Evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edema
Purpose: To determine the correlation between serum inflammatory and metabolic biomarkers of patients with diabetic retinopathy (DR) and diabetic macular edema (DME). Methods: Serum samples were obtained from 100 diabetic patients. Patients were divided into three groups: group 1 (patients with no...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
Series: | Indian Journal of Ophthalmology |
Subjects: | |
Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2521;epage=2525;aulast=Bhutia |
_version_ | 1797775075504553984 |
---|---|
author | Chewang U Bhutia Prempal Kaur Karamjit Singh Sukhraj Kaur |
author_facet | Chewang U Bhutia Prempal Kaur Karamjit Singh Sukhraj Kaur |
author_sort | Chewang U Bhutia |
collection | DOAJ |
description | Purpose: To determine the correlation between serum inflammatory and metabolic biomarkers of patients with diabetic retinopathy (DR) and diabetic macular edema (DME). Methods: Serum samples were obtained from 100 diabetic patients. Patients were divided into three groups: group 1 (patients with no DR, n = 27), group 2 (DR with DME, n = 34), and group 3 (DR without DME, n = 39). Serum concentrations of C-reactive protein (CRP) and interleukin-6 (IL-6) were measured by quantitative turbidimetric immunoassay and sandwich chemiluminescence immunoassay, respectively. Metabolic parameters such as glycated hemoglobin (HbA1c), total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglyceride (TG), serum creatinine, and blood urea were determined by automated analyzer om-360 after standardization. Results: The levels of IL-6 and CRP differed significantly in patients with DR and without DR (P < 0.001 and P = 0.045, respectively). We also found a positive correlation between IL-6 and CRP with the severity of DR. When DR patients with DME were compared to patients without DME, only IL-6 was observed to be significantly elevated (P < 0.001). None of the metabolic markers correlated significantly with DR and DME. Conclusion: Significantly raised levels of serum inflammatory biomarkers can be used to elucidate the significant role of inflammation in the pathogenesis of DR. Therefore, circulating biomarkers can serve as diagnostic and therapeutic predictors for monitoring the onset and progression of DR and DME. |
first_indexed | 2024-03-12T22:30:24Z |
format | Article |
id | doaj.art-41983307e2ac481991df421338c4d9d8 |
institution | Directory Open Access Journal |
issn | 0301-4738 1998-3689 |
language | English |
last_indexed | 2024-03-12T22:30:24Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Ophthalmology |
spelling | doaj.art-41983307e2ac481991df421338c4d9d82023-07-21T15:15:02ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017162521252510.4103/IJO.IJO_345_23Evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edemaChewang U BhutiaPrempal KaurKaramjit SinghSukhraj KaurPurpose: To determine the correlation between serum inflammatory and metabolic biomarkers of patients with diabetic retinopathy (DR) and diabetic macular edema (DME). Methods: Serum samples were obtained from 100 diabetic patients. Patients were divided into three groups: group 1 (patients with no DR, n = 27), group 2 (DR with DME, n = 34), and group 3 (DR without DME, n = 39). Serum concentrations of C-reactive protein (CRP) and interleukin-6 (IL-6) were measured by quantitative turbidimetric immunoassay and sandwich chemiluminescence immunoassay, respectively. Metabolic parameters such as glycated hemoglobin (HbA1c), total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglyceride (TG), serum creatinine, and blood urea were determined by automated analyzer om-360 after standardization. Results: The levels of IL-6 and CRP differed significantly in patients with DR and without DR (P < 0.001 and P = 0.045, respectively). We also found a positive correlation between IL-6 and CRP with the severity of DR. When DR patients with DME were compared to patients without DME, only IL-6 was observed to be significantly elevated (P < 0.001). None of the metabolic markers correlated significantly with DR and DME. Conclusion: Significantly raised levels of serum inflammatory biomarkers can be used to elucidate the significant role of inflammation in the pathogenesis of DR. Therefore, circulating biomarkers can serve as diagnostic and therapeutic predictors for monitoring the onset and progression of DR and DME.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2521;epage=2525;aulast=Bhutiabiomarkersdiabetic macular edemadiabetic retinopathy |
spellingShingle | Chewang U Bhutia Prempal Kaur Karamjit Singh Sukhraj Kaur Evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edema Indian Journal of Ophthalmology biomarkers diabetic macular edema diabetic retinopathy |
title | Evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edema |
title_full | Evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edema |
title_fullStr | Evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edema |
title_full_unstemmed | Evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edema |
title_short | Evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edema |
title_sort | evaluating peripheral blood inflammatory and metabolic biomarkers as predictors in diabetic retinopathy and diabetic macular edema |
topic | biomarkers diabetic macular edema diabetic retinopathy |
url | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2521;epage=2525;aulast=Bhutia |
work_keys_str_mv | AT chewangubhutia evaluatingperipheralbloodinflammatoryandmetabolicbiomarkersaspredictorsindiabeticretinopathyanddiabeticmacularedema AT prempalkaur evaluatingperipheralbloodinflammatoryandmetabolicbiomarkersaspredictorsindiabeticretinopathyanddiabeticmacularedema AT karamjitsingh evaluatingperipheralbloodinflammatoryandmetabolicbiomarkersaspredictorsindiabeticretinopathyanddiabeticmacularedema AT sukhrajkaur evaluatingperipheralbloodinflammatoryandmetabolicbiomarkersaspredictorsindiabeticretinopathyanddiabeticmacularedema |