Lateef Kadhim Bahaa, Abdulkareem Mohammed Khalid
Department of Chemistry, College of Science, University of Baghdad, Baghdad, IRQ.
Cureus. 2023 Oct 9;15(10):e46745. doi: 10.7759/cureus.46745. eCollection 2023 Oct.
Background Diabetes mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia caused by a defect in the secretion or action or both of insulin. It has a complex pathogenesis. Benign prostatic hyperplasia (BPH) refers to an increase in the size of the prostate; it is one of the most common health problems in men that manifests with age. Lipoxygenase-12 (Lipox-12) is one of the enzymes in the Lipox 12/15 family, which plays a major role in catalyzing a variety of polyunsaturated fatty acids (PUFAs) that are capable of producing different metabolites. Lipox-12 has a significant effect on arachidonic acid metabolism, with PUFA, a pro- and anti-inflammatory mediator, as one of the enzyme isoforms. It also plays a major role in modulating inflammation at multiple checkpoints as diabetes progresses. The present study aims to measure Lipox-12 levels in patients with DM type 2 (DM2) and patients with DM2 + BPH. Methodology This study was conducted in Musayyib General Hospital, south of Baghdad, where a clinical examination was performed on 50 samples from controls (healthy subjects), 50 patients with DM2, and 50 patients with DM2 + BPH after taking each patient's history. The examinations performed included fasting blood sugar (FBS), hemoglobin A1c (HbA1c), prostate-specific antigen (PSA), triglycerides (TG), cholesterol (Chol), and Lipox-12. Results The results showed that both the DM2 and DM2 + BPH groups had higher FBS, HbA1c, TG, and Chol levels than healthy subjects; in contrast, Lipox-12 levels were the lowest in the DM2 group (sensitivity = 79% and specificity = 81%) but higher in the DM2 + BPH group (sensitivity = 80%; specificity = 82%) compared to the control group. Conclusions Lipox-12 had a high sensitivity and specificity in the DM2 and DM2 + BPH groups compared to the control group, and in both cases, it was used to monitor and diagnose DM2 and BPH.
背景 糖尿病(DM)是一种慢性代谢紊乱疾病,其特征为胰岛素分泌缺陷、作用缺陷或两者兼有的情况下导致的高血糖。它具有复杂的发病机制。良性前列腺增生(BPH)指前列腺体积增大;它是男性中随年龄增长而出现的最常见健康问题之一。脂氧合酶-12(Lipox-12)是脂氧合酶12/15家族中的一种酶,在催化多种能够产生不同代谢产物的多不饱和脂肪酸(PUFA)方面起主要作用。Lipox-12对花生四烯酸代谢有显著影响,作为一种酶亚型,PUFA是一种促炎和抗炎介质。在糖尿病进展过程中,它在多个关卡调节炎症方面也起主要作用。本研究旨在测量2型糖尿病(DM2)患者和DM2合并BPH患者的Lipox-12水平。
方法 本研究在巴格达以南的穆赛伊卜综合医院进行,在了解每位患者病史后,对50例对照组(健康受试者)、50例DM2患者和50例DM2合并BPH患者的样本进行了临床检查。所进行的检查包括空腹血糖(FBS)、糖化血红蛋白(HbA1c)、前列腺特异性抗原(PSA)、甘油三酯(TG)、胆固醇(Chol)和Lipox-12。
结果 结果显示,DM2组和DM2合并BPH组的FBS、HbA1c、TG和Chol水平均高于健康受试者;相比之下,DM2组的Lipox-12水平最低(敏感性 = 79%,特异性 = 81%),但与对照组相比,DM2合并BPH组的Lipox-12水平更高(敏感性 = 80%;特异性 = 82%)。
结论 与对照组相比,Lipox-12在DM2组和DM2合并BPH组中具有较高的敏感性和特异性,在这两种情况下,它都用于监测和诊断DM2和BPH。