Trace elements and oxidative stress in children with type 1 diabetes mellitus

Ashgan Abdalla Alghobashy,1 Usama M Alkholy,1 Mohamed A Talat,1 Nermin Abdalmonem,1 Ahmed Zaki,2 Ihab A Ahmed,1 Randa H Mohamed3 1Department of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt; 2Department of Pediatrics, Faculty of Medicine, Mansura University, Mansura, Egypt; 3De...

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Autores principales: Alghobashy AA, Alkholy UM, Talat MA, Abdalmonem N, Zaki A, Ahmed IA, Mohamed RH
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:7e667f7dacce4f4ea5cff51939ce3d6b2021-12-02T05:11:25ZTrace elements and oxidative stress in children with type 1 diabetes mellitus1178-7007https://doaj.org/article/7e667f7dacce4f4ea5cff51939ce3d6b2018-03-01T00:00:00Zhttps://www.dovepress.com/trace-elements-and-oxidative-stress-in-children-with-type-1-diabetes-m-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Ashgan Abdalla Alghobashy,1 Usama M Alkholy,1 Mohamed A Talat,1 Nermin Abdalmonem,1 Ahmed Zaki,2 Ihab A Ahmed,1 Randa H Mohamed3 1Department of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt; 2Department of Pediatrics, Faculty of Medicine, Mansura University, Mansura, Egypt; 3Department of Biochemistry, Faculty of Medicine, Zagazig University, Zagazig, Egypt Background: The early imbalances of trace elements in type 1 diabetes (T1D) may cause disturbance of glucose metabolism and more oxidative stress that may enhance the development of insulin resistance and diabetic complications. We aim to evaluate the serum level of selenium (Se), zinc (Zn), magnesium (Mg), and copper (Cu), the degree of oxidative stress and evaluate their relations to glycemic control in children with T1D. Methods: A case–control study which included 100 diabetic children and 40 healthy children age, sex, and ethnicity-matched as a control group. The diabetic children were divided into poor and good controlled patients according to glycosylated hemoglobin (A1c %). Studied children underwent history taking, clinical examination and laboratory measurement of serum Se, Zn, Mg, and Cu levels, erythrocyte reduced glutathione (GSH) and peroxidase enzyme activity (GPx). Results: Serum Se, Zn, Mg, Cu, erythrocyte GSH, and GPx were significantly lower in the diabetic group in comparison to the control group (P<0.05) and their levels were lower in poorly controlled patients compared to good controlled patients (P<0.05). The serum Se, Zn, Mg, erythrocyte GSH, and GPx showed a negative correlation with A1c %. The serum Se showed a positive correlation with erythrocyte GSH and GPx ([r=0.56, P<0.001], [r=0.78, P<0.001], respectively). Conclusion: Children with T1D, especially poorly controlled cases, had low serum Se, Zn, Mg, Cu, GSH, and GPx. Low serum Se in diabetic children may affect the erythrocyte GSH-GPx system. Keywords: oxidative stress; type 1 diabetes; trace elements, reduced glutathione, peroxidaseAlghobashy AAAlkholy UMTalat MAAbdalmonem NZaki AAhmed IAMohamed RHDove Medical Pressarticleoxidative stresstype 1diabetestrace elementsSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 11, Pp 85-92 (2018)
institution DOAJ
collection DOAJ
language EN
topic oxidative stress
type 1diabetes
trace elements
Specialties of internal medicine
RC581-951
spellingShingle oxidative stress
type 1diabetes
trace elements
Specialties of internal medicine
RC581-951
Alghobashy AA
Alkholy UM
Talat MA
Abdalmonem N
Zaki A
Ahmed IA
Mohamed RH
Trace elements and oxidative stress in children with type 1 diabetes mellitus
description Ashgan Abdalla Alghobashy,1 Usama M Alkholy,1 Mohamed A Talat,1 Nermin Abdalmonem,1 Ahmed Zaki,2 Ihab A Ahmed,1 Randa H Mohamed3 1Department of Pediatrics, Faculty of Medicine, Zagazig University, Zagazig, Egypt; 2Department of Pediatrics, Faculty of Medicine, Mansura University, Mansura, Egypt; 3Department of Biochemistry, Faculty of Medicine, Zagazig University, Zagazig, Egypt Background: The early imbalances of trace elements in type 1 diabetes (T1D) may cause disturbance of glucose metabolism and more oxidative stress that may enhance the development of insulin resistance and diabetic complications. We aim to evaluate the serum level of selenium (Se), zinc (Zn), magnesium (Mg), and copper (Cu), the degree of oxidative stress and evaluate their relations to glycemic control in children with T1D. Methods: A case–control study which included 100 diabetic children and 40 healthy children age, sex, and ethnicity-matched as a control group. The diabetic children were divided into poor and good controlled patients according to glycosylated hemoglobin (A1c %). Studied children underwent history taking, clinical examination and laboratory measurement of serum Se, Zn, Mg, and Cu levels, erythrocyte reduced glutathione (GSH) and peroxidase enzyme activity (GPx). Results: Serum Se, Zn, Mg, Cu, erythrocyte GSH, and GPx were significantly lower in the diabetic group in comparison to the control group (P<0.05) and their levels were lower in poorly controlled patients compared to good controlled patients (P<0.05). The serum Se, Zn, Mg, erythrocyte GSH, and GPx showed a negative correlation with A1c %. The serum Se showed a positive correlation with erythrocyte GSH and GPx ([r=0.56, P<0.001], [r=0.78, P<0.001], respectively). Conclusion: Children with T1D, especially poorly controlled cases, had low serum Se, Zn, Mg, Cu, GSH, and GPx. Low serum Se in diabetic children may affect the erythrocyte GSH-GPx system. Keywords: oxidative stress; type 1 diabetes; trace elements, reduced glutathione, peroxidase
format article
author Alghobashy AA
Alkholy UM
Talat MA
Abdalmonem N
Zaki A
Ahmed IA
Mohamed RH
author_facet Alghobashy AA
Alkholy UM
Talat MA
Abdalmonem N
Zaki A
Ahmed IA
Mohamed RH
author_sort Alghobashy AA
title Trace elements and oxidative stress in children with type 1 diabetes mellitus
title_short Trace elements and oxidative stress in children with type 1 diabetes mellitus
title_full Trace elements and oxidative stress in children with type 1 diabetes mellitus
title_fullStr Trace elements and oxidative stress in children with type 1 diabetes mellitus
title_full_unstemmed Trace elements and oxidative stress in children with type 1 diabetes mellitus
title_sort trace elements and oxidative stress in children with type 1 diabetes mellitus
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/7e667f7dacce4f4ea5cff51939ce3d6b
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