Plasma oxidizability in subjects with normal glucose tolerance, impaired glucose tolerance, and NIDDM

S. M. Haffner, A. Agil, L. Mykkanen, M. P. Stern, I. Jialal

Research output: Contribution to journalArticle

79 Scopus citations

Abstract

OBJECTIVE - Several lines of evidence support an atherogenic role for oxidized low density lipoprotein (LDL). Studies on LDL oxidation in diabetes to date have examined LDL isolated from plasma, but have failed to evaluate the other pro- and antioxidant factors present in vivo, the balance of which could be crucial in determining the susceptibility of LDL to lipid peroxidation. RESEARCH DESIGN AND METHODS - We examined the oxidizability of plasma from Mexican-Americans in the San Antonio Heart Study. The oxidizability of plasma in 75 subjects with normal glucose tolerance (NGT), impaired glucose tolerance (IGT), and non-insulin-dependent diabetes mellitus (NIDDM) was studied after co incubation with a free radical initiator, 2,2'- azobis-2-amidinopropane hydrochloride (AAPH). Lipid peroxide (LPO) levels were measured by a modified fluorimetric assay. RESULTS - Baseline LPO levels (μmol/l; means ± SE) were similar in the three glucose tolerance categories (NGT, 1.99 ± 0.07; IGT, 1.88 ± 0.07; NIDDM, 1.97 ± 0.07; P = 0.521). However, after incubation with AAPH (NGT, 4.30 ± 0.20; IGT, 4.45 ± 0.20; NIDDM, 5.35 ± 0.20; P = 0.003), the diabetic plasma had significantly greater amounts of LPOs compared with the other two groups. There was no significant difference in LPOs between the NGT and IGT groups. The statistical significance of increased oxidizability of tire diabetic plasma persisted after exclusion of patients who smoked cigarettes (n = 15) or who had vascular disease (n = 4). CONCLUSIONS - In conclusion, this study shows that the plasma of Mexican-American subjects with NIDDM is more prone to lipid peroxidation than that of non-Hispanic whites.

Original languageEnglish (US)
Pages (from-to)646-653
Number of pages8
JournalDiabetes Care
Volume18
Issue number5
StatePublished - 1995
Externally publishedYes

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

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    Haffner, S. M., Agil, A., Mykkanen, L., Stern, M. P., & Jialal, I. (1995). Plasma oxidizability in subjects with normal glucose tolerance, impaired glucose tolerance, and NIDDM. Diabetes Care, 18(5), 646-653.