全球氧化状态与钙化性主动脉瓣狭窄相关:糖尿病所致差异及二甲双胍的作用

Global Oxidative Status Is Linked to Calcific Aortic Stenosis: The Differences Due to Diabetes Mellitus and the Effects of Metformin.

作者信息

Corbacho-Alonso Nerea, Rodríguez-Sánchez Elena, Sastre-Oliva Tamara, Mercado-García Elisa, Perales-Sánchez Ines, Juarez-Alia Cristina, López-Almodovar Luis F, Padial Luis R, Tejerina Teresa, Mourino-Alvarez Laura, Ruiz-Hurtado Gema, Barderas María G

机构信息

Department of Vascular Physiopathology, Hospital Nacional de Paraplejicos, SESCAM (Servicio de Salud de Castilla-La Mancha), 45071 Toledo, Spain.

Department of Vascular Physiopathology, Hospital Nacional de Paraplejicos, Instituto de Investigación Sanitaria de Castilla-La Mancha (IDISCAM), 45071 Toledo, Spain.

出版信息

Antioxidants (Basel). 2023 Apr 28;12(5):1024. doi: 10.3390/antiox12051024.

Abstract

Calcific aortic stenosis (CAS) and type 2 diabetes mellitus (T2DM) are related and often concomitant pathologies, accompanied by common comorbidities such as hypertension or dyslipidemia. Oxidative stress is one of the mechanisms that trigger CAS, and it can drive the vascular complications in T2DM. Metformin can inhibit oxidative stress, yet its effects have not been studied in the context of CAS. Here, we assessed the global oxidative status in plasma from patients with CAS, both alone and with T2DM (and under treatment with metformin), using multimarker scores of systemic oxidative damage (OxyScore) and antioxidant defense (AntioxyScore). The OxyScore was determined by measuring carbonyls, oxidized LDL (oxLDL), 8-hydroxy-20-deoxyguanosine (8-OHdG), and xanthine oxidase (XOD) activity. In contrast, the AntioxyScore was determined through the catalase (CAT) and superoxide dismutase (SOD) activity, as well as the total antioxidant capacity (TAC). Patients with CAS displayed enhanced oxidative stress compared to control subjects, probably exceeding their antioxidant capacity. Interestingly, patients with CAS and T2DM displayed less oxidative stress, possibly due to the benefits of their pharmacological therapy (metformin). Thus, reducing oxidative stress or enhancing antioxidant capacity through specific therapies could be a good strategy to manage CAS, focusing on personalized medicine.

摘要

钙化性主动脉瓣狭窄(CAS)与2型糖尿病(T2DM)相关且常并存,伴有高血压或血脂异常等常见合并症。氧化应激是引发CAS的机制之一,并且可导致T2DM的血管并发症。二甲双胍可抑制氧化应激,但其在CAS背景下的作用尚未得到研究。在此,我们使用全身氧化损伤(OxyScore)和抗氧化防御(AntioxyScore)的多标志物评分,评估了单独患有CAS以及合并T2DM(且正在接受二甲双胍治疗)的患者血浆中的整体氧化状态。通过测量羰基、氧化型低密度脂蛋白(oxLDL)、8-羟基-2'-脱氧鸟苷(8-OHdG)和黄嘌呤氧化酶(XOD)活性来确定OxyScore。相反,通过过氧化氢酶(CAT)和超氧化物歧化酶(SOD)活性以及总抗氧化能力(TAC)来确定AntioxyScore。与对照受试者相比,CAS患者表现出氧化应激增强,可能超过了其抗氧化能力。有趣的是,患有CAS和T2DM的患者氧化应激较轻,这可能归因于他们的药物治疗(二甲双胍)的益处。因此,通过特定疗法降低氧化应激或增强抗氧化能力可能是管理CAS的良好策略,重点在于个性化医疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b8/10215415/8974a7b66998/antioxidants-12-01024-g001.jpg

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