatics and Telemedicine, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Acta Paediatr. 2018 Dec;107(12):2137-2145. doi: 10.1111/apa.14372. Epub 2018 May 22.
We studied the association between increased cardiometabolic risk and markers of oxidative status and glycation in apparently healthy subjects who did not present with central obesity.
From 2011 to 2012, we recruited 2064 students (53% girls) aged 16-20 years from Western Slovakia. Their continuous metabolic syndrome scores (MSS) were calculated as a mean of the sum of the z-scores of waist-to-height ratio, mean arterial pressure, triacylglycerols, high-density lipoprotein-cholesterol and quantitative insulin sensitivity check index. Plasma markers of protein glycation and oxidation, lipid peroxidation and total antioxidant status were analysed.
In both genders, advanced oxidation protein products (AOPPs) increased across the MSS quintiles (p < 0.001). AOPPs and fructosamines were significant predictors of the MSS in both genders. Moreover, high-sensitivity C-reactive protein, leukocyte counts and advanced glycation end-products (AGEs) contributed significantly in girls. Triacylglycerols, fructosamines, AGEs and total antioxidant capacity correlated significantly with AOPPs in both genders.
Advanced oxidation protein products may act as inflammatory mediators that contribute to the development of cardiometabolic afflictions. Determining these may provide information related to cardiometabolic risk and represent potential target to reduce or prevent irreversible oxidative stress-induced cellular damage.
我们研究了在没有中心性肥胖的情况下,代谢心血管风险增加与氧化状态和糖化标志物之间的关系,这些标志物与表型健康个体有关。
2011 年至 2012 年,我们招募了来自斯洛伐克西部的 2064 名 16-20 岁的学生(53%为女性)。他们的连续代谢综合征评分(MSS)是通过计算腰高比、平均动脉压、三酰甘油、高密度脂蛋白胆固醇和定量胰岛素敏感性检查指数的 z 分数之和的平均值得出的。分析了血浆蛋白糖化和氧化、脂质过氧化和总抗氧化状态的标志物。
在两性中,随着 MSS 五分位数的增加,晚期氧化蛋白产物(AOPPs)增加(p<0.001)。AOPPs 和果糖胺是两性 MSS 的显著预测因子。此外,在女性中,高敏 C 反应蛋白、白细胞计数和晚期糖基化终产物(AGEs)也有显著贡献。在两性中,三酰甘油、果糖胺、AGEs 和总抗氧化能力与 AOPPs 显著相关。
晚期氧化蛋白产物可能作为炎症介质,促进代谢心血管疾病的发展。确定这些因素可能提供与代谢心血管风险相关的信息,并代表减少或预防不可逆氧化应激诱导的细胞损伤的潜在目标。