University of Patras, Patras, Greece.
National and Kapodistrian University of Athens, Athens, Greece.
Folia Med (Plovdiv). 2021 Apr 30;63(2):171-176. doi: 10.3897/folmed.63.e54651.
The human organism is exposed to variable endogenous and exogenous factors that result in the induction of free radicals. Surgeries are associated with increased inflammation and production of free radicals through various mechanisms, including ischemia, hemolysis, or endogenous antioxidant depletion. Importantly, a more oxidized redox status could lead to the condition known as "oxidative stress," which is related to alterations in insulin signaling and may lead to insulin resistance and diabetes mellitus. Therefore, patients with diabetes who undergo surgery could be more vulnerable compared with healthy individuals. Thus, this review focuses on the currently available literature regarding the link between the redox status and diabetes complications after surgery and the methods used to assess the redox status of patients, which is the first step to designing an appropriate treatment strategy. To this end, we queried PubMed for novel works published up to May 2020.
人体组织会暴露于各种内源性和外源性因素下,这些因素会导致自由基的产生。手术会通过多种机制引起炎症和自由基的产生,包括缺血、溶血或内源性抗氧化剂耗竭。重要的是,更氧化的氧化还原状态可能导致所谓的“氧化应激”,这与胰岛素信号的改变有关,可能导致胰岛素抵抗和糖尿病。因此,与健康个体相比,接受手术的糖尿病患者可能更容易受到影响。因此,本综述重点关注目前关于手术前后氧化还原状态与糖尿病并发症之间联系的文献,以及用于评估患者氧化还原状态的方法,这是设计适当治疗策略的第一步。为此,我们在 PubMed 中查询了截至 2020 年 5 月发表的最新研究。