Key result
Type 1 diabetes was associated with altered mitochondrial function, increased oxidative stress, and enhanced leukocyte-endothelium interactions compared to matched controls.
Why the study?
Type 1 diabetes has been associated with oxidative stress, motivating evaluation of oxidative stress rates, mitochondrial function, leukocyte-endothelium interactions, and adhesion molecules.
Do type 1 diabetic patients exhibit altered mitochondrial function and enhanced leukocyte-endothelium interactions compared to healthy controls?
Case-Control (n=98)
Do type 1 diabetic patients exhibit altered mitochondrial function and enhanced leukocyte-endothelium interactions compared to healthy controls?
Type 1 diabetes is associated with mitochondrial alterations, oxidative stress, and enhanced leukocyte-endothelium interactions, which correlate with glycemic control and may contribute to cardiovascular complications.
Does not yet alter clinical management in type 1 diabetes; extends mechanistic understanding but remains hypothesis-generating.
Type 1 diabetes has been associated with oxidative stress. This study evaluates the rates of oxidative stress, mitochondrial function, leukocyte–endothelium interactions and adhesion molecules in type 1 diabetic patients. The study population consisted of 52 diabetic patients and 46 body-composition and age-matched controls. We assessed anthropometric and metabolic parameters, oxidative stress and mitochondrial function by evaluating reactive oxygen species (ROS) production, mitochondrial ROS production, mitochondrial membrane potential and superoxide dismutase (SOD) and catalase (CAT) expression in polymorphonuclear leukocytes from type 1 diabetic patients. In addition, we evaluated interactions between leukocytes and human umbilical vein endothelial cells (HUVEC), and serum expression of adhesion molecules (P-selectin, VCAM-1 and ICAM-1), proinflammatory cytokines (IL-6 and TNFα) and myeloperoxidase (MPO). HbA1C and glucose levels were higher in diabetic patients than in control subjects, as expected. Mitochondrial function was altered and leukocyte–endothelium interactions were enhanced in diabetic patients, which was evident in the increase in total and mitochondrial ROS production, higher mitochondrial membrane potential, enhanced leukocyte rolling and adhesion, and decreased rolling velocity. Furthermore, we observed an increase in levels of adhesion molecules P-selectin, VCAM-1, and ICAM-1 in these subjects. In addition, type 1 diabetic patients exhibited an increase in proinflammatory mediators TNFα and MPO, and a decreased expression of SOD. The enhancement of leukocyte–endothelium interactions and proinflammatory markers correlated with glucose and HbA1Clevels. Mitochondrial alteration, oxidative stress, and enhanced leukocyte–endothelium interactions are features of type 1 diabetes and may be related to cardiovascular implications.
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Iannantuoni et al. (2020) conducted a case-control in Type 1 diabetes (n=98). Type 1 diabetes vs. Body-composition and age-matched controls was evaluated on Mitochondrial function, oxidative stress, and leukocyte-endothelium interactions. Type 1 diabetes was associated with altered mitochondrial function, increased oxidative stress, and enhanced leukocyte-endothelium interactions compared to matched controls.
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