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波兰中部60至65岁老年人氧化与抗氧化潜力与心脏代谢风险状况的关联

The Association of Oxidative and Antioxidant Potential with Cardiometabolic Risk Profile in the Group of 60- to 65-Year-Old Seniors from Central Poland.

作者信息

Sołtysik Bartłomiej K, Karolczak Kamil, Watała Cezary, Kostka Tomasz

机构信息

Department of Geriatrics, Medical University of Lodz, 90-419 Łódź, Poland.

Department of Haemostatic Disorders, Medical University of Lodz, 90-419 Łódź, Poland.

出版信息

Antioxidants (Basel). 2022 May 27;11(6):1065. doi: 10.3390/antiox11061065.

Abstract

Pathogenesis of cardiovascular diseases is caused by, inter alia, oxidative stress. On the other hand, cardiovascular risk factors may cause redox imbalance. The pathological pathways between those components are to be determined. In the group comprised of 300 sex-matched subjects, we evaluated a number of cardiovascular risk factors: blood pressure, body mass, lipids, glucose, homocysteine, uric acid, von Willebrand factor (vWF), VCAM-1 and ICAM-1. The presence of cardiovascular diseases and drugs for their treatment were examined. Secondly, we assessed total antioxidative status (TAS), total oxidative status (TOS) and other markers of oxidative stress. TAS was inversely related to LDL cholesterol. TOS was positively associated with BMI and female sex, but negatively associated with the use of angiotensin II receptor antagonists. Plasma lipid peroxides concentration was positively related to ICAM-1 and presence of stroke, whereas platelet lipid peroxides were positively associated with vWF. Platelets proteins thiol groups were in a positive relationship with vWF, but in a negative relationship with uric acid and diagnosed lipid disorders. Both free thiol and amino groups were positively associated with plasma glucose. Platelets free amino groups were related to platelets count. Superoxide generation by blood platelets (both with and without homocysteine) was positively connected to glucose level. Among women, oxidative markers appear to be more related to glucose level, whereas among men they are related to body mass indices. TAS, TOS and oxidative markers are largely related to modifiable cardiovascular risk factors such as body mass, and intake of drugs such as angiotensin II receptor blockers. Plasma and platelet oxidation markers appear to be especially associated with glucose concentration. The presented analyses unanimously indicate strong connections between cardiovascular risk factors and redox potential and specify how cardiometabolic interventions may counter-balance oxidative stress.

摘要

心血管疾病的发病机制尤其由氧化应激引起。另一方面,心血管危险因素可能导致氧化还原失衡。这些因素之间的病理途径有待确定。在由300名性别匹配的受试者组成的队列中,我们评估了多种心血管危险因素:血压、体重、血脂、血糖、同型半胱氨酸、尿酸、血管性血友病因子(vWF)、血管细胞黏附分子-1(VCAM-1)和细胞间黏附分子-1(ICAM-1)。检查了心血管疾病的存在情况及其治疗药物。其次,我们评估了总抗氧化状态(TAS)、总氧化状态(TOS)和其他氧化应激标志物。TAS与低密度脂蛋白胆固醇呈负相关。TOS与体重指数(BMI)和女性呈正相关,但与血管紧张素II受体拮抗剂的使用呈负相关。血浆脂质过氧化物浓度与ICAM-1和中风的存在呈正相关,而血小板脂质过氧化物与vWF呈正相关。血小板蛋白质巯基与vWF呈正相关,但与尿酸和已诊断的脂质紊乱呈负相关。游离巯基和氨基均与血浆葡萄糖呈正相关。血小板游离氨基与血小板计数有关。血小板(无论有无同型半胱氨酸)产生的超氧化物与血糖水平呈正相关。在女性中,氧化标志物似乎与血糖水平更相关,而在男性中,它们与体重指数相关。TAS、TOS和氧化标志物在很大程度上与可改变的心血管危险因素如体重以及血管紧张素II受体阻滞剂等药物的摄入有关。血浆和血小板氧化标志物似乎尤其与葡萄糖浓度相关。所呈现的分析一致表明心血管危险因素与氧化还原电位之间存在紧密联系,并明确了心脏代谢干预如何对抗氧化应激。

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