Correlations between Iron Metabolism Parameters, Inflammatory Markers and Lipid Profile Indicators in Patients with Type 1 and Type 2 Diabetes Mellitus
This study aims to establish relationships between inflammatory status, ferrokinetics and lipid metabolism in patients with diabetes mellitus. Subclinical inflammation was assessed by levels of high-sensitive C-reactive protein, tumor necrosis factor-α and erythrocyte sedimentation rate. Iron metabo...
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| Format: | Article |
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MDPI AG
2020-07-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/10/3/70 |
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| author | Nadezhda N. Musina Tatiana V. Saprina Tatiana S. Prokhorenko Alexander Kanev Anastasia P. Zima |
| author_facet | Nadezhda N. Musina Tatiana V. Saprina Tatiana S. Prokhorenko Alexander Kanev Anastasia P. Zima |
| author_sort | Nadezhda N. Musina |
| collection | DOAJ |
| description | This study aims to establish relationships between inflammatory status, ferrokinetics and lipid metabolism in patients with diabetes mellitus. Subclinical inflammation was assessed by levels of high-sensitive C-reactive protein, tumor necrosis factor-α and erythrocyte sedimentation rate. Iron metabolism parameters included complete blood count, serum iron, transferrin and ferritin. Metabolic status assessment included lipid profile, glycated hemoglobin and microalbuminuria measurement. As a result of the study it was possible to establish both general (universal) and diabetes mellitus (DM) type-dependent relationships between the parameters of lipid profile and metabolic control in DM. High-density lipoprotein cholesterol (HDL-C) levels negatively correlated with microalbuminuria (<i>r</i> = −0.293; <i>p</i> ˂ 0.05 for type 1 diabetes and <i>r</i> = −0.272; <i>p</i> ˂ 0.05 for type 2 diabetes). Ferritin concentration positively correlated with triglyceride level (<i>r</i> = 0.346; <i>p</i> ˂ 0.05 for type 1 diabetes and <i>r</i> = 0.244; <i>p</i> ˂ 0.05 for type 2 diabetes). In type 1 diabetes, a negative correlation was discovered between estimated glomerular filtration rate (eGFR) and LDL-C (<i>r</i> = −0.480; <i>p</i> ˂ 0.05), very low-density-lipoprotein cholesterol (VLDL-C) (<i>r</i> = −0.490; <i>p</i> ˂ 0.05) and triglycerides (<i>r</i> = −0.553; <i>p</i> ˂ 0.05), and a positive one between C-reactive protein concentration and triglyceride level (<i>r</i> = 0.567; <i>p</i> ˂ 0.05). Discovered relationships between lipid profile indices, inflammatory status and microalbuminuria confirmed mutual influence of hyperlipidemia, inflammation and nephropathy in diabetes patients. Obtained results justify the strategy of early hypolipidemic therapy in patients with diabetes mellitus to prevent the development and progression of microvascular complications. |
| first_indexed | 2024-03-10T18:13:09Z |
| format | Article |
| id | doaj.art-8c80b7c041f94201ba402a4a6e3db7ff |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-10T18:13:09Z |
| publishDate | 2020-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-8c80b7c041f94201ba402a4a6e3db7ff2023-11-20T07:55:39ZengMDPI AGJournal of Personalized Medicine2075-44262020-07-011037010.3390/jpm10030070Correlations between Iron Metabolism Parameters, Inflammatory Markers and Lipid Profile Indicators in Patients with Type 1 and Type 2 Diabetes MellitusNadezhda N. Musina0Tatiana V. Saprina1Tatiana S. Prokhorenko2Alexander Kanev3Anastasia P. Zima4Siberian State Medical University, 634050 Tomsk, RussiaSiberian State Medical University, 634050 Tomsk, RussiaSiberian State Medical University, 634050 Tomsk, RussiaSiberian State Medical University, 634050 Tomsk, RussiaSiberian State Medical University, 634050 Tomsk, RussiaThis study aims to establish relationships between inflammatory status, ferrokinetics and lipid metabolism in patients with diabetes mellitus. Subclinical inflammation was assessed by levels of high-sensitive C-reactive protein, tumor necrosis factor-α and erythrocyte sedimentation rate. Iron metabolism parameters included complete blood count, serum iron, transferrin and ferritin. Metabolic status assessment included lipid profile, glycated hemoglobin and microalbuminuria measurement. As a result of the study it was possible to establish both general (universal) and diabetes mellitus (DM) type-dependent relationships between the parameters of lipid profile and metabolic control in DM. High-density lipoprotein cholesterol (HDL-C) levels negatively correlated with microalbuminuria (<i>r</i> = −0.293; <i>p</i> ˂ 0.05 for type 1 diabetes and <i>r</i> = −0.272; <i>p</i> ˂ 0.05 for type 2 diabetes). Ferritin concentration positively correlated with triglyceride level (<i>r</i> = 0.346; <i>p</i> ˂ 0.05 for type 1 diabetes and <i>r</i> = 0.244; <i>p</i> ˂ 0.05 for type 2 diabetes). In type 1 diabetes, a negative correlation was discovered between estimated glomerular filtration rate (eGFR) and LDL-C (<i>r</i> = −0.480; <i>p</i> ˂ 0.05), very low-density-lipoprotein cholesterol (VLDL-C) (<i>r</i> = −0.490; <i>p</i> ˂ 0.05) and triglycerides (<i>r</i> = −0.553; <i>p</i> ˂ 0.05), and a positive one between C-reactive protein concentration and triglyceride level (<i>r</i> = 0.567; <i>p</i> ˂ 0.05). Discovered relationships between lipid profile indices, inflammatory status and microalbuminuria confirmed mutual influence of hyperlipidemia, inflammation and nephropathy in diabetes patients. Obtained results justify the strategy of early hypolipidemic therapy in patients with diabetes mellitus to prevent the development and progression of microvascular complications.https://www.mdpi.com/2075-4426/10/3/70diabetes mellitusanemia of chronic diseaseiron deficiency anemiahyperlipidemiainflammationC-reactive protein |
| spellingShingle | Nadezhda N. Musina Tatiana V. Saprina Tatiana S. Prokhorenko Alexander Kanev Anastasia P. Zima Correlations between Iron Metabolism Parameters, Inflammatory Markers and Lipid Profile Indicators in Patients with Type 1 and Type 2 Diabetes Mellitus Journal of Personalized Medicine diabetes mellitus anemia of chronic disease iron deficiency anemia hyperlipidemia inflammation C-reactive protein |
| title | Correlations between Iron Metabolism Parameters, Inflammatory Markers and Lipid Profile Indicators in Patients with Type 1 and Type 2 Diabetes Mellitus |
| title_full | Correlations between Iron Metabolism Parameters, Inflammatory Markers and Lipid Profile Indicators in Patients with Type 1 and Type 2 Diabetes Mellitus |
| title_fullStr | Correlations between Iron Metabolism Parameters, Inflammatory Markers and Lipid Profile Indicators in Patients with Type 1 and Type 2 Diabetes Mellitus |
| title_full_unstemmed | Correlations between Iron Metabolism Parameters, Inflammatory Markers and Lipid Profile Indicators in Patients with Type 1 and Type 2 Diabetes Mellitus |
| title_short | Correlations between Iron Metabolism Parameters, Inflammatory Markers and Lipid Profile Indicators in Patients with Type 1 and Type 2 Diabetes Mellitus |
| title_sort | correlations between iron metabolism parameters inflammatory markers and lipid profile indicators in patients with type 1 and type 2 diabetes mellitus |
| topic | diabetes mellitus anemia of chronic disease iron deficiency anemia hyperlipidemia inflammation C-reactive protein |
| url | https://www.mdpi.com/2075-4426/10/3/70 |
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