Effects of antioxidants on postprandial oxidative stress and endothelial dysfunction in subjects with impaired glucose tolerance and type 2 diabetes.

AIM: To compare changes in the oxidation-reduction balance and endothelial function before and after meal in patients with type 2 diabetes or impaired glucose tolerance and determine the effects of standard antioxidant supplementation. METHODS: Forty diabetics and 40 subjects with impaired glucose t...

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Publicado en:European Journal of Nutrition Vol. 49; no. 7; pp. 409 - 417
Autores principales: Neri S, Calvagno S, Mauceri B, Misseri M, Tsami A, Vecchio C, Mastrosimone G, Di Pino A, Maiorca D, Judica A, Romano G, Rizzotto A, Signorelli SS
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2010
      vid: 49
      iid: 7
      pid: 237
      pub: Springer Nature
      place: New York, New York
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        2010802156
        10.1007/s00394-010-0099-6
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        105106548
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        atl: Effects of antioxidants on postprandial oxidative stress and endothelial dysfunction in subjects with impaired glucose tolerance and type 2 diabetes.
      aug:
        au:
          Neri S
          Calvagno S
          Mauceri B
          Misseri M
          Tsami A
          Vecchio C
          Mastrosimone G
          Di Pino A
          Maiorca D
          Judica A
          Romano G
          Rizzotto A
          Signorelli SS
        affil: Department of Internal Medicine and Systemic Disease, University of Catania, Catania, Italy; sergio.neri4@tin.it
      sug:
        subj:
          Antioxidants Metabolism
          Cells Metabolism
          Diabetes Mellitus, Type 2
          Glucose Intolerance
          Oxidative Stress
          Postprandial Period
          Adult
          Analysis of Variance
          Female
          Funding Source
          Human
          Italy
          Kruskal-Wallis Test
          Male
          Middle Age
          Post Hoc Analysis
          T-Tests
          Wilcoxon Rank Sum Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: AIM: To compare changes in the oxidation-reduction balance and endothelial function before and after meal in patients with type 2 diabetes or impaired glucose tolerance and determine the effects of standard antioxidant supplementation. METHODS: Forty diabetics and 40 subjects with impaired glucose tolerance were compared with a control group. We assessed before and after a test meal (homogenized milkshake containing 80 g of saturated fat, amounting to 1,480 kcal), some reactive oxygen species, inflammation markers and flow-mediated vascular dilatation. These parameters were then reassessed after standard antioxidant treatment. RESULTS: After the meal, diabetics, subjects with impaired glucose tolerance and controls had higher levels of oxidant compounds compared to fasting levels. In subjects with diabetes and impaired glucose tolerance (IGT), Vascular Adhesion Molecule-1 and CRP were higher after the meal -- diabetic subjects exhibited lower fasting flow-mediated dilatation, which deteriorated significantly after the meal. Antioxidant administration significantly improved the parameters investigated in all subjects. CONCLUSIONS: In diabetic subjects, altered glycaemia and lipaemia are closely correlated with markers of systemic oxidative stress. Our results show that the abnormal changes in oxidative-reductive balance parameters are paralleled by similar changes in markers of endothelial dysfunction and inflammation at 4 h after ingestion of a fatty meal. Supplementation with a pool of antioxidants can reduce oxidative stress and inflammation in healthy subjects and, more importantly, in IGT patients. This previous aspect suggests that the timing of antioxidant supplementation has an important role in endothelium protection in healthy and pre-diabetic subjects, and along with prompt antioxidant treatment before irreversible endothelial damage has occurred, may have an important protective role in subjects with IGT -- patients who require administration of adequate dietary antioxidants.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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