Serum Levels of Carbamylated LDL, Nitrotyrosine and Soluble Lectin-like Oxidized Low-density Lipoprotein Receptor-1 in Poorly Controlled Type 2 Diabetes Mellitus
Open accessAbstract
Introduction: Carbamylated low-density lipoprotein (cLDL) has profound proatherogenic properties. Lectin-like oxidized low-density lipoprotein receptor-1 (LOX-1) has been identified as the primary cLDL receptor. The soluble form of LOX-1 (sLOX-1) and 3-nitrotyrosine (NT) have recently been suggested as biomarkers of vascular disease. Although type 2 diabetes mellitus (T2DM) is characterised by an increased atherosclerotic risk, the clinical data on cLDL, NT and sLOX-1 levels in T2DM are limited. Aim: To explore the possible role of cLDL, NT and sLOX-1 as potential biomarkers for disease progression and complications in poorly controlled T2DM patients with and without microalbuminuria. Materials and methods: The serum concentrations of cLDL, NT and sLOX-1 were measured by ELISA in a cross-sectional study of 60 T2DM patients and 35 nondiabetic controls.Results: Both the normoalbuminuric (n = 34) and the microalbuminuric (n = 26) patients had significantly higher serum levels of cLDL and NT than the healthy controls, but sLOX-1 was only elevated in the microalbuminuric subgroup (p < 0.05). Carbamylated LDL correlated positively with NT in the diabetic subjects (r s = 0.266, p = 0.04) while it correlated with urea only in the control group (r s = 0.475, p = 0.004). The serum concentration of sLOX-1 correlated significantly with fasting glucose (r s = 0.441, p < 0.001), HbA1c (r s = 0.328, p = 0.01) and microalbuminuria (r s = 0.272, p = 0.035) in the whole diabetic cohort. Conclusions: The present study highlights the potential of cLDL, NT and sLOX-1 as possible markers of diabetic complications.
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In T2D patients, protein-bound 3-NT levels are higher compared to non-diabetic subjects (serum, ELISA).
“Higher levels of protein-bound 3-NT in T2D patients”
From Protein oxidation - Formation mechanisms, detection and relevance as biomarkers in human diseases (2021) · cites this paper as [244]
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References 28 · Cited by 14
Research works printed but not linked: 5
- Basnakian AG, Shah SV, Ok E, et al. Carbamylated LDL. Adv Clin Chem 2010; 51: 25-52.
- American Diabetes Association. Standards of medical care in diabetes-2007 (position statement). Diabetes Care 2007; 30: S4-S41.
- Shah SS, Apostolov EO, Ok E, et al. Novel inflammatory mechanisms of accelerated atherosclerosis in kidney disease. Kidney Int 2011; 80(5): 453-63.
- Sharma K. Myeloperoxidase activity and oxidized amino ac- ids as biomarkers in chronic kidney disease and coronary ar- tery disease. Am J Nephrol 2017; 46: 71-2.
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- Authors
- Stankova, T. R., Delcheva, G. T., Maneva, A. I., & Vladeva, S. V.
- Affiliations
- Medical University Plovdiv (BG)
- Corresponding author
- Stankova, Teodora R.
- Venue
- Folia Medica
- Publisher
- Pensoft Publishers
- Published
- 2019-09-30
- Volume
- 61
- Issue
- 3
- Pages
- 419-425
- ISSN
- 0204-8043 (ISSN-L)
- 1314-2143
- OpenAlex
- W2979031565
- Cited by
- 14
- References
- 28
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 4 · 2019: 1
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Folia Medica (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ZooKeys (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Keywords
- nitrotyrosine, soluble LOX-1, lectin-like oxidized LDL receptor, type 2 diabetes, uncontrolled diabetes, microalbuminuria, biomarkers, diabetes complications, atherosclerosis, oxidative stress, glycemic control
- MeSH terms
- Adult, Albuminuria, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Enzyme-Linked Immunosorbent Assay, Female, Humans, Lipoproteins, LDL, Male, Middle Aged, Tyrosine, Biomarkers, Scavenger Receptors, Class E
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