Correlation Between Serum β2-GPI/oxLDL and the Risk of Cerebral Infarction in Patients with T2DM

ObjectiveThis study aims to study the correlation between serum β2-glycoprotein I (β2-GPI)/oxidized low-density lipoprotein (oxLDL) and the risk of cerebral infarction in patients with type 2 diabetes (T2DM).MethodsFrom January 2019 to March 2021, 56 patients with T2DM combined with cerebral infarct...

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Main Authors: Wending Kuang, Yi Li, Gang Liu, Yang Zhang, Gang Chen, Bang Luo, Shuangyu Kuang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.930701/full
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author Wending Kuang
Yi Li
Gang Liu
Yang Zhang
Gang Chen
Bang Luo
Shuangyu Kuang
author_facet Wending Kuang
Yi Li
Gang Liu
Yang Zhang
Gang Chen
Bang Luo
Shuangyu Kuang
author_sort Wending Kuang
collection DOAJ
description ObjectiveThis study aims to study the correlation between serum β2-glycoprotein I (β2-GPI)/oxidized low-density lipoprotein (oxLDL) and the risk of cerebral infarction in patients with type 2 diabetes (T2DM).MethodsFrom January 2019 to March 2021, 56 patients with T2DM combined with cerebral infarction were chosen as a diabetic cerebral infarction (DCI) group, and 60 patients with simple T2DM were chosen as a T2DM group. In addition, 60 healthy volunteers were recruited as a control group. The essential information of each group was collected, and the serum β2-GPI/oxLDL and inflammatory factor levels in each group were compared. The clinical factors that affect the risk of ischemic cerebral infarction in patients with T2DM were analyzed by a logistic model.ResultsCompared with the control group, the level of serum β2-GPI/oxLDL in the T2DM and DCI groups increased significantly, P < 0.001. Compared with the T2DM group, the serum β2-GPI/oxLDL level in the DCI group increased significantly, P < 0.05. The result of Pearson’s correlation analysis showed that serum β2-GPI/oxLDL was positively correlated with total cholesterol, triglycerides, fasting blood glucose, 2-h postprandial blood glucose, glycosylated hemoglobin, interleukin-6, and tumor necrosis factor (TNF)-α (all P’s < 0.05). Serum TNF-α and β2-GPI/oxLDL were independent risk variates for DCI (P < 0.05). Based on the receiver operating characteristic curve analysis, the values of the area under the curve for TNF-α, serum β2-GPI/oxLDL, and the combined diagnosis of DCI were 0.653 (0.552–0.753), 0.680 (0.583–0.777), 0.739 (0.647–0.831), respectively.ConclusionIn DCI patients, the levels of serum oxLDL/β2-GPI are significantly increased. Serum oxLDL/β2-GPI is an independent risk factor that affects the occurrence of DCI. In addition, the serum β2-GPI/oxLDL level implicates the lipid metabolism and inflammatory status of the internal environment of DCI patients to a certain extent.
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spelling doaj.art-e3b895a134bb43bf957ce12fa4c155292022-12-22T01:40:47ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-07-01910.3389/fsurg.2022.930701930701Correlation Between Serum β2-GPI/oxLDL and the Risk of Cerebral Infarction in Patients with T2DMWending Kuang0Yi Li1Gang Liu2Yang Zhang3Gang Chen4Bang Luo5Shuangyu Kuang6The Second Affiliated Hospital, Department of Neurology, Hengyang Medical School, University of South China, Hengyang, ChinaDepartment of Diagnosis, Hengyang Medical School, University of South China, Hengyang, ChinaThe Second Affiliated Hospital, Department of Endocrinology, Hengyang Medical School, University of South China, Hengyang, ChinaThe Second Affiliated Hospital, Department of Neurology, Hengyang Medical School, University of South China, Hengyang, ChinaThe Second Affiliated Hospital, Department of Neurology, Hengyang Medical School, University of South China, Hengyang, ChinaThe Second Affiliated Hospital, Department of Neurology, Hengyang Medical School, University of South China, Hengyang, ChinaThe Second Affiliated Hospital, Department of GCP, Hengyang Medical School, University of South China, Hengyang, ChinaObjectiveThis study aims to study the correlation between serum β2-glycoprotein I (β2-GPI)/oxidized low-density lipoprotein (oxLDL) and the risk of cerebral infarction in patients with type 2 diabetes (T2DM).MethodsFrom January 2019 to March 2021, 56 patients with T2DM combined with cerebral infarction were chosen as a diabetic cerebral infarction (DCI) group, and 60 patients with simple T2DM were chosen as a T2DM group. In addition, 60 healthy volunteers were recruited as a control group. The essential information of each group was collected, and the serum β2-GPI/oxLDL and inflammatory factor levels in each group were compared. The clinical factors that affect the risk of ischemic cerebral infarction in patients with T2DM were analyzed by a logistic model.ResultsCompared with the control group, the level of serum β2-GPI/oxLDL in the T2DM and DCI groups increased significantly, P < 0.001. Compared with the T2DM group, the serum β2-GPI/oxLDL level in the DCI group increased significantly, P < 0.05. The result of Pearson’s correlation analysis showed that serum β2-GPI/oxLDL was positively correlated with total cholesterol, triglycerides, fasting blood glucose, 2-h postprandial blood glucose, glycosylated hemoglobin, interleukin-6, and tumor necrosis factor (TNF)-α (all P’s < 0.05). Serum TNF-α and β2-GPI/oxLDL were independent risk variates for DCI (P < 0.05). Based on the receiver operating characteristic curve analysis, the values of the area under the curve for TNF-α, serum β2-GPI/oxLDL, and the combined diagnosis of DCI were 0.653 (0.552–0.753), 0.680 (0.583–0.777), 0.739 (0.647–0.831), respectively.ConclusionIn DCI patients, the levels of serum oxLDL/β2-GPI are significantly increased. Serum oxLDL/β2-GPI is an independent risk factor that affects the occurrence of DCI. In addition, the serum β2-GPI/oxLDL level implicates the lipid metabolism and inflammatory status of the internal environment of DCI patients to a certain extent.https://www.frontiersin.org/articles/10.3389/fsurg.2022.930701/fulloxLDLβ2-GPIcerebral infarctiontype 2 diabetesT2DM
spellingShingle Wending Kuang
Yi Li
Gang Liu
Yang Zhang
Gang Chen
Bang Luo
Shuangyu Kuang
Correlation Between Serum β2-GPI/oxLDL and the Risk of Cerebral Infarction in Patients with T2DM
Frontiers in Surgery
oxLDL
β2-GPI
cerebral infarction
type 2 diabetes
T2DM
title Correlation Between Serum β2-GPI/oxLDL and the Risk of Cerebral Infarction in Patients with T2DM
title_full Correlation Between Serum β2-GPI/oxLDL and the Risk of Cerebral Infarction in Patients with T2DM
title_fullStr Correlation Between Serum β2-GPI/oxLDL and the Risk of Cerebral Infarction in Patients with T2DM
title_full_unstemmed Correlation Between Serum β2-GPI/oxLDL and the Risk of Cerebral Infarction in Patients with T2DM
title_short Correlation Between Serum β2-GPI/oxLDL and the Risk of Cerebral Infarction in Patients with T2DM
title_sort correlation between serum β2 gpi oxldl and the risk of cerebral infarction in patients with t2dm
topic oxLDL
β2-GPI
cerebral infarction
type 2 diabetes
T2DM
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.930701/full
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