Key result
Patients with diabetic and nondiabetic cardiovascular diseases exhibited significantly increased oxidative stress, pro-inflammatory cytokines, and impaired hematological indices compared to healthy controls.
Why the study?
Oxidative stress and inflammation are increasingly recognized drivers of cardiovascular complications in diabetes, but their correlation with hematological indices remains to be explored.
Cross-Sectional (n=150)
No
p-value: p=<0.001
Oxidative stress, pro-inflammatory cytokines, and impaired hematological indices are significantly elevated in patients with cardiovascular disease, particularly those with concurrent diabetes, suggesting their potential utility as early biomarkers for diabetic cardiomyopathy.
No immediate clinical implications in diabetic CVD; leaves open whether hematological indices aid inflammatory risk assessment.
A simultaneous increase in the prevalence of diabetes mellitus (DM), a risk factor for cardiovascular diseases (CVDs), has contributed to the escalation of CVD related mortalities. To date, oxidative stress and inflammation are increasingly recognized as significant drivers of cardiovascular complications in patients with diabetes. Therefore, this study aims to explore the correlation between oxidative stress, inflammation, and hematological indices in diabetic patients with CVDs. Patients were allocated into five groups: healthy controls; nondiabetic patients with myocardial infarction; diabetic patients with myocardial infarction; nondiabetic patients with heart failure; and diabetic patients with heart failure. The results revealed that the malondialdehyde levels were increased; whereas superoxide dismutase enzyme activities were markedly reduced in all CVD groups compared with those of healthy controls. Although the mRNA expression levels of interleukin (IL)-6, IL-18, and IL-38 were significantly increased, those of the anti-inflammatory cytokine, IL-35, have been reduced in all CVD groups compared with healthy controls. Regarding hematological indices, hematocrit, red blood cell distribution width, mean platelet (PLT) volume, plateletcrit, PLT distribution width, leukocyte count, and PLT-to-lymphocyte and neutrophil-to-lymphocyte ratios were markedly increased in the diabetic and nondiabetic CVD groups compared with those of the healthy controls. Oxidative stress and cytokine biomarkers may play a significant role in the complications of diabetic cardiomyopathy. Moreover, hematological indices are particularly sensitive to systemic inflammatory changes and are novel markers for the early detection of diabetic cardiomyopathy.
No takes yet. Share an insight, caveat, or question.
Saad et al. (2022) conducted a cross-sectional in Diabetic Cardiovascular Diseases (Myocardial Infarction and Heart Failure) (n=150). Type 2 Diabetes Mellitus vs. Nondiabetic patients with CVD and healthy controls was evaluated on Oxidative stress (MDA, SOD), cytokine expression (IL-6, IL-18, IL-35, IL-38), and hematological indices (p=<0.001). Patients with diabetic and nondiabetic cardiovascular diseases exhibited significantly increased oxidative stress, pro-inflammatory cytokines, and impaired hematological indices compared to healthy controls.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: